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HomeMy WebLinkAboutBuilding Permit 14. 1018,14.1113 J N �" ffl-H Z > Cl) - 0[3000K "a' V 0 1 rt X W W O O. C. 4 ` m 15 ii O W -� = YYZ O C) V 4 i \I i- 2 0 ° 8 ; < �� N c Z c' Z - zzzZ W - fUA V d m = WZg = ..i N �) ZqC F- I❑ LU Ul rt UJ ❑ ❑ ❑ ❑ ' W .0 a Ilk a LL H D J Z F- Z o gu J O \ Z F N r O� 0Z O z w I._ 3 , ! 2Z �9a0f- CO ZCi N W V J W a5 coLL 5 Z � °z3gJ .Z! w IC X oXc ° a c ON la r40 W O u. u0.u. = ti df ort 0 C1 C1 000 5 O U v ? a O a ❑❑ ❑ ❑A❑ 0 § ' ■2 � . \ b - do \ \\ § iit p z k . § & wwd @ 0 id « 5 �I0 CC ■ § DODO ❑ O >2 ■ o � % Om w U qf § ' hPh . 2 VO 111 uJ(� § O xo % a a PE ore , k J k N § 0 z k 0 10 fp § 5 Po* o • § ca � ow Iii zihh cc LU Q. LU 111 x s c.)i 5, coa c U J W z 1 ( W O x C —el YW N 3 .O .91 z » Z i Z �; w Y I= _ ppWJ CO F O V4 Cez = ZZ ..4 caii = O N v go II' Ja _ a 2XWa = Og OWOW '4 a ui w WZ a 3yaa W W Xk;W)'DDDI 'D CC CZ O W `C O. a a p J d, 11O a a c Y2 U. o O o X C � 0 � O z z v CO"• H < 3 ii Z O W 1. H- z E= c�o a Z y 1- 1-rt a� N Z Zo = g J ? 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Pink city PERMIT NO. r'� ��$ 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) qb & /)GAJ /i9/7- 11farfi' LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �;/�'�'G (Name) 6/9 (Phone) et (Address) 9 /#0 Ave/ieST. ,SC/ 0/Y IY /i9 BUILDER I f 4' / _ (Company Name) � /f �� i f C (Phone) 74 51/' Z 9' (Contact Name) • ,401F,/01dF� (Phone) �p`07""?/Y /d/1" (Address) 83 I`/�f1.,vftE !01 . I .lam //9 4'[3�/Fi 1 f i4r TYPE OF WORK ❑New Construction ODeck ❑Porch ❑Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: I.R.C. I.B.C. ❑Misc. Type of Construction: I II III IV V A B 9/V14- Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ Division: 1 2 3 4 5 (excluding land) I hereby certify th. ave furnished information on •is 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. .., . d .t all constru ,j, onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revo = 'if./ F i' ,. ,I hereby agree that the city offi or a designee may enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation102-0E Park Support Fee # $ r Permit Fee # $ $ �� 7‘7 SAC Plan Check Fee $ f7 d Water Meter Size 5/8"; 1"; $ State Surcharge $ t ` _ 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 $ 2 Z 6c ed 0/4: This Applicati• cc es Your Building Permit ' en A.- .ved Paid (1.2s- Receipt No. 72z0 o f/ '►l� ` / Date 41r72. 49 BY ✓/A-L' Buildin_ • cial oat: 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 S.E.,Prior Lake,Minnesota 55372 Date Rec'd 04 pRIO� v CITY OF PRIOR LAKE PLUMBING PERMI � � fi -tot �.Blue File PERMIT NO. 2.Yell Airy X113 3.Yellow Applicant a (Please type or print and sign at bottom) ADDRESS ZONING(office use)Fe) rim Zorb LEGAL DESCRIPTION(office use only) L/a LOT BLOCK / ADDITION r 10 72- /44 LL E PID 5 37 `®Of'sU OWNER AR/-72" , (Name) /C'c G a. ( p a (Phone) 9'51— yre, (Address) / ' ' APPLICANT , (Name) �r.t// f Oma.r4 .6I-� L C (Phone) 4./07 `/?O Scd. 6 3 (Address) T S' L;G //vihi1 (Address) AA (City) (Zip Code) (Contact Person) Ct.�� /SKYE S.S (Phone) a/-2 y4 APPLICANT SIGNATURE G� �� DATE /Q — OS—/9. 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 FEE SCHEDULE Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 Estimated Cost $4SQa Building Permit# t ne lvlinnesota statui:es s 3Zbts.t4ts Co "SURCHARGE"has been extended PLUMBING PERMIT FEE $ •� The minimum surcharge for a STATE SURCHARGE $ diPIP "fixed fee"permit is$5.00 TOTAL PERMIT FEE $ d a (Office Use Only) This Application Becomes Your Building Permit When Approved •' d wReceipt No.-! ;147`t'7 '..{ Banding Official Date Dago _ ' . I t-1' By 24 hour notice for all inspections(952)447-9850,fax(952)1,447-4245 ' 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 r BD 1E O PRIOR LAKE BUILDINGTMENT AND INF SPECTION INSPECTION RECORD SITE ADDRESS 'et6gC, T'h� -6. Apr (& NATURE OF WORK t- i tsar USE OF BUILDINGS 6 PERMIT NO. (4.- eo DATE ISSUED / tv t 4- CONTRACTOR c,� , fie PHONE -165 ) -6,1Acit INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE SZUNDATteffir(Prior To Backfill) RAIMIVREMORDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SniiiiMINPFeRfSEPTIC FRAMING ifkillealnet4 ELECTRICAL PLUMBING TEST MattfieRE:TARDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED ATI FINALS IMESTRIFFPRIOR TO SODDING) BUILDING ELECTRICAL i 7,-4,1(4 PLUMBING Jeligeteh— 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