HomeMy WebLinkAboutBuilding Permit 12.558 J
LIJ Z 1FN-
i J 0' Y. ir W
Z 00 Z 41
g5gz > cd
4 0 W W UJi 0 o �!
Z
c w 0 W ce LT a.. z Z E�,
1 01300130 > cow
N 0
0 oo
k w
N
W 1/4.. Z »Z 02z� O O w
W C� H 0 0 0 _ V 5 :1.1.1
j-
V 0 W Z_ X Z Z Z 0 c 1
co 0 0. g =W��I g5 <A 8 2 p4 P.
�C)E' w G Z h O
a�3 , Alb.. W V W
0 130 0 0 0 0 `J v o o
re x
W
a a u.
0 1._
W 40 I ` ` 0 < 0 Di
W
III U o
g o Z 0 4 y v : � III 5
O 7 O Z V • N n a
a co O Z < ZO N Z N 0 0 W IL
u. F' N Z F - - m till Y a cc L 0
Pi) 0 0 u. - uu -rE CO Q c
V? a 0 a ❑00130 0 • 0 ❑
O FPR Ip 4 ,
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
c /NI TEMPORARY CERTIFICATE OF ZONING COMPLIANCE --7
AND UTILITY CONNECTION PERMIT
'fir Q'
r ` rAr E SD
1. White File
z. Pink City PERMIT NO. i2 5-5
3. Yellow Applicant 1
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
' S COW46' . Ktie/
( -
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER / J / /
(Name) i Kit 4 i L' a ti tl g / 9 (Phone) Z — O e — bc
(Address) 1 12 70 A[ &,<' {y 7 -
BUILDER
(Company Name) Re? c- r S / "e 144 doe e (Phone) 62 7Z7 - 750 - 7
(Contact Name) 44-4 ie;& � G / ( I (Phone) fCZ g ) S'
9 8
(Address) via f*' Off✓ L. mowic told "Cc,
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ['Re-Siding ['Lower Level Finis ❑ Fireplace
['Addition / Iteration ['Utility Connection
CODE: O.R.C. DLB.C. ❑ Misc:
Type of Construction: I 11 III 1V V A B , - 4o
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ /••?1 - 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 ..:. , . 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
otft...1 w .ke , .f permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed 'ens.
x aI_ -, E / 3%t37 ‘ �
try </ �, • ture Contractor's License No. Date
Permit Valuation 6 — Park Support Fee # $
r
Permit Fee $ 1(7-7 C. SAC # $
Plan Check Fee $ 'j (D , cf Water Meter Size 5/8 "; 1"; $
State Surcharge $ 7 • 5-0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 6—V, 5 �0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE OVi le0 OH i y $ 25/ 2.-7 This App roes Your idlding Permit A ved Paid Z 5 / • L- 1 e ipt No. l �j �✓ fJ `tom
Date 4, / i f 2.-- y
: uildin ate
This is to certify that the ' - in the above application and accompanying • . .. . is is ' . accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by • ty er constitutes a temporary Certificate of Zoning w.- . '... and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
/ 6 (Z.
Planning Direct() 0 . to 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
V Rio Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT g O (,7 P ERMIT NO.
Blue Fil
z. void city e /
3. Yellow Applicant
(Please type or print and sign at bottom) 11
ADDRESS ZONING (office use)
42---/
a -T
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER fl( 4 2 - <ceei . 6030
(Name) ' �" L 64 14A94 -
" t 4A (Phone)
(Address)
APPLICANT
(Name) Pj Z Q V ` ' n t� (Phone)
(Address) )% 4 �C`:of^ �q, 531
(Address) (City) (Zip Code)
(Contact Person) \ctlnn 141— (Phone) 95a-2-la -
APPLICANT SIGNATURE , r, i ►_� DATE 0 VO4 Z
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 ',ost $ Building Permit # tI1 "SURCHARGE" has been extended
until June 30, 2013, PLUMBING PERMIT FEE $
The minimum surcharge for a STATE SURCHARGE $ .50
"fixed fee" permit is $5.00 TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
, , -
P R I R LA K E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4z- - Q. A- 1=.072-
NATURE OF WORK At--1/:51)74-t-..0,1/4 , 4 vvC^.r,D
USE OF BUILDING 1z - S
PERMIT NO. / -2-r £5 DATE ISSUED C. f
CONTRACTOR R is / --evim PHONE 6/z -3z7 -7507
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
jiMMININEWIPrior to Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 0125 6 7/<(//z_
INSULATION l/I
ELECTRICAL
PLUMBING
HEATING (if required)
AMEISIIIMEINMr
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1 1
FINALS
WILDING 0/ 9 b
ELECTRICAL pp
PLUMBING vi5ua
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