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HomeMy WebLinkAboutBuilding Permit 07.0077 ■ k � � w ® )Zww- Q \ Z \ 2)) 7 0 0 ° .d - ® re■ z §5 =� � ' Ft z § , 000000 -, > & 0 0 0 U1 _ ° � \ al - 0 § § © _ § ® Q e 0 O— : z 0 0 § } Z b f ?27 0 k C 2 1 ) 0 t � 0 w ■ a-wre a� \ 2 2 2 k CO 0 §§ / §§§ 0 o e ) 227 a2 wu & w ® \ 000000 j o § `� $ CL a U. ; I N. 7, w a g ' C 0 _, / w w w z o � ) 0© § \ IX 0 0 Z § • § < :. t- / z 1 2 0 a 2 « w I 04 � g $ - A - �Z W § § '� - k u. c) CO W LU § § ■ � .t m Cd X ) _ /\ § % § EE q 2 0 0 & 5 ? < 0 1 000000 0 0 0 0 { Z Z F Ill C J Z W CL rr_ cc W U w Z (° ° �S�W > z r� i O2Www 0 0 W W 0 LL EL - z 0 (� w N �_ 1 ❑ ❑ ❑q, @_� > a ' 1 � 0 0 ��, N O U. ° a. a. m z J LIJ . , z » Z Z o 0 0 le O " a ' F - ' 0 0 LL J 0 0 W y' O 0 w Z a' -22Z__ LL W 3 ,, N 0 a. DUW °° z O f O J W a y J W W W 3 � 0 0 CC X LL, � co 111 W ❑ ❑ ❑ ❑❑ 0 _ a a I Cn Z J C 0 • Q 0 0 44 re Y V �� Z 1- • 0 r a O 0 u__ H 0 m a fx Z Z O Z W • H Q o. 1 a fa � O O M ai o z Z N w w W a— co Z Z ° _ g z w Y a w J A cr, O W Z W Z 00W(12 E 0 0 0 • a 0 Z 0 LL liu ?U co 0 0 a 6z Q O a 0000❑❑ 0 \\ o c 2/ � P R / 0R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z 2 d i 07 m AND UTILITY CONNECTION PERMIT M 'A'NE SO 1. white File 2. Pink City PERMIT NO 07 0 0 -7 -7 Yellow Applicant (Please type or print and sign at bottom) ADDRESS P (v 2 Y.e._ M N 1 ZONING (office use) 16=15 Kcins l iti Ave- NE 5 5 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID .r. 4 , 0 1 , 0 (N J e,� n I 2 Woi I I (Phone) 95 Z- LigLe -q OS (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding i.ower Level Finish Fireplace DAddition ['Alteration ['Utility Connection CODE: .R.C. DI.B.C. ❑ Misc. Type of onstruction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U (excluding land) Division: 1 2 3 4 5 I hereby certify t. I have furnished in 'orrnrin on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the above -ment • d p 'petty and t.. a 1 c nstrucn n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building o _• revoke t is permit fo st ca a Fu ermorc, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. X F ib . 112. Zc07' Signature Contractor's License No. Date Permit Valuation C967001 D o Park Support Fee # $ Permit Fee $ f(D� / at LS- SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ /, o O Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ �O o , Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other � eiij -r--- $ v 0 Gas Fireplace Permit Fee $ L , 6 0 TOTAL DUE $ `¢¢ 25 - This Application Becomes Your Building Permit When Approved Paid /¢¢. 2 5 Rec t No. ,5 Z 5 t Ze.A./k . Date 2. Z 0. U 7 By / 0 ° Building Official Datc f 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 Prior Lake, MN 55372 Residential Building Permit Checklist ("Basement Finis r Interior Alteration to Single Family Homes BY: : Date: dZ /J /0 7 Building Permit # PID: Zoning: Site Address r 3 � 1 S e7 . •�-o ' • A). Legal: L B Sub vision: Existing Structur �!':[�.�► r NO CONFORMS TO ZONING YES NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning building height? A V r I v Is the property located within the flood plain? Refer to Planning Does the alteration include any additional kitchens? Refer to Planning N D 62.) Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? I— Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office, group home, day care, etc.)? ' THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L: \ TEMPLATE \ALTCH CK. D O C 7 oF PR1O. Date Rec'd lei x CITY OF PRIOR LAKE PLUMBING PERMIT 2-Z16 en �'Nivesot I. Blue File PERMIT NO . 2 Gold City 07. 067 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /3 ?33 /G6/11.0 if TO AI 4v6 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT ( � I� 1:; _ (Name) >k I r 1' !. 1 --L. C (Phone) CS _ S ci ' ° I I 1 g0,2 (Address) CS Q 1 -A I k4 S i- . L.> SCV9,<._ ScSr37 (Address) (City) (Zip Code) (Contact Person) 13 cl 9c ` 1 - --C (Phone) a I �y I) " (' 1 ` g d S APPLICANT SIGNATURE 'B y Jt DATE (— e - � �S 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 Softner 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 $39.50 minimum Residential, New One & Two - Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # g PLUMBING PERMIT FEE $ PAID 6e' n STATE SURCHARGE $ .50 ,) (/v TOTAL PERMIT FEE $ I V (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt N 1 - h // Building Official Date Date By , UA 'ld • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372 -1714 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /3 9S /«-' i / 6; /Z' /J ,qvc NATURE OF WORK 2_014/6),L__ L 6:71- GZ USE OF BUILDING / / &i i7/' PERMIT NO. 0 7 0 7 DATE ISSUED 7. Z- c t' CONTRACTOR / /t) L-- PHONE 4 %'Oe7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 0 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING r� ttf INSULATION ELECTRICAL PLUMBING if L3� HEATING (if required) FIREPLACE GAS LINE AIR TEST ( � C -L3 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING C-C4B D I Al Ur G - 1 -0/ 3 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