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Home My WebLink AboutBuilding Permit 13. 0251 a~ z z z 1 j C, w au. S p st - \ i.Z U W Ua Z Q 0 \ 1 W Z E-. re 0. W W U LL LL ❑❑ p ` ❑ ❑ ❑ ,` O N O LL Z e W Y (j] CO 0 CL CI- < 4 l a to 2 O U W j o z = ! 8 z a n H O Fe O O Z O Z �' a O Z X 0 +. W Z OG -Z. S - / W W W W oC SSSfD W W S z S W 2 U U W cfl S �` 0 0 Cl" 1- 0W O O O C CI) a2 a a LL r Q J o cc Ci) \ 0 000 0 0 • O Z J O U O 4' LL O W W r �' a U -� W U F- N W W J q W F � U U O z O N W O O Q O ao z �z 03, ❑ ❑ c N u'U W W Z OOgZ OW O V LLLL — LL / 0 it U z 0 a ❑❑ ❑ ❑-❑ V F ' . F v ui LL Z a U E u z a s a W n \ \ C 7 Q 0 W 00 2 �� l � Z ti Uu u C9 W N 'N. 1 000000 `��\ r 0 kl \ vej C•1 CZ p as � v m L.: O W O = = 4 �� o W o a 2 0 o0 0a ��` w t a W z a: z_xxz? V W v O ( U J) V 0 d 22w N a. 0 ? 3 O Z X ° �W •¢ � W \ '\ w 114 w W 4c ' a�"SCn4.� � 's1 U U C4 Z ❑ ❑ ❑❑ ) a. a. a x0 W W a F- Z go = o N U o o O o i i i \ < 3 \\ 0Z O Z w F %. a Z ° 1• - O - a Z N o w e.... L(.1 ci LL� u z tiz� 2 �` . x x a ° O a W Ce Z 00 Nzl , O o o y V }a C o OO z tiu) 0 V 'S 5 ? Q 0 a. 0000❑❑ 0 2 0 0 a . ' v 0 0 E Fax sent by : 651483802S R.C. BURRS CO. 03-29-13 04:31p Pg: 2/2004 4{ 01 R 11 CITY OF PRIOR LAZE BUILDING PERMIT, Date Reed TEMP ORARY CERTIFICATE OF ZONING COMPLIANCE " i .� ,A 3. 2 , i3 r AND UTILITY CONNECTION PERMIT 1. ` rat PERMIT NO. • z rink My S. Ylilow Avaueant �� • �� lease or int and sign at bottom) , , . __ ADDRESS // ZONING (onset an) 57 v • •..�h. o 0-6 - 7i2i9 I c_ ACS E . LE GAL DESCRIPTION (office use only) . LOT BLOCK ADDMON PID OWIVBR c--�-� (Name) /4 /`�� $ (Phone) 9V Z'2Z _ sf '_ (Address) 5-54=9° 5 i2-' - AI /L... /1-4e - Tie( ,-.1. ta. L e , w' -' S 3 i Z. BUILDER � (Company Name) R. • C . (1 vz-ti S. Tai . "'}'". t-' G_ _ (Phone) 65 -.4 Z 3 - a D ' (Contact Nam;) - _ - T. i a L B y -K.IS (Phone) 4∎ S`7 - 413 -- OO -. (Address) (c; La .4.-_, 1.a ...0s.) € t PA 01- l al ',./ 2-3 . TYPE OF WORK () New Construction DDe ck ()Porch We- Roofing Re-Siding DLower Lcvt1 Finish D Fireplace DAddition DAlteration Olin* Connection t ILA. A i (c-_ CODE: E3k.R.C. E3LB.C. 0 MI.= � Type of Construction: 1 IL III IV V AB Occupancy GrOupt . A B E F H I M R S U PROJECT COST/VALVE $/ 6 oD- Division: I 2 3 4 5 (excluding land) i 6e 'e mittxd ntarcautoa on viols applicnaa whith h to the test of My tmwledge trot and coat 1 also artifr that 1 am the cawnr et a to on ag abou eeby ere ' hav ...• fu and ,. a nutrias v iU conform 10 ail ex istiaa hate and toes[ ta ws as�d wit t noceed is ec aeeorauue wi n tnkted ow cif am swan tha t *be ent for the bu(ldin dfictat • tart a t - use Furthcmnor 1 that the official or �.� �Y � W daigrce may stet upon talc yrope*ty to perform needed laspccdogt. a te Permit Valuation , 7 8 O 0 `- Park Support Fee _ # $ S Permit Fee $ /5 2-I ,' SAC # $ Plan Check Fee $ e( 5 , q (?� Water Meter Size 5 ./8 "; I"; $ State Surcharge $ l 1 • Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # S Plumbing Permit Fee $ 5 A •S° Water Tower Fee # $ Mechanical Permit Fcc $ S4- , S© Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Pelntid Fee S TOTAL DUE q-, Z , /3 t $ 2700.46 This �. a Becomes Your Bui eing Permit When Approved Paid - 27o j Itgotpc No, Y 3 I MONA. Date .y, % V-I 1l ' l nudes This is to • ' ' drat thr request in the above application ;Lott accompanying documeu s is in aomcdaacc with the City Zoning Ordinance and may proceed as requested. This document w h y , tS • / . By constitutes a =weary Certificate of Zoning compliance and allows con trucdon m camse,nce. Before occupancy, a Certificate of Occupancy most be • �COd. f riann.n Ditattor . Date _ Special Conditions. if any 24 boor aothe for all lmsptftions (952) 447 -9850, fax (952) 4474245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 iYas, * ;,14.titoz.t PRIp� Date Rec'd ° { CITY OF PRIOR LAKE PLUMBING PERMIT 4 jMvasoo I. Blau Pile PERMIT NO . z /� 3 . acid A p p 43 - / i 3. Yellow Applirnal (lease type or print and sign at bottom) ADDRESS ., 7 ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER % I' 7 ?�L � -- (Phone) �o? ?c — 5�(P f (Name) �� (Address) � (/V L.517,06 TrZi APPLI 7� C` (Name) t 1 et) �J1 Gff'YJ `j/ ./2Z �., (Phone) �& J 7 " ✓a !t, (Address) / / / I we (S - E 1 K /[L/C 3 ' � j (Address) (City) (Zip Code) l/t /n (Contact Person) ! 1 v 1 VYl (Phone) 7(,3 2it , APPLICANT SIGNATURE 4 % / >, ' ilk_ . DATE () G / . l 3 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) A _ Other �a4 G1E ,c. d.. fm-e GiC-- 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 The Minnesota Statutes $ 32613.148 The $ Building Permit # "SURCHARGE" has been changed for one PAID vvrni year effective PLUMBING PERMIT FEE $ BUILDING PERMIT July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ is IS beginning duty 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By 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 IX PaCCI i __________________ PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 5500 3800.63 70.414. NATURE OF WORK / USE OF BUILDING PERMIT NO. DA E ISSUED I. CONTRACTOR i. U1 /sdO Mit,PHONE to3 /, #63. 024 NOTE: THIS IS NOT A PERMIT FOR ANY THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1MM 1 1 I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING rill.11171161rAO, 1-12( INSULATION ELECTRICAL PLUMBING C P -IN Wi ',UI'L (j v 1 � HEATING (if required) (; M 07 /0(0,/, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I [ � FINALS BUILD 10 ELECTRICAL PLUMBING �` /4/ HEATING a _mile DO NOT OCCUPY UNTIL ABOVE HAS BEEN S GNED 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