HomeMy WebLinkAboutBuilding Permit 14. 0626 ri PR/0�' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE _AND UTILITY CONNECTION PERMIT 7 ' /
l�'N E S O�� / , C- . / '7'
2.White File
ty I PERMIT NO. / /
(Please type or print and sign at bottom) 3.Yellow Applicant < (p I
ADDRESS
7D2 SI ki o TFC ZONING(office use)
RISb
LEGAL DESCRIPTION(office use only)
LOT 1 BLOCK / ADDITION 174" C1' � i PID 2S ((/ OC)/ 0
(ONaWNER V u/ ' t4 St PA-PA-A-- /�
(Phone) q 51- -Z(P- 1j/., (.4,0
(Address) 3760 S .M -021 - pr4I Uig vAlt- -
C HER ".-.)"1opei&-qe
(Company Name) /Iv)PI Ion ( 1 ((nJ Ce)-)!"r--- (Phone) gc2-- 7(p7- /0/d7
(Contact Name) .SC OTT 7 I` 1v102- — Jo4a , ;,toe/vj feir (Phone) (,51 - 1700- 0-70 7
(Address) 22.DO (1U1 /i,,0`{ 13 - 602-N6 u/i(.C‘, 1.4 k) s33-7
TYPE OF WORK 0 New Construction ['Deck ['Porch
['AdditionAlteration ❑Re-Roofing ORe-Siding ['Lower Level Finish 0 Fireplace
❑Utility Connection
- CODE: ��11.R.C. 0 Misc: k -
I.B.C. c -L • 171(1)`vt. 6ti LL
Type of onstruction: I II III IV V A B (1 r L O yr. ��yyt E,
Occupancy Group: ABE F HI MR S U $ S, a DO
Division: PROJECT COST/VALUE
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
x !Wn revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
IN/W — (14Sf%/Afi- Des-mil Lerfi-v BC-to3c/St07
Signature �I y(I�
Contractor's License No. Date
Permit Valuation ' O Park Support Fee #
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; 1";
State Surcharge $ $
S0 Pressure Reducer $
Penalty $
Sewer/Water Connection Fee # $
Plumbing Permit Fee $
5-4 •50 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit
Sewer&Water Permit Fee $
$ Other $
Gas Fireplace Permit Fee $ TOTAL DUE t
gv
t •
This Appl' ation me Your Building Permit n A 3 ' f 5 �i-'T ML7Tf3
/ proved I Paid 8 9 1 Rept No. 7/ 74-
�1// , _ ill
Date 3 l I
1 mldi'g Official Da e ��
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
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Special Conditions,if any
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd
U /
z toioia ci PERMIT
lease a or.rant and si; at bottom RMIT NO.
ADDRESS 3.Yellow Applicant
SC
Alt-1,l)i�g T!V(, ZONING{ MCe )
2,260 S
S/,
LEGAL DESCRIPTION(office use only)
•
LOT / BLOCK ADDITION �A4
OWNER PID - ///-00/--0
(Name) til L IASk ioi,/�L-A-
(Address) 32.00 SI L�Y�IO (Phone) ci'S L - 2-2-41-2-',1_______'(‘-)0
> T P/ziv� t✓ �
APPLICANT
(Name) g '12- �N PC- (IJ`f H 3,�
(Address) 7/2 C?0 (,U ("�1h. 3 _ (Phone) 6/C1-1/P7-/e®D
(Address) J:t t fJ0t u �s3 3
(Contact Person) SGC I if�t; e-e- (City) (Zip Code}
APPLICANT SIGNATURE `L � ` ,t ,�,� (Phone) S ' _____ - -/d 7
DATE 7 4/
• " It{ 136/14A1 5 Z-161 ' APPLICANT PLEASE COMPLETE BELOW
T i e of Fixture
BathTub with or without shower Quanti T a e of Fixture
Dishwasher Rou:li-ins
Floor Drain �� Water Heater
MIME Lavato Bathroom Sink Water Softener
1111111110.
r Laund Tra I or 2 coin a artment sink 111.11.00111 Stand Pi.e Washin, Machine
Shower Stall Sewa:e Wector
_111111.11111 Backflow Assembt
Bar SinkIIIIIIIIIIIIMMEDIMMINIII Backflow Assernbl Test
Water Closet Toilet Lawn S.rinklnkler
11.1111.1
11.1111.111 Other
The Miltnesota Statutes
"SURCNAnGR,� §32bB, FEE SCHEDULE
has been
148 Deb'cost with a$49.50 minimum
The minimum surcharge an extendedResidential,New One&Tworation
ge for a Residential,Additions&Alterations $14.5 0
•
"fixed fee"hermit is $49.50
$,Q $ Building Permit# _.-.- ---.'----7--------„
PLUMBING PERMIT FEE
$ '.<
STATE SURCHARGE $ " � Q� w �t.r� ��
(Office Use Only) • TOTAL PERMIT FEE $ XIX •OO (r
This A licatt ; • ���_ `
PP comes„Your Building Perini h•• Approved PProved Paid
i.
�� ���_� r� Receipt No.
Bul dine Official Date
Dae By
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 ;.o S---- c a --
NATURE OF WORK Snc; �•r-
USE OF !LDING y � �'`'
DAT
�,, ISSUED Art .
CONTRACTOR ,
PHONE 4!,Si
INSTALL EROSION CONRTOL AND
MAINTAIN CLEAN STREETS AT ALL TIMES
..,... =:;;,:
-" ==:i, . INSPECTOR
1 r1 r::. DATE
rior To Backfill) IIIIIIIIMIIIIIIIII
- , RDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN
ROUGH - INS SIGNED
_ - ER/SEPTIC
FRAMING
INSULATION INIMINIMIN
ELECTRICAL
PLUMBING
HEATING111111111.0111111111111
� sE ,��
rifaCtifte-AIR TEST
--- • RDERimminimmon 101.111111111111
COVER NO WORK UNTIL THE ABOVE HAS BEEN EEN SIGNED
= "4.05AH 11111111111111.1
FINALS
•
( PRIOR TO SODDING) 111.111111111.111
BUILDING
ELECTRICAL ®�
PLUMBING
HEATING11111111111111111111111
111.111111111111
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
This card must be posted near an electrical NOTICE
maintained until all inspections have been approved.ce cabinet prior to rough-in inspections and
service cabinet is available, card shall be placed near ma nand ndditions where no
entrance.
FOR ALL INSPECTIONS (952) 447-9850