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HomeMy WebLinkAboutBuilding Permit 12.968 J o LL cg Ui E ZVV< z c W 0 2 W W €0 = 4 s d C .0......... 0 u. l L 0 w z 1 000000 4 re ta y o N O J Z » Z z 0 O D C Op u.J ∎ O 0 0 o, OO < W j w z ce z - =xzz 0 0 O. O o 0 w mzwrea � III � a z w , 0 - a „w . x - J W g J w ±� m a 2 co a. a. W = O W X Li! to ILI D❑❑❑❑❑ e :. a a LL J I r Z a o IQ —J 0 < a u. 0 g- - o 0 -- re co w O z z v N 10 N OI 0 Z 2 0 w 1— H F- V w a ° -F- CO z zC =g w J z �[ re w a ' J Q u. w J Ow W 01 Ce w Z OO a 0 0 0 .5 V d 0 O aau. = 3 c) 0 E. 5z 4 0 a DD❑❑1 D V D❑ E. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 9 U TEMPORARY CERTIFICATE OF ZONLNG COMPLIANCE (,1 � ('7 AND UTILITY CONNECTION PERMIT U I L .4 ,S`t `1rN E 5 1. white Fite 2. Pink City PERMIT NO. l2 .. ,?6,0, 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 1 LI 32 -2_ PA-IL It -'tDE c 0 V r2- -1 ZONING (office use) LEGAL DESCRIPTION (office use only) LOT U BLOCK ADDITION J E l= G" 12- 1,/A ` ' 2 r 120 ` -1--t PID OWNER (Name) I A T t: t`--1 - 0 M ES (Phone) (Address) 12a L W A S1-1. ■ i-11T- , t..1 A v' E s STE_ 2-a I a. O I t-.1 4\ H N S S 4 3 9 BUILDER (Company Name) M l'r - P . - 1-1 "i 4 I`' ES (Phone) (Contact Name) S'-' 84 '\. 12 (Phone) (Address) l2v l 1. S1-1 11-.I (T1 -J I VE S 5T- 7 e)1 -O 1 NI tt H 1.3 SSL 3) TYPE OF WORK 0 New Construction ❑>eck ❑Porch ❑Re- Roofing ❑Re- Siding ° Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection Z te-M S CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: NO t' P Type of Construction: I II III IV V A B Occupancy Group: A B E F III M R S U PROJECT COST /VALUE $ ?, 600 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X_ c....._-....._ BC-- - 7- 1 :2 ,2 3 - 1 53a4:::. O 'Z2 — 1 2 Signature Contractor's License No. Date Permit Valuation � OU O .. 0 Park Support Fee # $ Permit Fee $ CO / Z - 15 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / 0 O Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ ✓ 5-3 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE �n q , S $rte $ /17 /75 Ttion co es Your Building Permit When Approved Paid L l z'lG Receipt No. (ow y Date �3_) - /d� By /7 g 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 BUILDING PERMIT # P.I.D.# CITY OF PRIOR LAKE SINGLE FAMILY WORKSHEET NAME OF GENERAL CONTRACTOR: h L�-Tr�. M't L- L -1 S ADDRESS OF PROPOSED PROJECT: 114 ' P I\ F V 51 DIE L Ov t1 SQUARE FOOT FLOOR AREA FIRST FLOOR (INCLUDE 4- SEASON PORCH AREA) SECOND FLOOR BASEMENT FINISHED 1 BASEMENT UNFINISHED GARAGE DECK 3- SEASON PORCH SCREEN PORCH NUMBER OF FULL BATHROOMS NUMBER OF HALF BATHROOMS SEWER AND WATER CONTRACTOR: DS M t (DC l - t-1 bp- L3 NAME PHONE # NUMBER OF GAS FIREPLACES: INSTALLER: L ►2ES 10E 4 Eh Th 44 o t" l