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HomeMy WebLinkAboutBuilding Permit 14. 0803 O J y I- W W a o iziZ �g5g � > q t9 6 W W N C9 `V WV < z Z C , o Vu. LLo r 6 ❑ ❑ ❑ ❑ ❑ ❑ O co re W = re z O u. N w a a ° '� m c O J Z » � • � � � pYpLL J � � � � V V 4 W Z ge Z OoZ4 0 d W V O W = _ x = ZZ ,. V c o. m � m 16 N ) Cl. = W = o Z 4 o UJ QOW _iW a < jaW� 3vI � , 0000 ❑ ❑ OO110Z a a u. cc Li ow ,:e I ^ Zz 1.= •• otic. a u. ray V V ) 0 0 0 ill , oC 0IT Z W I-- d H co a� N Z ZOZ5J =W 1- co W Y UJ LU A Li. 16 0 Q' W $ OE ' F- a le CL Cd tS V °W CI u, z OgN a 0 0 o a' `' y O O LLLLu. ZtLN O a 0z < 0 a ❑ ❑ 00' 0 C) ❑ 0 c o—PT CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �' , / c3l.r'� 1 `,z AND UTILITY CONNECTION PERMIT %/ ' 67 ` /`I 4NNESU /yrt (/�� _. Pink City PERMIT NO. 3.Yclluw Applicant (Please type or print and sign at bottom) ADDRESS ZONING(offiee use) 2 J s� / 1-k S AJ J 1 s:f) LEGAL DESCRIPTION(office use only) LOT�`/BLOCK ADDITION c1 1)1 d1l e/a, t Pm A---- 4to o-3 i OWNER � // (Name) Fla,". AtL-L^ �• ._ / (Phone) (Address) 2,1 5---• )O c-fii‘ 5T A W2.ai f 1 e1'Cf i-/7/11 , BUILDER (Company Name) 4e4V'i g � 6-57-31//` //5--i. i _TA)C• (Phone) - ✓ Z `' (Contact Name) L A' k/v�C ,/ ,/ /� (Phone) r r (Address) )7--.C2,47 (4r4404) C.'f( �;L Y D f /VnK-j 11 A/ TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ['Re-Siding Ettower Level Finish 0 Fireplace ['Addition ❑Alteration ['Utility Connection CODE: V, .R.C. ❑I.B.C. 0 Misc: Type of Construction: I II MTV V A B Occupancy Group: A B E F HI MRSU PROJECT COST/VALUE $ ,<X340 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 pro 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 revoke permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed in colons. X - se< — 5 z'ZI Y 14 . Signature Contractor's License No. ate ''' '6= 5;:e.),_Permit Valuation - Park Support Fee # $ Permit Fee $ 14:75 SAC # $ Plan Check Fee $ Water Meter Size 5/8";1"; $ State Surcharge $ l-5) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # Plumbing Permit Fee $ 5 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE ,I This A,. ' ,do,.'eco„ s Your Building Permit ' , , ,, oved Paid q7,;:ys-,± Receipt No. -b/N �` DateBy ��- �� Bul'ding 0 Icial s.tc This is to certify •at the r , est in the above application and accompanying docum is is accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by 4 ity atm, constitutes a temporary Certificate of Zoningconstruction cam ianc•and allows to commence. Before occupancy,a Certificate of Occupancy must be issued. / ' Planning Ilireetnr Ilam Cn,-.ri,l f nn,litinna if any • t O ,lRtp� EDate Recd CITY OF PRIOR LAKE PLUMBING PERMIT -. Iii 4 sdo" 2 -Qold FA,B'�` >: PERMIT NO. / / e. -1 3.Yellow Applkant (Please type or print and sign at bottom) ADDRESS ZONING(office use) Z ( 9 /6S--til S4 f N LEGAL DjESCRIPTION(office use only) t • LOT C BLOCK ADDITION SYe,2 /rn ,t� PID 7 33— i OWNER ,/ (Name) ,- p ct r'r."�t e Al v'c.�.e f/I e. K_:aQ e_.'' (Phone) (9,5-4) Y©3--/ /7 _ (Address) i i 5 9 /6s0-, S-f..e43 :.1.6iJ /la,I.- C«. "IVO SS379 APPLICANT (Name) Mr c 1 .11a_ /( .'c_)'- (Phone) (?s2) 41o3 - '9/ 7 — (Address) Z 151 /6 S S+/-e.e_ - 4/U P�''`r.r' 4 /6 . STS-37> — (Address) �/ (City) (Zip Code) (Contact Person) �J�/J.,,'r^,"' �JK @,,U (Phone) (9.fZ) 403 -/117 APPLICANT SIGNATURE ` f v` G� "�� DATE ,h__a _ 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 I 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 ( Water Closet(Toilet) Other FEE SCHEDULE The Minnesota Statutes§3268.148 f joli cost with a$49.50 minimum Residential,New One&Two-Family $149.50 "SURCHGE"has been extendeda . I Residential,Additions&Alterations $49.50 The nunlnARulin surcharge for $ Building Pe # ---- "fixed fee"permit is$5.00 .PLUMBING PERMIT FEE $ STATE SURCHARGE $ UM 5.00 TOTAL PERMIT FEE $ (Office Use Only) • 1-/` This Application Becomes Your Building Permit When Approved Paid PAID WI II No. Da UILDBi1 G PEI5MIT Bufdine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ' DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 7451 �� NATURE OF WORKL (moi _ USE OF BUILDING rz- s �- PERMIT NO. lik-et,3 DATE I SUED Q,, (4 CONTRACTOR Ffrtvels.1 u-pees l 1,-1 PHONE e4i -- INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE Lieles1.(PrioRr To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING /o/2zH INSULATION ELECTRICAL PLUMBING HEATING AW G E COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED ■1w �r�R : 0111111111114MIOR TO SODDING) BUILDING 9/P2/-P. 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