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HomeMy WebLinkAboutBuilding Permit 13.037 ■ k 1 k r- -J 22 a: w *zww U b �� \ �z k k 2 &w w k 0 2 % § W 0 § ■ § : 000000 > 2 § p re _ U ■ § 0 d §§ t § o • E E2 og -J� g § 0 X fe 2 i \ 0 § § 0 l o w Lo■■■■u- v a. A 2 ■ 0 n. §�� §� _j ■ « § _1 � 22 x ° a ■ ■ ■ a■ ww§ w k cOOO ❑O .1 � . § § § 2 % , a a 1 LU w ( / z u z § © 0 2 \ ■ ct @ r , 2 z 2 b ' ■ 9 ' � II 2 a 2 R Z � �0 R k Z c I PQC � E 2 z° 6 " he� % U. k W k O &§ 2 o k k k 0 § k 2 2 o a OQOO 0 NA O 0 E. 4 P R f (6,AN, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 7 3 AND UTILITY CONNECTION PERMIT 6 / 4rN ]. white File PERMIT NO . /3 7 3 . Pe City / 3. Yellow Applicant � (Please type or print and sign at bottom) ADDRESS I t o ng 110 i n t C-t" N v.) ZONING (office use) Pr\ ©r Lcul,e , Nkin 553 ' LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Co ve L1nc�c� Lv0d (Phone) J 3100 (Address) 1 ((la g 1 Ta nka C-t. 0i3 BUILDER �6 � i_. C� (Company Name) '1' (Phone) (Contact Name) CfrkrIS � \.� q y (Phone) 1 ` - I ZS' - � y 3 (Address) q J P.i. e.. �w 4 -165 � ,,, C� , kk . 63i. 1 TYPE OF WORK ❑ New Construction ['Deck [Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: ,g. R.C. I.B.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U' PROJECT COST /VALUE $ c9--,000 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 ca e ke this permit r just use. urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X abc03lo a 1 13113 Signature Contractor's License No. Date Permit Valuation Z , o o0 00 Park Support Fee # $ Permit Fee $ (p Z 2-5 SAC # $ Plan Check Fee $ __ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / U d Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 5-0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ ____—__—_, TOTAL DUE efie/L 60 (, / /, /3 $ //7. 7.5" This A lic'ion : co . Yo ' uildin Permit When A roved PP ! g P Paid X ' Receipt No. — 7 �� 1 ///J 1 Date 1 —l' -1) By . I a li13 Building Offic : e ' This is to certify ' at the req est in the . bove application and accompanying docu nts is in ccordance with the City Zoning Ordinance and may proceed as requested. This document when signed by /' e City P1. ner con tutes a temporary Certificate of Zoning co pliance d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / tl /3 Plan • R10. - . Date Special Conditions, if any - .44 7 1 117i) r notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 t 1>R10 CITY OF PRIOR LAKE Date Rec'd ' � O - ` r HEATING /AIR CONDITIONING/FIREPLACE PERMIT H 4 sd '' l • Pink File PERMIT NO. 13 • . cTeer e« 3. Yellow Applicant . (Please type or print and sign at bottom) ADDRESS ZONING (office use) /(40c28/ uc.i,,v«, c.1-. td v.) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER 1 (Name) Q t&.o / L ∎ tti0 k. 1 t.. (Phone) (Address) /() 8 / To, 1t i in k ti C I - . n! LA.) APPLICANT (Name) lira F(4 510KAA fit: c k u r. i .I $c_v ✓ f 'S (Phone) G.! d - G SS- 9 to / (Address) $BS E. Sec�,.e_In ( h ii.,- 20 /tie 4., /hp f SS-W-/1 (Address) (City) (Zip Code) (Contact Person) i o 1 L ✓ S (Phone) 41. - G , 5 3 _ — 9 / o / APPLICANT SIGNATURE IN" .C DATE 7- / 3 O APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION ❑ REPLACEMENT 0 • FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ 04W- Building Permit # The Minnesota Statutes § 32613.148 HEATING PERMIT FEE $ "St. RCI- IARGE" has been changed for one year effective STATE SURCHARGE $ .50 July I, 2010, until June 30, 2011. TOTAL PERMIT FEE $ The minimum surcharge fora "fixed fee" permit (Office Use Only) is ff, beginning duly 1.2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date ay PAID wiTH Building Official Date UM fli�10. r . r� , ev -.. f"c(-f rr 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 s 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • 4k,4 • tivao 6 J\'\ p Rr O 4 Date Rec'd ° = CITY OF PRIOR LAKE PLUMBING PERMIT 1 `Z NIVESO�� l Blue He z Gold chy PERMIT NO s 37 3. Yellow Applic ml (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1%c et 7"a4;nxe. C/- /UV) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N OWNER vekve 5 1% ia'4 G 4.,.. oQ (Phone) (Address) (c?i / ra Ai k /Cc, (2 /. •UL✓ APPLICAN C_ (Name) too l { S S /0 K -/ z G Ile it / C . r (x ✓ vac-) (Phone) ( ld 6 / (Address) SRS( l ac k ac,. j-r v 219 ,• ,,J /b,£ 1 0 - 6 (Address) (City) (Zip Code) (Contact Person) 4v- 2 ✓5 (Phone) /c:) " S- `I/o/ APPLICANT SIGNATURE liol/, DATE /— — '3 dri 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 1 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 — hst $ i :' Building Permit # The Minnesota Statutes § 326 WITH "SURCHARGE" has been changed for one PAID year effective PLUMBING PERMIT FEE $ PERMIT July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 B JrLD`\ The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ is , beginning Judy I, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt 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 A 7, 0 • Jo 6 D E PAR T MENT OF PRIOR LAKE BUILDING AND INSPECTION 1NSPECTION RECORD SITE ADDRESS I' 0, TnifhoilMee1 Cr, NATURE OF WORK L D d ale6 • USE OF BUILDING `Ow PERMIT NO. DAT ISSUED I. . /3 CONTRACTOR Pd 11 PHONE ($'I. 72.07:003 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 1 I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING f ) 1z INSULATION ELECTRICAL PLUMBING L//`504,, HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING 7 ,q 5 - ELECTRICAL PLUMBING 1 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 (9521447 -9850