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HomeMy WebLinkAboutBuilding Permit 12.060 • J W Z • _ = H LL LL Z w w Q U W g 5g z � = ; I Q. W C' (n Z a cuULL.LL ii Z t� -, w O v N D J w L_ z O Lii z a a a m c 0 ex O I- c 0OOLLJ ! i Z O U U 4' a H w j 1 Z w Z_ x x ) _1 0 c CI- z 0 - 0 a °� a 0 z ■ Dwa Dw 0 0 z t p a2 w w w X L. C/D II 0 ❑ ❑ ❑oo❑ 0 0 0 o CC Z ,74 w a a LL = Y w 0 Z U 0 a g0 f Z 0 .k\ LL O 0 1 C■ 1 44 cc O p W i ' a �' / a Z F- G a f- I 1 w AG a o us O z o ? ~ z W u) w 0 - .I W J 4.V W W F - 13 W IC ix ix r4 0 o Q Q O v a. o o oo� ?�� p 3° v a U? a O a 0 000❑❑ U ❑ ❑ ❑ E. 0 J w Z — Z 1 H J - .'LLm .S � g g5= Z w Ili 0 U 2 0. W W y o "-----> W U U Z Q �_ I 00000 0 � w C'( 0 Lu re _� 0 O w �� i O O » w L, Z O z YY? CO c O CC 0 H Z O O LL J Z 0 — W 1 Z W Z IZZLL .. ' l 0 c Ili a c CO U a. �xW ( ' I � a co 0 O k O (A 0. 2 co at ° W WW CI w x �� 00000 0 L 0 U z J 0 a a 0 x YW NJ ' 1, O re Q U 0 W H _ Z -� Z Z U \ LL Q • • O Z O W I— h a� OI d N Z Z Z W `/ N V N • OW PA W Z 00K?Z ii A LL Y 0 0 , Q O fA 0 0 u.u.tz._u.M O �� o O U a V U U? Q 0 a 000000 0 ❑ c /6 7S_ Ol CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd '6'," AN ,'' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE G AND UTILITY CONNECTION PERMIT /, / 7 Z .� At s o I. white File 2. Pink City PERMIT NO. / 2, 6 U 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) I N 5 3'4 5t1o2 -f, l4JE NE. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) iii � SON H ✓e t4X (Phone) J 2-- 37 -7 (Address) 1 qs 3 LI ,s L€- /1AL 1 Pet 102- 1A7'Ct 55 - z BUILDER (Company Name) A 1 (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ['New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding tower Level Finish ❑ Fireplace ❑Addition ['Alteration ['Utility Connection 8+J7I OI CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I 11 III IV V A B Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 1, eV O 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 re it for just -use. Furthermore, I hereby agree that the ci official or a designee may enter upon the property to perform needed inspections. X AAIAC ' _r — • Signature Contractor's License No. Date Permit Valuation / 0 C) C► Ca © Park Support Fee # $ Permit Fee $ 34- 7 S'" SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ , S Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ . 5 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 0 9 7 This Application Becomes Your Building Permit When Approved Paid r , eipt No. � Date j: r c) / t_— B • 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.' N. • ' '' * ." • . 1 b al IS „, • . • 1 $ ” ' * • • • • ' '' I ' ' • : 4 • , • . • ... . , * y. 1 a . , • ' • .• • • • , xi + " • . • • ... . . . ' • • 4' <I '$. ' . .,,,r, `,., * :: * . .4,10,,* • , „,..,, .. ., • .. v ' . , ... ° • I ‘41 t " :•-• . ' .... .• , 4 1 V R O Date Rec'd ,� A te C ITY OF PRIOR LAKE PLUMBING PERMIT A i 2 41I NNESD CP Fie 2 . G o l Cit I PERMIT NO . ! �, y 3 . Y A p p O 3. Yellow Applicaal (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 534 5tfo2t ti t N f.- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ONaWNER ,...j,4104 H 1 vt_i_ tie- (Phone) 952 --3S') -�. _ 7-11 (Address) 1 .Silt *f_ S.-4 4r- A N , P?- O e ``� 1 'c-- ...SS 3 -Z... APPLICANT I (Name) � o� f) ✓t f., (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE �a DATE ■ 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 The Minnesota Statutes § 326B.148 ThsY $ Building Permit # "SURCHARGE" has been changed for one pKI t year effective PLUMBING PERMIT FEE $ L July 1, surcharge for a f ee i. STATE SURCHARGE $ .50 EL (pb _ � �� The minimum surcharr ge e 1'or a "fixed fee" permit TOTAL PERMIT FEE $ is ,55, beginning My 1, 2010 This Application Becomes Your Building Permit When Approved Paid Recei) No. Date By Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 • G t - 3A :.. . • a • • PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS Ji "LeS NATURE OF WORK A%I7i MIL Ai Ii USE OF BUILDIN PERMIT NO. a 0 DATE ISSUED i te if IL CONTRACTOR PHONE NOTE: THIS IS NOT A PERMIT R ANY OF THE INSPE TIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 'mom I 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING /� ,/ // INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 FINALS I�I�i�9) BUILDING ELECT RICAL 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