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Home My WebLink AboutBuilding Permit 12. 0062 0 -1 F- a al ~ � ` y a Q R' v UU CC o � � , W � � ❑ ❑ ❑ ❑ ❑ o =O ') N W x W O >> � Z U F- J Z Y Y Z r O U no O F.- E oOtL- — U c I sxz a °s ■ O 00 to O - ui _ O Z w m w aa:mLL ( N y � O U d �U ~ = U W W Z X r� a23 ./1, ` U U it W o� «, z NC I 0 � � IN 0 4 4 W r` ' U 0 YC4a 0 IN Y Q U 0 1 ' t F- O �. m 03 .7 " P /p F- co 0 rs 01 o z Z • F- F- F- 4 4' co 0 a a0 (/) p Zo U ct- W Y d o Q Z F- Z A Z U F- u) Q 4( .. O O O U u. 0 0W W Z OO tL' NXtr. 2 U U N ,,, 5 Z a 0 a 0 000❑❑ V J w 2 Z _ Z F " ~ J F - a' LL � W Ps-- Z U U Q 0 � g�� O 0 p U lL tL C7 - Z T 00000 0 W (o o ( U O CC 2 0 N v. r., J N z » Z CO c 0 N 0 o c2 H re 0 O LL J 0 0 U 4 W 0 F- 2 C7 000< rti X % O W Z_IZZ W 2 N p i a' LL �. ` co a 2 Ea a 0 Z : ...it J WQLLj J W O 0 Z f - � O a2 W W W W I 000000 (� Z � 0 0 O W a a LL = J 0 J f - ce z iu V z 0 O 0 0 ►- 0 Q 4 a' Z V Z Z U Vj U) V O ?' O Z 0 0 a f - F F F- 1► W a � w Z z z w w w w -. U. 0w a' W OOZNZH 2 re a re i-9 i U O O 0 LLLLLL=t.co O s 0 0 a U? < 0 a ❑❑'6t❑❑❑ V '17 ❑ c of PRl� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4'N'NESOO� I While File PERMIT NO . 2. Pink City / Z � / 3 Yellow Applicant t ��00 (Please type or print and sign at bottom) ADDRESS ZONING (office use) X C — ° it Y p .14.3 z-A , ii" LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ra1 ■ ∎ 7� j f v� �'�" (Phon 9 S ) - Lis - 6 ( 3 (Address) CO 0 POvi-ckS ,, 2"‘'‘ S C BUILDER (Company Name) /�`� (Phone) (Contact Name) 6� t G L ti/ (Phone) 9 r D- 1 -1S 66( (Address) 5 c... vs-c..... TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace EAddition DAlteration ['Utility Connection / 1 CODE: I.R.C. ❑ ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 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 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 o • thi permit far lust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ........V.4--„ Signature Contractor's License No. Date Permit Valuation 62 Park Support Fee # $ Permit Fee $ 14 :1 5 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ C Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ S`T it • C Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ c 7'C7— TOTAL DUE / 30 i1 > F This A . i.: io : ecomes Your Building Permit en A roved Paid (3c 7j - )— Receipt No. 6, 4i V/ Date fr7�� By gat .I Ih /24 ( Bu . ,_ - it > Dat This is to certr at , e re i t in the above application and accompanying document is in acc dance with the City Zoning Ordinance and may proceed as requested. This document when signed . ., e ' i P njer constitutes a temporary Certificate of Zoning compli cc and ows construction to commence. Before occupancy, a Certificate of Occupancy must be issued I / k I l ti._ 'Ian ' tc . Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 ( .0)RI : p Date Rec'd q CI TY OF PRIOR LAKE PLUMBING PERMIT 41INNESO� \ I. Blue File 2 City 3. Yellow Applicant (Please type or print and sign at bottom) 1 ADDRESS ZONING (office use) /J SO L-t 4se.e, Lam, E LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID A ...... ( O lva WNER r f t G I i itiTom/ (Phone) 9 cd - i4S1'- 4 C 13 (Address) ..S^fi APPLICANT (Name) ��`- (Phone) (Address) 5 4 wl (Address) (City) (Zip Code) , (Contact Person) E Y' Z- ..... (Phone) 9' S — 1 1C t i 64 13 APPLICANT SIGNATURE : — DATE / " 11 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 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 -Fa ' ',149.50 Residential, Additions & Al :. ions $49.50 1 Tost $ Building Permit # , The Minnesota Statutes § 326B.148 1 e( "SURCHARGE" has been extended PLUMBING PERMIT FEE $ �� Vi until June 30, 2013, STATE SURCHARGE $ .50 The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee" permit is $5.00 This Applica - ' n ecomw Your Building Per t Whe Approved Paid Receipt No. A 411 t Z Date By Bu di . 0 icial Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ic PR c CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE — , AND UTILITY CONNECTION PERMIT 'y,'VNEsdo' I. White File 2. Pink City PERMIT NO . .ry / 3 Yellow Applicant ( �7 r (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ( t,j 1 v im` ) ( P hone) (Address) CO L AS � t. L�`n s (. . BUILDER (Company Name) (Phone) (Contact Name) L'i't G 1,3 iiN (Phone) 9 S D — H5 1 66( (Address) 5 c w-e.. TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace ['Addition El Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. El Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U 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 0 [hi permit fbr just cause Fur construction will I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. X Signature Contractor's License No. Date Permit Valuation 62e2e Park Support Fee # $ Permit Fee $ 1 4 4 --j 5 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ C., So Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 54 () Water Tower Fee # $ `T 4 tt Mechanical Permit Fee $ Builder's Deposit • $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ ' 4 s TOTAL DUE 0 ` ' F e This A L ?i y io : ecomes Your Building Permit en A roved Paid ( ' Receipt No. 6 `E` t V A ' Date it 5 e By /a le , /l�� ' ' / 2.0 rL Bu . 6)i itci tl __ Dat This is to certi at , e re. t in the above application and accompanying document• is in ace. dance with the City Zoning Ordinance and may proceed as requested. This document when signed . , e ' q P /1 J er constitutes a temporary Certificate of Zoning compli cc and ows construction to commence. Before occupancy, a Certificate of Occupancy must be issued r - ,r ' 20 /Z- - .land : Director ..„) Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 P R I O R LAKE DEPARTMENT OF 'BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS Soq,Ave ? --��r. • NATURE OF WORK tai - tSW-oo USE OF BUILDING / - P E R M I T NO. 11 DATE ISSUED L /w(i 2- CONTRACTOR --L:.- -% — PHONE fit:; z- 4-Lc NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT +Feeerstm---- INSPECTOR DATE I DATIO (PHer- -#O Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING '' !.e z INSULATION ELECTRICAL PLUMBING HEATING (if required) Dorn.. IL_ seT) rui iL pvn T 4-l2.'4 -4-& COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS ;S I` BUILDING 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