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HomeMy WebLinkAboutBuilding Permit 13. 0366 J w a 2 -71 Z e a: � UId*4 _ 44 a 2. W g N 0 < qi • N 1 0000❑❑ ----9 O a' O= J U. 0.1 C 0 Z Y\ Z YYZ ` Z U 0 W OOLJ O U x n Z m ? -xsm w a o -- m 1.1- `� a g z O co ,_ 0 a 2Zww2x N At - 0 E- _, u V p O Z f' p ka 3 v�a w V o u z Z ❑ ❑ ❑❑ — O� a p w i " \ \\ a a 1- 1 p J cc O 5 : V) o --J a O z g N v : � !.... - -� O z W 1-- a t � W ap N O za ay Z al - N v v .. 0 w 0 ILI w 0 ILI B .3 N 2 0 0 V V 0 a 0 a ❑❑O 0 ❑ ❑ c CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �� ,� AIN1 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r AND UTILITY CONNECTION PERMIT - �� l kNBs o 1. White File / 3 3 „ j �j_ z Pink city PERMIT NO. (lfJ / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING �+ / ZONING (office use) /5/‘ 1 // /� 4rtl L ) . b. /Ve- i ° °/' 1 ko. f'YlA/ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O W N E R G / /4V4 L/,S 4 i2.3 s r�ri .. S r s✓ (Phone) [: / Z )0 - ? — 22 S (Address) IS' 16 y re..,‘, i.. J x N E J f I-i. / t h ko 07N SSA> 2 BUILDER (Company Name) .�ie° 1 C (Phone) ‘ /2._— 7t 8 — 22-2 F3 (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing DRe-Siding �L,ower Level Finish N"ireplace ['Addition DAlteration ❑Utility Connection / _ CODE: II.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 $ /O,uan - 1 5, o00 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 tit' enmt r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X i,- - "..__ �-- -- _ s7 ///3 Signature Contractor's License No. Date Permit Valuation 1-/ U 0 c _ c 0 Park Support Fee # $ Permit Fee $ 0 --7 Z SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1 "; $ State Surcharge $ Z - c. o Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 q, S 7 Water Tower Fee # $ Mechanical Permit Fee $ .--- -- Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ S - . TOTAL DUE $ / z_� This Application Becomes Your Building Permit When Approved Paid y J , Z f Re • - • No. , 00Z.— Date 17MIMIIIFir 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 eAle L� p i .. 1 p ' b4 /di) e > CITY OF PRIOR LAKE Data Reed HI AT CONDITIONING REPLACE PEIt ICIT ZS t I PERMIT NO. /3_ 031 ADDRESS • 15111 (l ni 'JP t° ZONING win SAL DESCRIPTION (41508■»eety) L©T BLOM ADDITION 113, 'fr • $ LA ...:._.•M 'A ) -3; - P 'e, _ s j� • ! 1 0 ''" 111. - - 41111;111111 Antic A NT . o , - _. _ '/ 4 �► AR, . .. 1 il*-2: .::., i ° , . i .. F . . . , F 9 4 fist/ ♦r I # 0 ,/ J/. '1. • v Cede) i f gione)/0 —1 1 e 21. 2 . . APPLICANT SIGNATURE ./ . .O' CANT PLEASE COMPLETE BELOW a' . UCIICIN 0 REptAanesta 0 AL'TEtAT S FURNACE MAKE AAFI3 MODEL Ft PLUS SIZE RETURN OPENINOS INPUT OUTPUT TIPS OF SYSTEM MUTING OR. POWER PLANT PLEASE NOTPs Air Cosdidanor • aro Ain Plans Stow Vans and Fireplaces Cannot Encroach .. IN,. tity RH* into Rem Si& Yard Setbacks. ►` pplaca with Box Amami or tit Oroditionlei Special Devices est. Iowa o Odor Dookes Can to the Medd, of Bhp F CB MAKE. ma) MODEL .. !il •-• ., " iii 'r/ .1 -- %' Require a B Permit. � , 94 ofjoh . �„ a - Oes Fhookee $49.50 I49.50 minimums Reeithefiti, & AIC C $149 * akezataa. $49 0 Only $64.50 ea , AC Oaly The MirroesOtit Stags § 3260.148 -4•06t S # // "SURCHARGE* hs/ extended lint! ! # u:e 38, 2023, (EATING PERMIT FEE $ W / . - 1 aLI ` { The mirdeetho surett rr8e for a ;TATE SURCHARGE $ ltri ,, "fixed fee perms Is $5.00 F'OTAL PE ROT FEE $ .''',,„..... ir A e • Tlrk Apps Rrceaes Your Enilding Permit When Approved Paid Date BUILDI PERMIT landrl Date 24 lre+rr awes !fir oil 1a pect1us (952) 447 -3$50 1I ('PSI) 441 -4248 4444 Dakota Sowt 8,, Prior Lake, Mta#aata 55372 and /te Wed HitiV3H 9NIM10i9 9a9Z6tZ ;6 sb:i' €TeZ /sit /s® PRIOR DEPARTM UILD AN D IN SPECTION INSPECTION RECORD SITE ADDRESS /5/ 4' / AC NATURE OF WORK 1 , . 7► USE OF BUILD ► 4- .7). PERMIT NO. g j7 - DATE ISSUED CONTRACTOR ,�r'X�1 PHONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS omminumer F RAMING P- 1 INSULATION (g1 6 ie;/i ELECTRICAL PLUMBING F� ( - /l3 HEATING FIREPLACE �. . /;/f/3 GAS LINE AIR TEST P-6 to 5 3 RADON RETARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED LATH I 1 FINALS BUILDING -_ ?)2 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