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HomeMy WebLinkAboutBuilding Permit 15. 0963 n o ❑ ❑ ❑ 10 ° a z " g ❑ ❑X O fn _ _" 'f" O 0 m N 3 m c 3�g Z Imo vmi -moi�' n D o 73 xi x m y szaZ o �' b� • r 71 m m Z v '�-1 � =O r ' O 0 N m 0 Z OX tii � � IQV •— z m is. is m� M0 > 0 Z ' __ 73 r 0 - A , -I -n 13 "0 0 0 0 0 0 0 13 z 7o 0 n (b mrN > mr sk.. m in m m OC ..IOC P_ -4 m ° c " ao7_3073c° m 0 z3 nIZM 13 0 ' - x `c N k y , poo 3 0 v o 0 r •n00 70 -I C 111 -A1 0 2 , rCC '�9 • 0 0 Ki 0 Z .m 4. � �o m x m ❑ ❑ ❑❑❑ ❑ > N m '1 T 0 I11 �J \ -n • Z z co R• >a 0 O 1" ncsi� r lc ttt m -a _ Z m 4 04 IIt/% CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd V(. 6-1":N% TEMPORAZONING MI TP Z O 1,5 3 AND RY UTILITY CONNECTIONCERTIFICATE OF NI PERMIT COPLCE 04,7 ,,NIVSS I White File Yellow PERMIT NO. A- 2 ells City �/ a 3. low Applicant Please : or•tint and st n at bottom ZONING(office use) ADDRESS \ o C S-t 1N) ?nor 40k_ YYIN LEGAL DESCRIPTION (office use only) PID LOT BLOCK ADDITION OWNER11 Y'+1l Y� (Phone) (Name) S S 261 62•1 b ' t'1 ) ~ (Address) BUILDER (Phone) (Company Name) (Phone) (Contact Name) (Address) Porch ❑Re-Roofing ❑Re-Siding CA Lower Level Finish 0 Fireplace TYPE OF WORK ❑New Construction ❑Deck ❑ ❑Addition ❑Alteration ❑Utility Connection jjA'rn,en0 Pi I B.C. 0 Misc: CODE: ❑LR.C. ❑. Type of Construction: I II Ill IV V A B PROJECT COSTNALUE Occupancy Group: ABE F HI MRSU Division: $ 1 2 3 4 5 (excluding land) or d 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 and will proceed in accordance with owner razed agent on for the above-mentionedakeerty pdforall just cause. Furthermore,conform herelo ll by agree that the city officiastate and local laws a designee may enter pon the property submitted performrplans. I needed ninspec thations the building official can revoke j; permit1 p„." ,it*"' X t Date Park Contractor's License No. Signature Park Support Fee # $ Permit Valuation / G D0 . U O Permit Fee # $ $ 3 4. 7� SAC Water Meter Size 5/8"; 1"; $ Plan Check Fee -. Pressure Reducer $ State Surcharge $ O Sewer/Water Connection Fee # $ Penalty $ # $ $ C© Y 5-0 Water Tower Fee Plumbing Permit Fee Builder's Deposit $ Mechanical Permit Fee $ _ $ Sewer&Water Permit Fee $ Other $ �i�� � Gas Fireplace Permit Fee $ TOTAL DUE Re ;,td,�o, �'' This Application Becomes Your Building Permit When Paid , • �S B ,.' proved Datev'► l � ' f_ za.t5 13,,'('_Official Date aF PRIO4) Date Rec'd Et" /``+,; ` CITY OF PRIOR LAKE PLUMBING PERMIT r_ Zp ,(S \tri, G 111ka � J I.alue P;le I PERMIT NO. I z,tela c;ty j5. �G.� 3.Yellow Applicant (Please type or print,and sign at buttosnj ZONING(office use) ADDRESS ,\)E I � LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID q. ER >> oa'2 (NamOWNe) E\tz. + Lt :r 1 r (Phone) (Address) " l \ t" - (;l('.c V'Lt l f.)C St OE Pr 1 o r I(-e- !n N GS-31Th_ APPLI) il \(Name12 '1 1 " G►l (Phone) )(Address) �~ t' i 1 1 - .. d�',i V' ..t)OC.: 7 S I\.,)F lr 1 0 f)1.7:A 1(Q CR (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNAI'U' =f .mo ili DATE _ musloi APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture t 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 I%of job cost with a$49.50 minimum Residential,New One&ions&Two-Family $149.50 Alterations $ 0 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ STATE SURCHARGE $ $1.00 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt N��o im Date erat,hr7i ..oren sr- }:.,(may, Building Official Date Si, s 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 DEPARTM PRIOR BUILDING ANDENTOF INSPECTION INSPECTION RECORD SITE ADDRESS % J�i ii A • 0. 0 1 1. NATURE OF WORK if' nla., -a %_741111,h. - ;-'1- r Tr/ USE OF BUILDING T-a "p. PERMIT NO. DATE ISSUED CONTRACTOR HONE z.O/. UL S INSTALL EROSION CONRTOL AND MAINTAIN CLEA STREETS AT ALL TIMES INSPECTOR DATE LIiiiiilignaillialliiiillifge ialsommimin PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS IIIIIIIIIIIMINISMilidadi FRAMING INSULATION ELECTRICAL PLUMBING HEATING Irk limiiiimillimr COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED IiiiiiiiiiiMilr 4111111111, FINALS BUILDING PA /2?./J0ELECTRICAL 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