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HomeMy WebLinkAboutBuilding Permit 11.536 O J 2 J Z ~ rz J T u.S W ▪ F cu tu Q U � J o W "Mww 0 Q ' �(` ` UILLL W Z V 0000❑❑ _ o N o u. 0 z » Z - r ' z o w O YY O V 4 re OOLLJ _ U O 1- a ( 000.1 �"' y d 4 0 re 0 o t ..---,-S) 0 D ... o = z p' Z�SSZ ( w w 0 1 Fa (1) Iii 0 Q. � T W S �t1AS 1 e n Z q4 b J • W __< W J W W W W W C af z 00000 0 0 O O = ` C IL a w i•. > ° z CC _ o < � ° c Y V 11) Z ' O 0 0 2 oC Z Z U i N V OI W H Q ap CO p 0Q Z W <� N V _i W W N ul re W Z 0 M< D <I I IX 0 0 c Q C z 00WM O a 0 0 LLLL ��, 1 . F.5 ? Q 0 a 00001(0 V • 0 ❑ c � PRIO , � � CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Ili AND UTILITY CONNECTION PERMIT . , M I. White File PERMIT NO . z. Pe City t ' w 5 3 6 3. Yellow Applicant l (Please type or print and sign at bottom) ADDRESS ZONING (office use) ir75o0 bEERFaat t�R LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) t< ELLy `jut.1 f>l_Z,E (Phone) (01A 6/$ — g 9 S 3 (Address) 1 1 1 O SC? D EEQ- F'IELt Ntmu t , P{Z.'I012. � AN< s. 1 1 3 SS ,3 1),_ BUILDER / O. q s oZ - 44 (Company Name) 7: -2,/A Z OA/•5 ?�t2[.� 7 mop,/ -iVG . (PhoFe) q se2' 4441.0 4' oBO (Contact Name) )) C> F 5 ©()C.6 1C -. (Phone) . CO la- 6 - S 7 (Address) $ I (D O CO RD. 1 4-D, U . . ? E 300 - 'Ict StWile M • SS S M 8 TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding '/Lower Level Finish ❑ Fireplace ['Addition DAlteration ❑Utility Connection CODE: kI.R.C. ❑I.B.C. El Misc: Type of Construction: I II 1111V V AB ..., oo " Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify that 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- mentioned 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 oke this permit for'ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X M o2oCo37 Co -a4 — / ature Contractor's License No. Date Permit Valuation 4 O n 0 • — Park Support Fee # $ Permit Fee $ 81 • Z� SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Z . - Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ S¢ • 5O Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Pemui.t Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ ( 43 . - 15 4 . 4-� _ This Ap , 4 ado . Bee , . s ur Buildin i g P em�it Approved Paid "S Receipt N y 1y. / p Q. ;�3l f Dat B ' „f'' �. � , - ! 6' '14- (I i Building.* ' tei. V • ate This is to c. " that th r • uest in the above application and accompanying documen . is in accordance with the City Zoning Ordinance and may proceed as requested. This document when s': by - Ci . er constitutes a temporary Certificate of Zoning comp ce and . .ws construction to commence. Before occupancy, a Certificate of Occupancy must be issued. II 4, 4 , -i9' Rlanning Director '",, Date Special Conditions, if any 24 hour notice for all in pections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Uec, j. ZUU9 9: jhAlVJ No, Irby - - - - V �— _..,.._... R Ip Date Rec' d ° ` CITY OF PRIOR LAKE PLUMBING PERMIT jNNE S�A 1. Blue (/ U �,. / z. cats r; PERMIT NO. ` 3. Yellow AepliC4nl L (Please type or print and sign at bottom) ADDRESS ZONING Nil= u$e) LEGAL DESCRIPTION (ofticeuse only) LOT BLOCK ADDITION PIP OWNER , /� j (Name) , 4 ' � 2�'��it / (Phone) (Address) raesi e na GC c-7p , 1/ � .r 1/ (� /-�G�2 � /2 386 77 APPLICAN / � 2 /f (Name) 1 .:<<, f, .. �� li' ° i " (Phone) 9.7 (7 9I P (Address) (Address) (City) G/�. ` (Zip Code) (Contact Person) _ ��L _,t!f , '�7 g (Phone) 5,R d 72 YfO," APPLICANT SIGNATURE Lam? . DATE Z 9 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 ! % , Stand Pipe (Washing Machine) Laundry Tray (1 or Sewage Ejector Shower Stall Backflow Assembly / Backflow Assembly Test Bar Sink v `' 11 Lawn Sprinkler Water Closet (Toilet) Other _ FEE SCHEDULE Indl.lstrial, Commercial & Multi - family 1% of job cost with a $49 -50 minimum Residential, New One & Tw. - - ' 50 Residential, Additi. . Alterations S49.50 Estimated Cost S Building Permit # PLUBING PERMIT FEE 5 ✓ M STATE SURCHARGE $ .50 u TOTAL PERMIT FEE $ t °-- (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Re - Building official Date Da " ' Z �� ( By ANI 24 hnur notice for Al Inspections (952) 4474850, fox (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS > ,7 cU' P6-p%' NATURE OF WORK r'.. - -,.., cif— USE OF BUILDING PERMIT NO. 11-. 53(0 DATE ISSUE /z4 / CONTRACTOR r `' � � -+ � PHONE CG(z • 3.%.7 7S 7C NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE OWN. 1 1 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 77z4 j ct INSULATION ELECTRICAL PLUMBING t/ i S vc x r 71(' HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIG D 1 I FINALS BUILDING 0' I QJ 1/ ELECTRICAL ((,, 7 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