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HomeMy WebLinkAboutBuilding Permit 11.603 . . . 2 - 2 - I- ■■ ■ Ili E 6C < . 0 m N ) 2 z > 0 ) \ " § klet k z 2 Qi■0 ■ ■ I k 0 00000 w 2 f$ : v 0 ±. et 2 ~ \ 0 z a. a. © 0 0 § w ° � 2% kk o< k k C k § § § IZ3§ Z | O. ■ CO a. §3I §3 < o o o a§ § w2 2 w ® OvoOOO § I u X % CI. a I- > 2 :� re E w w ` § z 6 II 2 % § § , a g . m § ■ 2 § z NI, © k k & � k co 1Z� \ -J - W k j czj Q w w » w ■ ■■ o /S5 § §§ U.U.u. k p A S 8 E. u? < 0 I OOOC 0 0 0 E. .. "%7 \�" 9 l'1' Y OF PRIOR LAKE BUILDING I'ERMI'1', Date Rec' d / \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,� // // l ! / `' �'NESD C AND UTILITY CONNECTION PERMIT 1. white Fite PERMIT NO . // &0 3 3 . Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) (7 7 - - — , t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER, _ (Name) l � ('�7 ?J t5 (Phone) �b 2' — 7�j ( Address) t7272 072 4 1 -12 - 41441 - C[ i / BUILDER (Company Name) PA+2.1 (Phone) i 6fl7 ( 72-6 (Contact Name) ' R k.i tit1' -t (Phone) --I - (Address) 5 7 6,- R 6 6 CQRC -')_ -14--24s , A/4'i4J4v�t - r ii`F-i -4.3 TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding over Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: I.R.C. DLB.C. ❑ Misc: Type of Construction: I II III IV V A B j Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ f 7 2' Division: 1 2 3 4 5 (excluding land) I hereby certify that I have . •: . • rma. on . ' .... ' . 'on 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 ... • . d that .. . will conform • all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revo , .:.: for ' . ore, I hereby a'• a that the city official or a designee may enter upon the property to perform needed inspections. X 1111■4...ar..._ ci 0.7f( (r( Signature Contractor's License No. Date Permit Valuation 2 c O O , u O Park Support Fee # $ Permit Fee $ 2 26— SAC # $ Plan Check Fee $ ,___ —.. Water Meter Size 5/8"; 1 "; $ State Surcharge ' $ / Q 0 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 3:4' u� Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ - TOTAL DUE $ /1 7 75' This Application Becomes Your Building Permit When Approved Paid //7. -1( Re ipt No. T i,s- --- / Date 7 if, // Building Official Date 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. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 i p Rip Date Rec'd iie CITY OF PRIOR LAKE PLUMBING PERMIT 2 P I NNESO 1. G City PERMIT NO. J . U 2. Gold old City F 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 :Z \Vc_tom A ds, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ,` (Name) 1 f,e.e&TNOL., cr ti. r'L'^, ki ` 1 .5 1/4. . r (Phone) (Address) 17239 - ( ;moor) / ti APPLICANT / /I (Name) 13) � t P1 v m�. I L. L_C 7s2 lo (Phone) � 7�P (Address) \%)(0'1 L j Lh ' f' LtAtA, Ste‹ '3- Z. (Address) (City) (Zip Code) (Contact Person) . e,ck..r(1 Ed..) Z (Phone) 95 7- --'Z. / Z-- t iG3 Y APPLICANT SIGNATURE DATE (5-7 (21 -1 I) 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 �Q Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New : e & Two - Family $149.50 Residential, • • ditions & Alterations $49.50 Estimated Cost $ Building Permit # �� 1 .. � � I � The Minnesota Statutes § 326B.148 "SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ year effective STATE SURCHARGE $ .50 D t e__ . July 1, 2010, until June 30, 2011. TOTAL PERMIT FEE $ l' The minimum surcharge for a "fixed fee" permit is 55, beginning July 1, 2010 lrnls application isecomes Y our tuilding Permit When Approved Paid =� I Buildine Official Date Dat�` 2 B 'I , i — , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 I 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 DEPARTMENT OF P RIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS / 7 2 77 / 7724" L NATURE OF WORK ) W6 VEL C , USE OF BUILDING f /ice PERMIT NO. / , to 02 DATE ISSUED 7- /1.- // CONTRACTOR f . /160i 26) PHONE V1/4.5 6b7 67 21 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 0MM 1 1 I I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING p 'il Ii( INSULATION ELECTRICAL PLUMBING HEATING (if required) all11111 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS 1111.11111101111111111111118M ,, BUILDING <4c. c. ; 1 _: ELECTRICAL MEW PLUMBING HEATING C 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