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HomeMy WebLinkAboutBuilding Permit 12.590 0 J w Z - F— F V V W Z ce la Q 2 5 551 W t� O ( z z It t wVIL IL0 G ' ❑ ❑ ❑ ❑ ❑ ❑ re ki V O p N O o �' d d J m w Z VI J Z YYZ z o o H LL J O U 0 W �; Z g 0 0 II a S o 0 2 w ? o: tL W N R N �- U 0. a zww. 5 o c z — a n J �3a� ��. v v z Z e`' DDDDDD 11 a a _ i J ~ U. Y U J z iu 5 P 0 -� o z o o W 1-- 1 ti �� 4 r- CIII w re O 5 Z V ► pG IL W r W H Z ui W re c < O } OW Ce W Z OO I- 2 0 0 0 0 V F N ° O U. IL U. Zko O 3 ° ° 1. az < 0 a 0 DDD 0 `to 0 F rxj© ' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 6 > / ¢. / 2- r N E S O L White File . Pink C PERMIT NO . '� 3. /Z._ !ti 3. Yellow Applicant �.•J (Please type or print and sign at bottom) ADDRESS It-1'341 A A -V—Sl pE_- c N h/ ZONING (office use) LEGAL DESCRIPTION (office use only) LOTS BLOCK 1 ADDITION Q tE r1 X--S V) a= i Ro �, rt PID OWNER (Name) 1 A T 1 A- M 1 44 U M ES (Phone) (Address) W A S I41 t-1 6 A V' E S S 20 I a.O 1 t..14\ 1-'1 N S S t43 BUILDER (Company Name) 1 ✓I - /N - " i' °+v ►' ES (Phone) (Contact Name) SU (Phone) (Address) 120 1 1..d.c S l-} lt-..l � p va S STS 7 ') 1 1 -O ► >v A, H 1,1 SSy.3`) TYPE OF WORK 0 New Construction RDeck ['Porch ❑Re- Roofing DRe-Siding sower Level Finish XFireplace ['Addition ['Alteration ❑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 HI MR S U PROJECT COST /VALUE $ 1 5, 00 v 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�...,�__ Be, 24 S32, b (o 1 a 11 Signature Contractor's License No. Date Permit Valuation 3 r 0 00 00 Park Support Fee # $ Permit Fee $ 7 - 7 SAC # $ Plan Check Fee $ _______/ Water Meter Size 5/8"; 1 "; $ State Surcharge $ /. 6-0 Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 54- 5 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE / 44//2 $ % 75 This pplihati. , Becomes Your Building Permit When Approved Paid `i 0 . 'it R 1pt No. G: Z G'v / Date , / y / Z o 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 0 0 p tf0, Date Rec'd : 4 S c CITY OF PRIOR LAKE PLUMBING PERMIT F4 Ike 44 4 ,, nrt7sotP I. e0 Ha PERMIT NO 3. Yellow Applks,l _._. (Please type or print and sign at bottom) ADDRESS ,n ONING (oirce ter) x'314'1 ?os N. NW 1 ___ :_`�.__� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PM OWNER (Name) (Phone) (Address) APPLICANT (Name) GENZ -RYAN (Phone) 952-767-1847 (Address) 2200 HIGHWAY 13, W , BURNSVILLE, MN 55337 (Address) (City) (Zip Code) (Contact Person) LISA HERNAi�T (Phone) _ 952- 767 -1847 /� f1� APPLICANT SIGNATURE 4 eA _ DA TE 1 � APPLICANT PLEASE COM - TE BELOW Quantity Type of Fixture Quantity Type of Fixture 0 Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener I -� Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler i Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multii- family 1% of job cost with a 549.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations 549.50 cam- ■ • - ist $ S 4 9 .47° Builing Permit # The Minnesota Statutes § 326B.148 — ID "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 1, 2010. until June 30, 2011. STATE SURCHARGE $ .50 The minimum sarche for a "flied fee" permit TOTAL PERMIT FEE $ tilf 0 0 is g, heRi ttg.1 1, 2010 _ This App , ecomes Your Building P , . , roved Paid Receipt No. _ Date By 1 e ( Lela! Date — 1 24 hour notice for all imp etiona (952) 447 -9650, fax (952) 447 -4 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 A . , f 1 . ' Ug t .4044, 4) : . , DEPARTMENT OF PRI0R L BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4347 PAIW5106 a NATURE OF WORK Lb MEX. USE OF BUILDING , PERMIT NO. O DATE ISS G►. /4• I?.r+ CONTRACTOR tflr A PHONE NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE *EMS 1 11 I) 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING f 64-‘' INSULATION ELECTRICAL PLUMBING HEATING (if required) ,3 /& 111111111111111 fige296/7a& ( Rr15:54P/L44- 6/0,0 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING 7/20/i7 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