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HomeMy WebLinkAboutBuilding Permit 11. 1002 5 O O n oOOcO 0 0 - go 0 n * 0 ■ � - g � -nm 0 o � 4 el 0 O ©© 0 . z Az. 2 8 m m 2 Mo k 2 m E 2 ' o z § § § � / t > z �� k cz 4) K n .. -1 z � o \ m % 2 r k 7 ■ 1. 11 13 % m 2 § § r O°OQOO %% m m m ■13 ■ ■■13 ] -4 § ■ 2 § ` gE2�0 ] % .. § m ■s 0 ■ R i \ ''' �B�k�k § \ 2OO 2 & § § . \ ¥ \ 0 2. k _ m m OOOOOO k . .a 2 i ~ � \ o 2 § . Q 11 n§ 1 r E % §. . z��� Am. / »m 2K§ m m21 x) § N g . 2 0 ¢ E m - r 0 of PRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd A E .1. ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE q / AND UTILITY CONNECTION PERMIT /' 17 1 / I 4' /N p ' gµoP. I. White File ■ PERMIT NO . 2. Pint: City / D OZ 3 Yellow Applicant l 4 V OZ— (Please a or print and sign at bottom) ADDRESS ZONING (office use) 1 H>. 45 ■ AC /If; LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ) .��' I -�L37�J� (Name) 1 /' g � *e (Phone) 7�? (Address) BUILDER (Company Name) jj (Phone) / 2 (Contact Name) 1) ut it 6 ( (9 r ".51 --- - (Phone) (� c- / — a 0- 3 ' 7 (Address) TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition Alteration ❑Utility Connection CODE: ❑LR.C. DI.B.C. /S/ GYA7�t!i /N L" ' Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U Division: 1 2 3 4 5 (excluding land) I hereby certify that 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 ..city an at all con ir on •rm to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official can revokes per , , hereby agree that the ci s i . .. .nee may enter upon the property to perform needed In Gections. X /.� i // 942-7/ / / 1�._.__ Contractor's License No. Date Permt��,: uation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ #1 75. This Application Becomes Your Building Permit When Approved Paid 41. 7r R ec t No. 6 i-/e b Date 9. - - / ( B y . 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 Prior Lake, MN 55372 0 4 YRtp� ,� IL(' L : .. - a o 7 v it , 44 S01 • HOMEOWNER REQUEST FOR ELECTRICAL INSPECTION D /7 7// Horn Rough -In Inspection Required? Yes Inspection Other Than Rough in: 0 Ready Now Home Must Schedule All Rough-In Inspections Homeowner Must Schedule All Final Inspections Q Will Schedule AddrS � spectio b tree „/ � �� Project Description: � ALA.' L ( y' ( ' Owner Nam hs '4 il , Owner Phone ! �^7! Home: Cell: / O) £7c Owner Mailing Address (if different from above) Electrical Utility By signing this document, 1 certify that 1 am the owner as defined by Minn. Stat.325.01 and will legally perform the electrical work. Owner Sign r ' 1 � FEE CALCULATION - - -., . New Home or Associated Structure Existing Home /Structure Remodel or Addition New Home Service /Power Supply 0 -400 ampere @ $35 New Home Service /Power Supply 0 -400 ampere @$35 New Home Service 401- 800 ampere @ $60 New Service /Power Supply 401 -800 ampere @ $60 New Home Feeders /Circuits New /Extended Feeders /Circuits Up to 15 Feeders /Circuits ( ) Up to 30 Feeders /circuits $100 Feeders /Circuits @ $6 Each or 16 to 30 New Home - More than 30 Feeders /Circuits (in addition to above New /Extended Feeders /Circuits - More than 30 Feeders/ ( ) Feeders /Circuits up to 200A @ $6 Each Circuits ( ) Feeders /Circuits Up to 200 A @ $6 Each Other (Specify) Reconnected Feeders /Circuits ( ) @ $2 Each Manufactured Home Park Lot Supply ( ) $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour Plus ( ) Miles @ The IRS Mileage Rate of ( 1 Detached Garage or Other Associated Structure Detached Garage or Other Associated Structure New Home Service /Power Supply 0 -400 ampere @$35 New Horne Service /Power Supply 0-400 ampere @ $35 N : r- 8 Lu S.i.d ` „c 5 . T • c w ` J ` N - E � ° z z 3" 2< 4 I— � Ga c '' Q 0 0 Si W § R to r Li_ LU CI) v co - ° � fel C7 4 O 3 -0 5. Z ^1 ° ww ° v 1" Ni, n iT) O ® o I- a Q 115 ,., ' n 3 0 '' IR Z2 �.,,� rn U U O ~ 8 8 `' Q} N i ` 4 N IA! < <z $ 1,--, -0 w Ql fa E fn Y.' 0 ❑ ti l7 . . " ii. E 4., ? 3 4.. it > S) ite Q) 21 ` 0 45 x 0 ÷' v U 0 03 4 - 03 E Q1 - Q) mi e,,... > 43 Q] 4 p T .,;1C—,S T \ ..., a � 9 ' cal f `ti \ S b) T— Zv \ - r i 1 ►' "r.. : r — 'fit \ • 1 i „;,O —,Oi