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HomeMy WebLinkAboutBuilding Permit 14. 0311 0 J W Z _ — H F J � WK iii ZVtWia Z W w 0q2WWQQ Orth � 7 MZ Ma 'd. su rT (12 0 'o r w 0 o aaJ Fc-- Z YYmo OWJ OU er = OCn I 0 0 _ Z xxxzz 16a D v 0 w ) ce0 ! eN o a. ? � _ � /� � La3 _2t/) a2 kin o c z W W 000000 D W �' 0 ! li \ a aF LLJ< lib O 114 in 0H o V U. g °~ � a Ne W Q Z O ZO i''' i e'D " OZ0Z~ Z il NWN W 0 W / W u.0,- � re ctce OW co app < W W Z OO �yZt O O O O0 OV Q a t c — 0 0000 ❑ C) -- 1. ❑ ❑ PR job CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd o \ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` i4- o g AND UTILITY CONNECTION PERMIT J 5' ArNES 1.White File 2. Pink City PERMIT NO./A_ 3 / / . 3. Yellow ApplicantI (Please type or print and sign at bottom) ADDRESS ZONING(office use) )-15g. c,o.Gk Qfp.fk Kh,j LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PII) OWNER ,' (Name) (1d. �\�•r (Phone) e1 ba- `"i 9 cP - F (Address) \ 3a m:-."0,,„_>., '`\- K.)\_,) t1' LX1'111: IA 0 BUILDER �� (Company Name) �Xc VO` \( , --- • (Phone) Ci�J�- acto2- Cpl fl,1 (Contact Name) lb' -e r (Phone) (Address) I?7 T7v.-sin 1'AAor cL\ 5\ck` t-k.., M 0 5537 I TYPE OF WORK 0 New Construction []Deck ['Porch ['Re-Roofing ['Re-Siding .ower Level Finish 0 Fireplace ['Addition ['Alteration ['Utility Connection ill CODE: ii .R.C. DLB.C. 0 Misc. Type of C i i • . on: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 1 5 I000• 00 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 revo..- ' for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x ,, 'QdUYJ 15b 5/h13 Signature Contractor's License No. Date Permit Valuation ZO 0, . Park Support Fee # $ Permit Fee $ -z -2-5- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ l _ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ ' C.,-.0 -- Water Tower Fee # $ •`70 Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE dovezw 5. ('.( ¢' $ /I y!7 l 75 This App'• .'on B •,.es • , Building Permit When A I, ove, Paid /l 7. 75- Recei 2,2-,43 Li./ / t• Date S/i it f By .i Building Offici. I' i This is to A..,, . the request in the above application and accompanying documents" in....dance with the City Zoning Ordinance and may proceed as requested. This document when signed. the City ' ,••er constitutes a temporary Certificate of Zoning corn.'. ce an. , ows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. %'Ir, 't J4iJ lP/E�_ Plannmg Dir- -- kb, I•to Special Conditions,if any 24 hour're for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Date Reed rRro Af° CITY OF PRIOR LAKE PLUMBING PERMIT 414+40.09' - ;',1031:1 gia,„ PERMIT NO. 14 ,311 3 YeRow Applicant (Please type or print and sir at bottom) ADDRESS ZONING mice use) )LIC C,r\ C , jUuJ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION OWNER (Name) (Phone) (Address) APPLICANT(--,1 L, (Name) \'ce -C_ . L (Phone) 9 (Address) (0 00 f4400—. ?0 L JK L CS-31 3— ddress) (City) (Zip Code) IL-t-18 3- c‘Aq (Contact Person) C_ 0.) (Phone) 'rrs—a,---44-44:=Izio 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 I Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet(Toilet) Other The FEE SCHEDULE i/iiiineso Sta tes 3 2 6 B 148 pot;cost with a$49 50 minimum " " Residentini,New One&Two Family $149.50 SURCHARGEhas been extended ' m s Building Permit#Residential,Additions&Alterations $49.50 The minimusurcharge for a "fixed fee"permit is$5.00 WITH .PLUMBING PERMIT FEE $ PAID STATE SURCHARGE $ ----____XABURAIHNG PERMIT TOTAL PERMIT FEE (Otto Use Only) • 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 • PRIOR LAKE. DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ��3;Z NATURE OF WORK �-©�,. USE OF BUILDING tzr s �I fZ- PERMIT NO. -- �3 DATE ISSUED � - CONTRACTOR Y kAc••,0 f'c . PHONEgsL.-Zc z 'CA a7 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE (Prior To Backfill) TtDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS -SEW R!W ER/SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ej/7 CoAb HEATING InIktifttACE AIR TEST RADON-RETARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED itliggSEVIRAP — - FINALS ( PRIOR TO SODDING) 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