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Home My WebLink AboutBuilding Permit 11-0940 5 0 ❑ . 0 00000 - 4 o > z2 i o n O ■2 Tr 5& o � � § § g 0 m >c m m ino ti ` �� m m m ■ I �§ § 0 cn -u R t q -1\ I Z § Q % 0 0§ ■ . q � 2 § xi ' ■ � \j3) § 2 / 2§ ( 2 k % -n C 0 > o ■ k ■ % D . > i % m 2 § § • ocOOCO rk, m mm ue■ ■sue k § s 3 . ' R Ana ~� ■§§mIs 'a 0 ■ r ci 2 m E k��k�/ NI hi o \ § \ z X X z \ k z 71 m \: . r -o -o . k o / r. 0 i . . m k 13 0 \ M > 00000 k t. § V22§§ . k as C 0 12 7J To ri CCC§ § » 22 ■ m xi �■�F k FA t z -1 r 0 PRIOR LAKE BUIL DEPARTMENT OF AND INSPECTION PE T INS I N RECORD SITE ADDRESS t41 z> 4 I-6 TO— NATURE OF WORK Lr cti, 3.� USE OF BUILDING 40-- NO. f I - 6 34 0 DATE ISSUED q" I CONTRACTOR '5F-rA PHONE 'z- ry Y 5"7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 fOOi#IAPrior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING l INSULATION ELECTRICAL PLUMBING — L HEATING (if required) --1 FIREPLACE ?j GAS LINE AIR TEST cd 4 reo- �g to alt I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS -) BUILDING ELECTRICAL PLUMBING /7/- HEATING HEATING /9,, DO NOT OCCUPY UNTIL B E 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 �� CITY OF PRIOR LAKE PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE _\ AND UTILITY CONNECTION PERMIT r *N E S 1. white File PERMIT NO . 2. Perk City ( �� ' 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) i q 1'73 / pM/-OOs P- TR.L IUt_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Q RLC io, Ro G -TS (Phone) q,; d —aa 6 -5763 (Address) S Milt-- BUILDER (Company Name) 0e"sNE-l2. (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding A'l.ower Level Finish ❑ Fireplace ['Addition ['Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc: Type of onstruction: I II III IV V A B Occupancy Group: A B E F HI M R S U PROJECT COST /VALUE $ 16/ 6 60 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 c evoke this permit for • st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Signature Contract 's License No. Date Permit Valuation ,- .' Park Support Fee # $ Permit Fee $ &2-.2/::," SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ i -- Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ �� co Builder's Deposit $ Sewer & Water Permit Fee $ Other , , „,_.„,,,, •6 _ x (r , '- Gas Fireplace Permit Fee $ 54,s-0 TOTAL DUE ( z , L' $ This App a , 1 n : omes Your Building Permit ' . en • . proved Paid ” 2_k – 7 • 2— Recei?t No. p oi (Zq- - Date 1 \ \Lo , \ By ,',f) A. A :. 1(1/ l ,. 1! :uild 'C. ial Da - This is to cert that th :. uest in the above applic Lion and accompanying documents in accor• .. ce with the City Zoning Ordinance and may proceed as requested. This document when signe.. i. anner constitutes a temporary Certificate of Zoning compli. e and . .ws construction to commence. Before occupancy, a Certificate of Occupancy must be issued. / - Pl. b ecto Date Special Conditions, if any 4 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 . Date Rec'd N CITY OF PRIOR LAKE PLUMBING PERMIT v 1. Blue File PERMIT NO / 2. Gold p 1 y_ C/ / G G f' 3. Yellow Applicant / 7 (Please type or print and sign at bottom) ADDRESS ZONING (office use) 7 3 z e sc ,/ , L / /V/--- �T LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) L J^ j r k /I'- -t f / 3 (Phone) 5 2 " 2 t — 57 `r (Address) / T % 7 /� to �a 4 � � <t Z- APPLICANT (Name) ` LLTf (Phone) (Address) 5 I1 41 L " (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE DATE 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 The Minnesota Statutes § 326B.148 FEE SCHEDULE "SURCHARGE has been extended of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 The minimum surcharge for a "fixed fee" permit is $5.00 t $ Building Permit # PLUMBING PERMIT FEE $ Y1, P, STATE SURCHARGE $ r TOTAL PERMIT FEE $ S (Office Use Only) This Application Becomes Your Building Permit When Approved Paid v Receipt No. fY. Date ,7/4/i/ 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 _. _._.. ..... ... .. . ... ..... ... - ittoYard Ys nee byes iii' `2 9a693q y \, `. 411 W.11 .^rt"fto) viorrinneact ..tik ilJ t % 1 , •,,, t\ ° 29IbbA) : p - ' `KADLITIA • . t, n b A) v .: (no i,q iasilo • r grit g fte a(J At([tgF ry p. dui' ti;s$ i 15rlaswdz iU na.sxU loot -! - 1 P. ni.? ► i • ,. .. ;11, . •:ii'/: " ittr i.3 1 'V {kfiizi-4UIIUM 3, IsiaLmtFmo' ,..fentautin nu `,'t, . r;'6;) b'91.sriti /2.3. 1 - _ �. " i re,°!. L' n" i j - .i't 2 " ;:1`,1' 1_ r- ,#'. >'_x 1 ,TT . 'o`1 ( n0 v.J 521'190) f "; i i l y-=; «. d'il i. , :sp k `4 gilibiat 8 11/04 nuilf 4 8 noiisaiLtigA zidT f E - 14, ` - , . . . '';h , 4 . s i ;'L , 3'7ita -mod 44 0 4 P RI0 4 , CITY OF PRIOR LAKE Date Rec'd h HEATING /AIR CONDITIONING/FIREPLACE PERMIT U t�rl TA 1. Pink File PERMIT NO INNESO 2. Green City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS Q S 4r-4W I-eet ZONING (office use) V 9 . 3 //��,0 _ _ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) /7 rir Gr /501- (Phone) Pc22 - z (Address) APPLICAN j JJ �' ?o (Phone) (Address) 314111E fl J' (Contact Person) (Phone) APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ['REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑ Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or DAir Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑ Vent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Cost $ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ f ! 5'7J This Application Becomes Your Building Permit When Approved Paid �� Receipt X `0 Building Official Date Date a. /# By 24 hour notice for all inspections (952) 447-9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 t • s F ' AYE id r A • • 4 . • • . . mil: