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HomeMy WebLinkAboutBuilding Permit 12.773 G t � � � c n I _ i w. .,r11� _�h ,„,4„,z. --- :?... --- A , A,A ,- A -- .:,)c,“ , ,,,N,,,- - -,N - Ax - ---,* -- 4,,, s.,,,,;-"41,.;i, ■ - ..0 1 _.0 r.. ul: _u1lf .. uVUiS.vni _M1.n._7 .. rc., _.nr.n:.�1V'l.,i.::1 irlV� 11,, .. aq.f,n 1-4 ,� Irrfifirfr of ®rrup true i CITY OF PRIOR LAKE X---;:l Prparfittrof of ,Iquilbin jinsprrfiott :-;:::::-..,,,,, Final Permitted ❑Conditional C.O. Expires 40 This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International Building Code certifying that at the time of issuance this structure was in compliance with the various ' ordinances of the City of Prior Lake regulating building construction or use For the following: '• a Use Classification ( 4G c / Bldg. Permit No. / 2 0 1 i Occupancy Type Type Construction Zoning District 4 ? Legal Description t N J P * 1 :4% �� ,, , cx. 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Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 38 9 5 57-A-T pv►ce N w PO S.0 LEGAL DESCRIPTION (office use only) /� LOT BLOCK ADDITION PID 25. 440 , OF/ • 0 OWNER (Name) (Phone) (Address) BUILDER j q (Company Name) t ATZILF'F iA6f�1.E s )•46- . (Phone) ! 52 965 -S954 q (Contact Name) ...10 14 Enl�=121 T Z (Phone) q S2 — 96S- 41 7 [ (Address) 2-14 13 3 &RENT t A 4 VE , S X11 T 120 t l- AicEvi L.L.E; #11.1 S SO14 TYPE OF WORK `New Construction DDeck ❑Porch DRe-Roofing DRe-Siding ['Lower Level Finish ❑ Fireplace DAddition DAlteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H 6 M R S U PROJECT COST /VALUE $ L 20� 000 Division: 1 2 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 -m ioned pr e 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 revoke i pe use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins ction X �1 [8‘307 — 7 Contractor's Signature Contractor's License No. Date Permit Valuation ( 0c0 _ - Park Support Fee # $ Permit Fee $ i •3.1 1 : A- 0 SAC # $ z 31,5- Plan Check Fee $ 1 e' le Water Meter Size 6,g"; 1"; $ t BO: State Surcharge $ -t p Pressure Reducer $ i . Zo Penalty $ Sewer /Water Connection Fee # $ 5 ._ Plumbing Permit Fee $ tg-4,ro Water Tower Fee # $ t Oct? f, Mechanical Permit Fee $ k5-4.5-r-) Builder's Deposit $ t5-00, Sewer & Water Permit Fee $ c(4) 54) Other $ Gas Fireplace Permit Fee $ S 4-.5-0 TOTAL DUE $ 71-174 lie This App � do i : , • , �, • � u Building Permit When pprov d Paid 7 1 2. 'L Rec ' t No. 64-1 7 7 / ,1, - f Date ( l l - By Building Official II e This is to ce • ' th. the re.' e in e above application and accompanying do ument is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signe..3 th ity P ,n• , o stitutes a temporary Certificate of Zoning mplia ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 1 SJ ( Z Planning Direc . ate Special Conditions, if any 24 our notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 2012 PROJECT VALUATION WORKSHEET ADDRESS: M artce SINGLE FAMILY ATTACHED: 1 Floor Wood Frame $84.85 X 2 Floor $42.43 X = SINGLE FAMILY DETACHED: 1 Floor Wood Frame $92.94 X = 2nd Floor $46.47 X GARAGE: Wood Frame $39.23 X Slab On Grade Garage $20.00 BASEMENT: Completely Finished (New) $25.00 X = Unfinished $16.50 X = Crawl Space $16.00 X = 3 Season Porch (unheated) $45.00 X = Screen or covered Porch or stoop $30.00 X = Deck $12.00 X = FIREPLACE: Masonry Single $7,000.00 X = Stacked Masonry $5,000.00 X = Gas or "0" Clearance E.A. $3,000.00 X = Other X = TOTAL VALUATION (5 8 CONTRACTOR'S VALUATION UPDATED 6 / 22 / 2012 J:\FORMS\PROJECT VALUATION WORKSHEET 2012.doc 08/0812012 16:58 6514637835 FARMINTON PLUMING @H PAGE 01 /DAD PkIO _. Date Ree'd ° ` , =c4'�' CITY OF PRIOR LAKE PLUMBIN(- PERMIT r y . E3e '• twa. a *' P'ERMI'T' NO, zaaa tar a. vas , poi., • erne x or nL u at trottmn) ...