E 1.05t- (,'525 -1339 NAME PHONE # NUMBER OF WOOD BURNING FIREPLACES: INSTALLER: NAME PHONE # MECHANICAL CONTRACTOR: C— 42 - CZ i 4� 952 - 767 1 - 1000 NAME PHONE# FURNACE: CHECK ONE: ® YES ❑ NO AIR CONDITIONER: CHECK ONE: ® YES ❑ NO AIR TO AIR EXCHANGER: CHECK ONE: ❑ YES E NO PLUMBING CONTRACTOR: (Et1 2 - 2`(�t� S 2 - 1 10 0 NAME PHONE # WATER METER SIZE: CHECK ONE: ❑ 5/8" (STANDARD) ❑ 1" ❑ 1%2" ❑ 2" ❑ THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE NO CRACKS. ❑ THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE CRACKS N THE ❑ SIDEWALK ❑ CURB ATTENTION APPLICANT: YOUR BUILDING PERMIT APPLICATION WILL NOT BE ACCEPTED UNTIL ALL REQUIRED INFORMATION IS COMPLETE. C:\Documents and Settings \sbare \Local Settings \Temporary Internet Files \Content.Outlook \BD8OXI9A \Single Family Worksheet.doc RUG-29-2012 08 : 50 C I TY OF PR I OR LAKE MA I NT P . 08/00A II ......,1■01d/ N.,0111■ "fa 1,L• LAKE PL Dte W Itia,. e'd : t. et , . ' e t4- - IP Z _...) CO OT OF PPC:it IIMIONG PERMIT . I ve - .4 ; . \ • [Filtildm vio7r.... I Irdlow APP"c• ...::.• • -- .• -we- ••• ri / ADDRESS . ZOIIIDIG Comet tad i (4.32a ( Pcor-cd.t. rmoic.--ONI •■■•■......... . ,,, ■• •■■• ....■ . ...,...mr,n,•InlIVIIIna...........a.......................,./gomee,' • ` • . " .■ • ,,,... ,,,, ......,,, ( ...‘,,,.,:...._.....1 LEGAL DIWItaltliN ((Ott Ind Ai NN . .1 V‘ LOT 8 A' 11.0C2C I .ADDITI011 refe.tr4 )e,/,:kerti VW .................,,,,...................... ..........................■•■■■••••■•Me..................................m,* . 07 _ ww----wwwwwownweway................ —...—.•—...—..........—• • • w.......................w.ww 4........, . . . . . ' „,.. • PAN il ,, , ..., 4N, ' i • . 1 (Add) %AP -- \ 11..„1: L 9. " :\i' 4 S9jr_rks\ii i le 65' 3' 7 I <AMWAY ' . • (CRY) at Code) I i 11171/4 LSK-i7 - (PhOhq) 4 Z-- - 7c.- - 7— ) 5 1 (COnfactPtaanj , • :!..._ ...„, _ - ' ''' fr , . . . , • lyt1 (Zajj : —....—... _,___,_____APPLTCAIST PLEASE COMOLETZ ina4OW wreerwreew _ ..... e • r .....tilkofortin...... ..... 1 .. ..o.tii. • i _ Tt with or wiihot11.6MX__ ___ . • ROI'. 114.11.4 —_—___ 1 :: DWystslux 1---- rDisth i — 7.,.. ---- 7 - '1': : We& &Metter .. . . .. .. .. . IT,V.M.......... .. i Laurolr Du ' .1 or 2 nod sink I . . . • Buirflow Assomblsi - 5i . . . . : EaOkEOW: Antral Tog ,..,„ i. gc Mk - ---- i I Wet Cloiit 'Toilet ' " . . tAllq.. Flo SCireours weal, cortimaziA & moltAmily I% dial tua with &49S * rakimnio %lame:4 Ntw One IhTist.immiiy 214530 Residadial.Mditiont & MggliniOnS S49.50 • • • Tito h./1 g igues I )24 I ii,i g ' 1St 3 Bulldog llama If 1 $1. 1 .RCHAROr." has beta clanged for ow; PAID WITH . yor za PLUMBING PERMIT IT.Ii $ BUILDING PERMIT ai i,2010, nutit Jam 30, 2011. SLAM SURCHARGE S .50 nit rettiinita iitidinie he z ' he wain TOTAL num ME $ Isis, walla/ hiy /am ....... .... • This Appikattoo Becomes Your Ilona* PrOrnit Men Approvod P' aid .