Loading...
HomeMy WebLinkAboutBuilding Permit 15. 0829 z _1§ ui 3z �Id< 2 / w �55\ � 7 aaa � ~ _ 0 W W c, § < b - c Luo 0 g � ❑ cOCOO % % cr Lux § % u / N 2 w za § � � O e OO - - 2 0 0 § ] ill g° L 34 t C O 0 § Ert§ al � cl- S ' � Q §° I § § V' 0 0 1- § a § §ba § LU LU r Z OOCOOO k , Q. Q § k I� k k 0 i4.1 2uj r ce li 9 K 1, % z z Z r--- 6 $ / ■ z g 9 w ii 0) U U -J .! 4" q a.� ■ z 2025 I. 2 2 2 k -J % U. U) re 0z ■2 < w re k k k 0 Q � a k © III 0 U.�u.§Ik 0 OO I k§ < 0 10000 O U of "toy CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 8 AND UTILITY CONNECTION PERMIT 7n 0 a1ANBSol I. white File 2. pink City I PERMIT NO. ogag I (Please type or print and sign at bottom) 3 Yellow Applicant ADDRESS ZONING(office use) I'"7�3-� R/ LEGAL DESCRIPTION(office use only) 7 LOT -BLOCK ADDITION l.g• c/ems 5.)--A‘. /j I d 4/ PID�5—'9977. 026--Q OWNER (Name) i;v. L'yK r / ffe -- vt (Phone)C g/ .-/(Address) // (`.3'7 J ` grfr.- 4 e_ BUILDER ,�- (Company Name) 4 /_✓� ,.,(� r.,t�+ .--6✓-y� ( z 1. (Phone) ��0- 6 0 '6 (Contact Name) P te" (Phone) (Address) 21 73 j „� -� �-�.. 1�.v-<.6-r-. Z TYPE OF WORK ❑New Construction ['Deck ['Porch ['Alteration ❑Re-Roofing ❑Re-Siding ower Level Finish ❑Fireplace ❑Addition ❑Utility Connection x CODE: DLR.C. DI.B.C. /V S /� ❑Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 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 revokehii mit for just cause. Furth ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ”" ,'1'tlgnC.. VS-00 '71 _ z ,-.). --- /S- Signature �� Contractor's License No. Date Permit Valuation 44 000 00 Park Support Fee # $ Permit Fee $ SAC Plan Check Fee $ _ Water Meter Size 5/8"; 1"; State Surcharge $ ,Z_Uc 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 $ /3 9 7.5- .....______ This Application Becomes Your Building Permit When Approved Paid g g� Recei 42_26-0 Date 7. ZG_ if By Building Official Date 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 4646 Dakota Street Prior Lake,MN 55372 Date Ree'd .1, CITY ,--- OF PRIOR LAKE PLUMBING PERMIT r, ....., I. W. (5 AWES() Sue II lue Fle Ni 2 Cd C ro It) y„,,,, , PERMIT NO. I O 1 r 3 Yellow ApplIcam Please o or flint and sial at bottom) ADDRESS ZONING(office use) / 7;a 7 i ..e., ;:' 1/.4, . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) e 1 iti 4 it •i , e e x e' .if* e (Phone) q5z. "Th Or 161 fi It'd = . (Address) 4 — v A iiv. ' Dl (Address) 4fiti 40ininv (City) (Zip Code) (Contact Person) t i 4 1 i 4 4/ / I / 'Hi / ./it '/. (Phone) - 7 es 1 7 452 7 - OT61 APPLICANT SIGNATURE4 11t " ' -. DATE 1'20* 14-7* i t---.' APPLICANT PLEASE COMPLETE BELOW I 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 4 Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink ! Lawn Sprinkler i Water Closet(Toilet) Other FEE SCHEDULE Industrial.Commercial&Multi-family 1%ofjob 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 $ STATE SURCHARGE $ tt:0 TOTAL PERMIT FEE $ p dir„,:40 (Office t se Only) ' ..1 This Application Becomes Your Building Permit When Approved Paid Rc-a:L.4 III Date By Building Official Date Ii 24 hour notice for all 6 inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S,E.,Prior Lake,Minnesota 55372 I PRIOR LAKE RO BUILDEPADINGTMENT AND INF SPECTION INSPECTION RECORD SITE ADDRESS /6703410U O NATURE OF WORKs USE OF BUILDIN PERMIT NO. ",rlJ DATE ISSUED ,,ftT/r1 CONTRACTOR ,1701a 4. _Yr` "HONE `'I�,' I, INSTALL EROSIO CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE 711111 ....„G �. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSULATION ELECTRICAL PLUMBING HEATING 11.111111.11E 11111011111.1111111111 COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS 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