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HomeMy WebLinkAboutBuilding Permit 14. 1048 III Z 1 tamore ui % 2 ° ° ' z k s555z z 02 a. 0 2 id 0 ' w0rzT0 b Z N ODODQ > 2 2 7 u m , . re _ U NIP ® \ Z _ §§ § ca c- z 0 k m t ■ o0 � -s 0 g o K 0z § a § c z re a 21 � W2_ $ k \ -I � « § _1I Al 2 2 , 2 a ■ ■ ■ a ■ II w w � w % O ❑ QOcc § re § ILI , O. a 1 §IX k % w o § u . §\ }. % 0 - § P I ts 01 $ ar. CO 2 2k2 § W .J § b§ CO UI Z o § ■ n < w . O O k E a. § Z � � �2� k ■ u u g 0 0 0 a. 0000'0 0 \KO c £ �� PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd , A ,. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE " t7 AND UTILITY CONNECTION PERMIT r4rNESO,s ir 2. City PERMIT NO. 1r 3.Yellow Applicant 1 1 oAS (Please type or print and sign at bottom) ADDRESS ZONING(office use) /6 o 6` . -�lH/AJKA PG,4cs ,Y14.) LEGAL DESCRIPTION(office use only) LOT 1 BLOCK 3 ADDITION T// ,elu cFS 9,t l`/a,�Hwn 5 gisAr0owPID OWNER 6/a-55/- /93Z (Name) JCv7T i �4£3,f�✓� P�t��vN (Phone) (Address) / O 6 4 h//,c/,ei4 P4A ea- A/c.-) BUILDER (Company Name) ��vg- 44-07/4-k ect•"-rsrg-t./a7'Or/ (Phone) 6/2 - 6 00--6 7 tt8 (Contact Name) . 7EUe R -4/L 4k (Phone) 6/Z - 6©O -,6 26 8 (Address) go 7 2 N(— WA-L.) Ps2,4- v5"-/ ,1-1/7/ SG CO/ TYPE OF WORK 0 New Construction ['Deck ❑Porch ['Re-Roofing ❑Re-Siding ALower Leve Finish 0 Fireplace ❑Addition ['Alteration ['Utility Connection CODE: CI.R.C. ❑LB.C. ❑Misc: Type of Construction: I II III IV V AB 3 S t`,�� Occupancy Group: A B E F H I M R S U PROJECT COST/V:.I UE $ 0 Division: 1 2 3 4 5 (excluding 1. . .) I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I t .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.. ... ce with submitted plans. I am aware that the building official can revoke this it for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon property to perform needed inspections x .2—. ` ``��. � 13e 63637q _/Z•6 /I Signature Contractor's License No. ate Permit Valuation Park Support Fee # $ Permit Fee $ l 3 _ SAC # $ Plan Check Fee $ 6.:{y c(S Water Meter Size 5/8"; 1"; $ State Surcharge $ _ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ o Water Tower Fee # $ Mechanical Permit Fee /`_,,,1 a$ S-4 J Builder's Deposit $ Sewer&Water Permit Fee $ Other $ . Gas Fireplace Permit Fee $ TOTAL DUE 9/24 • This Appli onit,•J .,,es Your Building Permit Wh , A,A . •ed Paid Receipt No. t2 -t{0 _a J1 Date By �4- Z, 14 :uilding O '-', l ate This is to certify that the request in the above application and accompanying d is is in a rdance with the City Zoning Ordinance and may proceed as requested. This document when signed by the C"I '•,ner constitutes a temporary Certificate of Zoning pliance allows construction to commence. Before occupancy,a Certificate of Occupancy must be , issued. ii s ? 4 (4 'annmg Director y D to 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 , pRIO4, 1 Date Rec'd '.:' Nt'A .p CITY OF PRIOR LAKE PLUMBING PERMIT 4,..tNN E SOSr $'O° ril` PERMIT NO. fir¢ f ala %y le Yellow Applicant (Please type or print and sign at bottom) ADDRESS l&D&4 // 917`/v / L.• rtNING(office use) / I LEGAL DESCRIPTION(office use only) i LOT BLOCK ADDITION PID OWNER (Name) OWNER, t ft'bb%G Puram (Phone) j (Address) /ti0t04 7-4h%rnk.4 Parte NW Prior" hake 55077. APPLICANT (Name) Lonely F/Hrnh,rn j f /t/tAfii7� LLG (Phone) 9102.15f9. 709!!. (Address) 30 2 2"" nib JS h/ NM' A)14 f Ite 51"e7/ (Address) (City) (Zip Code) (Contact Person) Bdb ii J.L. 1 (Phone) 4762. 2/7..8,01/ APPLICANT SIGNATURE u�1/ r� ..4/l c 1 DATE fiANA ! / APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixtre Bath Tub with or without shower Rough-ins Dishwasher Water Heater x Floor Drain Water Softener i / Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(I 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 $ Building Permit# PLUMBING PERMIT FEE $_ WI STATE SURCHARGE $ BUILIVNG PERMIT TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt Na. i � Date e f Building Official Date 1 +'I l 1' 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ', 1 OF.,PR 14 f/ CITY OF PRIOR LAKE Date Rec'd z-j / N\.t.;ir,,it HEATING/AIR CONDITIONING/FIREPLACE PERMIT /4- \\ f i ESOS 1_Pink File j K� 2 city PERMIT NO.1 (4. 'o (Please type oI print and 3. Yellow Appliant �' w sign at bottom) i ADDRESS Z(NING(office use) i LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER - (Name) OWNER , f fbbiC ,Pei/'PTI (Phone) (Address) &e(,* 7gfjin/&q "Imo NW /riot 1-oke 95312. (Name) CDnt/y P/ltmbinA f 1gCAfi,I7A (Phone) 4151.759- 707.6 (Address) 302 1"41 /Ivo 0zsw J Mit/ ,proym& iCiPoil (Address) (My) (Zip Code) (Contact Person) Bob ('i n,il (Phone) ' 52.758. 7498 APPLICANT SIGNATURE ..�.t1.�. ,/../ DATE ''30•/* / APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air Plants Steam PLEASE NOTE: Air Conditioner Gravity 0 Hot Water Units and Fireplaces Cannot Encroach ❑ DMechanical 0 Radiation into Required Side Yard el:backs. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or [Went.System 0 Other Devices Cantilevers to the Outside of Buildings 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 $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ �1 D WITH STATE SURCHARGE $ 5.00 BU1L06 P �r�MI TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Re =pt No i i A 1 4 Date By W �� Building Official Date t�' 24 hour notice for alt inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DRNT O BUILEPADINGTMEAND INFSPECTION INSPECTION RECORD SITE ADDRESS ,NATURE OF WORK (. r:RV-s5- �.�.sN USE OF BUILDING PERMIT NO. ( -�o g DTE ISS ED a zi,p \Q CONTRACTOR STeV -r-A oA PHONE C(-Z - INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE -ROOTING -F ,Prior To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS TIC FRAMING /31j //76i/e i INSULATION ELECTRICAL PLUMBING 1'5 Vwk HEATING ClRcn� w�c GE �■ Li GAS LINE AIR TEST Fu,kkr, Fc p, 12_),4 COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED --L- �FF--, . FINALS ODDING) BUILDING 1/.4 /z /9 i 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