-- ..... .___.— ......., Deo . Sy ..... 13514sitat CAM — Z4 built itoUgnirm ell Iniputotts Dal Owns% rik (954 $47 460 Mike* Srrtet SS., Pthr Lit t Mixteci tit s .55372 TOTAL P.08 SW -29 -2012 08:50 CITY OF PRIOR LAKE MRINT P.05 /0 "— "1 "•' vv.. rv• .vvv uv•cua...vrc. .v.vr +r a , uuf„, VYL , • •tl . CITY OF PRIOR: LAKE Date geed , ' , I A IN - 09 a NDITI l GFF OPLA VI PERMI i 144 -seer. i 3 Atl7S _...... j _ I LEGAL b,�S l ' IZ (idr �cw:_ ;y7 _... -- r_ . ...._ •. -•" --.- I (Addtxss) u MltrxteL _' ' •"\,1- 'r ax) holse) _J 2 -) : - 1 VC I 1 • (Address) . ---- �...m- vi. s � -ms ., 1 lT d ,C4,d (CoittactPcrso i) £.$j i... % -v� = {P hanE) (? "� '( APP'L1 }Ii�I SIG U } "r , b 3;1,3; . APPLIUNT PLEASE COMPLETE BELOW . I tfCEME: - i 3fdi37f.Tl , ES FURNACE MAKE AND MODEL FUEL FLUE -$(2.E iifa"TURN OPENR L TYPE OF SYSTEM MATING G OR POWER PLANT _, . - Y - ,...�....,.�.rW., 1 W+rn� e#irPls ata • 1'L SENOTE: Mr Cottat;ioner j . t i Sim, Mira and Firoplacesa set.Zucraash 1 y 0 Her Writer D+tatJianital i Whelan Regard Side Yard Setbaelet. QAir C c1itipaief& �S iPoriec; _ -... 1F{rc Ba wit t uuxAddifipiisgt ' L 3Vc.•ii. 8ystt.dn o Dow , coAttioyoto to. the Qutsitko of tuddinea JtiR Ri MAKE A Cw41? € _..._ ,,,_„�,.,. ..,,„, Requite a if t JMtng Fermtf, FEE SCREDULE Ji dV5lti, Conuninini at M lit ;ally I% ofjollasE Rtsiiaiiall, Gas FlttGirlarc 549,50 ��, $�4'9.501nitiimpat PAIDATH it;sitWixi, Xiegil. a & NC (N Cimst uuctacso 3140,5.5 itmidtali21, Maims & Aficrolons Re tdmiti ,Ht4tingCniy(tta *Cotsinictien} $64.5D Rraidmeal, Only BUILD IN Estimated cost $ _ . Witting .Farriat >'# ..... .,.,.... iti+t i46$i9„ts atlininics 13ZGt3. 14$ Il i i`x PLiR1v1€1' FEE ,' ''F, €tRCI t:l lei - eE'" has b4{ts elnutnc3 for tine )cut eittk7a4 i~'1 °r'-3V- SURCITAIW g,____.5 .lnty I.3ltlil.RieiilJunr'fit,F.itEl. - 'ifitimatlM1'F1 �:.... Mt nintrnunaAuretea :p tors 'ttsci0 _ r: Un Oa!) is NS ;x.,;it:sinz•iol; 420fir 'Ii£aApptic ) waits Yeor Bul.kliar Farrah Into Approved + Paid -, Rc P i Nt;, "," WORE t?l�leht7 — t3 24 Maur netlec sfvr aft: ftaptatlaaa t9M3 6474M tax (951) 4414245 464 Mott Street SII, Prior take, Mfaaeaets Kin P R I R LA K E BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /43.2 Mitig SW CT: NATURE OF WORK _MYEIL LEVEL,.. USE OF BUILDING RCS PERMIT NO. `i ' E ISSUED � . Z3. rams CONTRACTOR d or ! r — PHONE NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE OMEN I 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) plINNUM \11 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS - BUILDING � /o IZ t ELECTRICAL 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