�._, -- ADDRESS ZONING(ark v ) 3g - rat '44_ , .. ..._ - - LEGAL DESCRIPTION (Women only) LOT BLOCK ADDITION P (I .'t T 'tlQ_ldd. _ M1 (phone) 52 q8.5 ^S e tS et (A-ddress}ai Go 7 gsb, al , .. _- . Al?I'>C.I� 13 1.r . (Photle - , . (Andress) _al,D.:1 L1 .___Qa rn e. ,...ak k J 4 0—. * rrY) .i 6_ SOTY (Address) (City) (Zip Cole) ` (g� D, C ) '' "���� (Contact Person) c,�, -- (Phone) APPLICANT SIGNATURE - ...� _ i : ATL ) 1 -• • APPLICANT PLEASE COMPLETE BELOW Quanti T A ie of Fixture • naafi _ '> pe of FYxtn aath Tub with or without shower )alt -ins _ ..— 1 Dishwasher -- . -__ __ .. t__ ' Heater 1 Moor D ra.ixi • w •►t 'stet Softener _ Lavato s athroota Sink_ - : aad Pipe (Wa shi, Mac hi n e) La 4 Tra (1 or 2 compartment sink, '..:wage Ejector Shower Stall .• _..� i ickflow Assembly 1 Sinks _, U lek flow Assembl Tes . Bar Sink , lwa Sprinkler _ .. 3 'Water Glaser ()`oiler) ,�, rR hcr. _— M W FEE SCHEDULE lt►dnstrial, Commercial & Multi-badly 1% of jrh cost with a $49.50 minimum Rssid ^t iii, New One &Two 3149.50 R.esid•!.: dal, Additions & Alterations $49.50 i The Minnesota Statutes § 326.8,14$ 1st 'Building Permit/ 1 "sl►RC3irtRCE" has been changed tt}f one PLUMBING PERMIT FEE . _ l t � �� year a fC'cctiwe Jail( 1, 2010, until 'hire 30, 201 i. STATE SURCHARGE $ -_ .50 b,IVG pt. ` � minimum surctt *+^gc tar a " 1xcd kc" permit TO'T'AL PERMIT FEE $ .._, _..-. 4 ' � 'J" is 16 hi: mainJuly1,2g1A . This Applica.s•tt Becomes Your Rniiding Permit When Approved Paid Receipt No. Date By ..... 13uitdibrt OtGciat - Date _ 24 hour notice for all inspection (952) 447 - 9850, fax (9i: ) 447 -4245 4646 Dakota Street S.1i,., Prior Lake, Minnesota 1i 5372 ci • O� PRIp 0 Q Builders Deposit S OS City of Prior Lake A $1,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading, sodding, landscaping, tree planting, driveways, siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $1,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: '7. /3 • /2- SITE ADDRESS: ?" 'I L 7 :3 a 7 r _ / ] C f.. PL _ /2_ # o / / j REFUND TO BE MAILED TO: % /' - /1"°/LIE 2-/ f 9/ L/j7 Of* t1 v _ 72_0 z__/-) /i - Vi t.- ,- , - ice .5":570 4 - PLEASE REMEMBER 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPI ' OR $500.00 WILL BE FORFEITED 1 ' AU1gOR ZA e N TO RELEASE SIGNATURE: _ Y./ .►� � n 1 / ` r L ynda S. = 9 I: uilding Services I 1 Acct. 8 01.20204 Date J:IFORMSIBUILDERS DEPOSIT FORM.DOC P R I R LAKE BUILDING AND INSPECTION Fik INSPECTION RE CObM a1D SITE ADDRESS A 3gc 5 St-A •�' t''c, e� ■,1A NATURE OF WORK sr/A Pe-y24-AA USE OF BUILDING f-'v1 PERMIT NO. 12-113 DATE ISSUED 7 (30/1z- CONTRACTOR t /NIL:- . PHONE 1 2 -965 - 4\ 19 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW tt THE „ter. PER _ SEPARATE DOCUMENT $i� t"'- 1- .K--) L ' (, i} 1 € `) _Iksci` 7OR 1 � � DAT I � k I FOOTING 1 1 FOUNDATION (Prior to Backfill) 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1120col'.1 ROUGH - INS SEWER / WATER / SEPTIC FRAMING C'^ar W, wc- j /b / � a INSULATION ( /op, 6 'z ELECTRICAL PLUMBING U6 N `2 s.$? (0t2l f2 HEATING (if required) FIREPLACE t,51111(2- AS LINE AIR TEST ) 19/5 i ( pl" COVtR NO WORK UNTIL ABOVE HAS BEEN SIGNED ( «l?) t (t4av L mc,1 FINALS GRADING (Prior to Sodding) fba_ BUILDING ► 2 11.2(17. ELECTRICAL 1! PLUMBING P / zj )i 2_ 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 s. rvice cabinet is available, card shall be placed near main entrance. • FOR ALL INSPECTIONS (952) 447 - 9850