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HomeMy WebLinkAboutBuilding Permit 10.830 w k - k P ■■ ■ Q *2Ljtli 0 < z t ca Ica us / 2 o && & � 0 0 F. 0 ■� 0 e' ■ § v 0 ( 000000 § 2 0 S 2 X 2 ■ § 2 d §§� �► § t Z ••4 k $ kk \� ( z iu \ g c w z w §e3W§ U co o | CO U a ■��§sz & 3 ■ c< • a. §§ ■ a.2 � w w w .& 000000 0 IL_ �� k % a a / • 0 % 0 u § § _ z 1 I � W ' § 0 5P 0 �� ■ in % 0 0 § 8 1 g. a u) z 2 z z a UJ L % BUS Z IU Z 00f2 �z © 2 §00 k 0 § & 0 0 U.2 ■Er k 0 ■ 0 0 g az 2 0 I DOCOu0 0 1s O of PR, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 7 2 0. to Q ft, M'kNESO I. White File PERMIT NO . 3 Yellow Applicant City PERMIT 1 5 -43 ' , 7 17 3 p (Please type or print and sign at bottom) . ADDRESS ZONING (office use) 12 (AO Fo.)ffM 4v& c2- S b LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER K-14,7c ;� (Name) 6 < /4 y X/GV / v\ (Phone) 2 - 2 — d S /�3 (Address) e 702 &pi( /hi e_ /1' 7 C 2 ' 2 — CP 44( BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck Porch ❑Re- Roofing ❑Re- Siding ,Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: O.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (excluding land) t I hereby certify t t I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above•menttone property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can ev. e this se it forju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x 1►4t o. r► I'''' c 20 /v Signature Contractor's License No. Date Permit Valuation 3 000, - Park Support Fee # $ Permit Fee $ . 15 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ S. - Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 50 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ r 3 1. 5 O • This Ap , ion :: omes Your Building Permit Whe Appr ved Paid /24, 3U, Rece' t No. (o /S � 6 . � z Date 9 ( � Z d. / B Building (A to This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. " P irector Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 4 pR /0 Date Rec'd H CITY OF PRIOR LAKE PLUMBING PERMIT / z / / 0 x INNEso : 1. Belle File PERMIT NO. I 0 530 2. Gold city L 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /7,2a? Tifricithei Ave_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER , tt (Name) EV i ►■ fV 01( (Phone) (Address) APPLICANT (Name) v%!.'Q E:' GO0IP / /+fETA1 (.jo (Phone) & / 2 - g/F- MS (Address) 2,'e./ Pe60r Ate;e /ark. 5533;2 (Address) (City) (Zip Code) (Contact Person) 1 in _ ) ` - (Phone) 6' /R - % /r - ?ifs - APPLICANT SIGNATURE ,' _ DATE / /e APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler / Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ PAID wmi STATE SURCHARGE $ ( J I NG PERNin- TOTAL PERMIT FEE $ ( Office Use On1/ 7 This Apdd/ c o , . omes Your . ' ding Permit q hen :roved Paid Receipt No. / i 4 i L_ o i Date By Bui •.' e • ficial Date our notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Residential Building Permit Checklist : 4 sement Finish or Interior Alteration to Single Family Homes BY: a iI Date: Building Permit # PID: Zoning: R ' S l) Site Address Legal: L B Subdivision: Existing Structure: or NO CONFORMS TO ZONING NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning building height? Is the property located within the flood plain? Refer to Planning Does the alteration include any additional kitchens? Refer to Planning / c 6T ti•1v KtI ‘/ Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE T MAINTAIN A RECORD OF THE REVIEW. �� �° ©(� t v S U y A (J(� ' C..) ? - CSR SSW gcr t5.. " � c ao� �t� l n� pro rY'� �, ` `�' , W wOt „c) - ,.....es,..0,...,, -,,,, 3 N s p r& o Ft- e-: iz t4 1 . $ cp-ey...6- ` P&T`� 14 rol. tr ©� .::) Tq - nX` EN 'u I !LL (+` -cs4 �. X64 • (5 4 pp Net pi s cv cc.t o01. . �,- TIc Stis r . � corr a'vA - (_ ..- Lc,c1..) lk c, L (kJ 14-1.---.)- . t\-- (4A-5 TLA)c) 13,424,ear4eNe, r. M `� .re...16 � 2 ocz To • am ,- r ,,c-, ( Cc,c cc-' f 1-644 Cam- 6-AL.0 ZP S . L: \TEMPLATE\ALTCHCK.DOC ..,()L: I&O/( t) P R I 0 R LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS I L (oo t=1"A-- NATURE OF WORK F1Nsts 14C. USE OF BUILDING 12.eS A1/4.- I PERMIT NO. 1©- S3o DATE ISSUED 1 �o /lo CONTRACTOR 1)04 Kev�.J 16,30)c PHONE 951. to -1-593 NOTE: THIS IS NOT A PER I T FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ((Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS cammismiej SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING � � /o,4 J,p HEATING ummugp vinemr COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS (Prior to Sodding) BUILDING 1 3/A ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850