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Home My WebLink AboutBuilding Permit 12. 0113 w . z a u 1 . | ■ 5 zw ��e�� z�� , E. Nig 4. ,gj)E.� k j k\��/ ` 2 < / a �� 000000 w ii z t ., > (62 0 _ ° 0 �� d �� U ~ 0 E a z 22 7 ® 0 k 1 z a 7_ }} §k \ p.. k Nk P o w r< � 0 \ / /k�� \ k \ a ■3 /� 0 ] — > 000000. 0o z / E ƒ E _ / ® 2 ® �w , < 0 % z . / 0 / 2 \ § z § z u u. L . $@ ix§ 2 � 2 / a Z 2 4 g a a_ q d 2 « <R � w U. 0 D <w w § .. 2 w ILI § 0 % 0 § §I 3It 0 k \\ \ / a « o a OooOO U O 0 0 @ O , t" f PR /p CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd PERMIT NO TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT t 4�14' I he File 3. Pink City / L. 7 � + / / / 3 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 44 i Z L r y 5.i- ill 6--- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ' y' a 3 / 7 7 k- 4„ : t d (s A d y / (Phone) Z- 3 (Address) (� q if 7. C - <i i t . i' v S I. /Z BUILDER (Company Name) i y-f, L L../517 6 u. / d.-2.-_, (Phone) (Contact Name) S ITU y-fr (Phone) 6 /5 - - v y ' 7 :rri (Address) :- _ Z--/ 0 fi-f 5/-- t (1 _ MA) 5 J 7 Z TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding tower Level Finish ❑ Fireplace ❑Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 7- (2, Or Gs • Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 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 pct f r justta Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X C it 6 z . -� -iz Signs r a Contractor's License No. Date Permit Valuation +-? Park Support Fee # $ Permit Fee $ a•7; SAC # $ Plan Check Fee $ Wel,' Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ II I X43 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE z ` 7, r 7 ..., $ el .2 This Appl i s Belt e ' • r Building Permit When prov Paid 9 �� ReC t No. (e 1 v �� A, � �� Date Z, 7? /Z, 1 .446 Building 0 tidal Date This is to certify that t•e request in the above application and accompanying documents i n accordance with the City Zoning Ordinance and may proceed as requested. This document when signed , the y Planner constitutes a temporary Certificate of Zoning c . plia • and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. f71/ ' •...- — Date Special Conditions, if any ' . s ur notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 P RIO Date Rec'd ° CITY OF PRIOR LAKE PLUMBING PERMIT H jNNESO 'c'' 1. Blue File 2. Gold City PERMIT NO. // -/350 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) qL,� (7 le S ,/l e LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) L l /1 a" 4 ing i' IL / 10SS (Phone) 7,5'2 - .2 33 ^ /V 77 (Address) \,Q yi/ APPLICANT ' (Name) 72 yite Of in 7 J 2 C (Phone) // c /)- Liia // c/ (Address) / T APPLICANT / f6 i /`nv+'` 2 f: ✓ /'4p/ kill s--,--/ 2 (Address) (City) / (Zip Code) (Contact Person) 5 ti �p !�'4.1. t (Phone) / 2 - ct1 5a / r y / APPLICANT SIGNATURE -- A `° /C. DATE /off - a a- 1 / 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 E/ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) V Laundry Tray (1 or 2 compartment sink Sewage Ejector ✓ Shower Stall Backflow Assembly Sinks Backflow Assembly Test J 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 ,ost $ Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended PLUMBING PERMIT FEE $ S5 00 until June 30, 2013, STATE SURCHARGE $ .50 The minimum surcharge for a TOTAL PERMIT FEE $ , i 2/, "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid J - 4 1 / Receipt No. w Date , By Building Official Date / 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 1 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 4 p Rio CITY OF PRIOR LAKE Date Rec'd °-P HEATING /AIR CONDITIONING/FIREPLACE PERMIT -„,„:-_._, V _,. _. sii NES act' 1 z. . ""k F t` PERMIT NO LA c c 3. Yellow Applicant 0 (Please type or print and sign at bottom) ADDRESS ZONING (office use) e q (dnaa y 5-)-- , E, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N inn n k Oro t t n J y /45 (Phone) 95a) -233 -/ 7 79 (Address) 6q Lt D (t r R D V 1 AitE APPLICANT (Name) 1 6O .. I -- 2 vt (Phone) < 5 '� F g ( - 7 9 3 7 6 �$0'4 / Q - 2 7 (Address) .5 3 i/ - r I (, y" ,h; f , �(! Turnout I le , W / $$ 3 3 7 I) /Address) (City) , / (Zip Code) (Contact Person) 4iOC12'3o (Phone) 5 b �r i (-- 7 9 APPLICANT SIGNATURE ) ---- DATE / ' f 7 — R APPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION D REPLACEMENT kALTERATIONS 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 D Hot Water into Required Side Yard Setbacks. D Mechanical 0 Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices Cantilevers to the Outside of Buildings DVent. System ] Other Devices a `44- Require a Building Permit. PAPA , FIREPLACE MAKE AND MODEL . p4- serneny 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 $ Building Permit # The Minnesota Statutes § 32613.148 "SURCHARGE" has been changed for one HEATING PERMIT FEE $ q 9/ 5 year effective STATE SURCHARGE $ S. July 1, 2010. until June 30, 2011. TOTAL PERMIT FEE $ ,c0,00 The minimum surcharge for a "fixed fee" permit is s5, beginning July 1.2010 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid t p R MitT Date 150 11 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 I % la SP • ''''-..lt . 1 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD s� - l SITE ADDRESS c��4 - N NATURE OF WORK I "/ ( 21 USE OF BUILDING L , L � A -—. PERMIT NO. (l DATE ISSUED a )4 / 2 CONTRACTOR t v �" n 15.")_4:2/2.< PHONE 1 414 - 7�. $' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE [FOOTIN&= 1 [.FOIINDATIOWRI:ior to Backfill) 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS di5zt FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) % , ...SIREP-bke-E- - BAS4ANELA1131VAT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 _ FIN ALS BUILDING ELECTRICAL PLUMBING 1 • - I `k g 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