HomeMy WebLinkAboutBuilding Permit 14. 1287, Plbg 5.0034, 13,0696, 13, 0906 0
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ti \ CITY OF PRIOR LAKE BUILDING MIT,
TEMPORARY CERTIFICATE OF ZONINGPERCOMPLIANCE
`� AND UTILITY CONNECTION PERMIT " Date'�Rec/-`'d
�t1NNES E SotT
1.White File PERMIT NO.
2. Perak City rint and si 3.Yellow Applicant k•4-IZS1
(Please type or p gra at bottom)
ADDRESS I to g 1 n Kc 5` n �'�� ZONING(office use)
LEGAL DESCRIPTION� (office use only) (]�p �1
LOTTO4
BLOCK `A ]v'`6DDITION 1" 4 1 PID ° S 0(e0CA 3
(Name)OWNEiJ ,1 r p[CLU \Y (Phone) - ISD -`1 N-7-S 7 7J
(Address) 1 l0 d--'7 l.i l Ol.:'(- S k GJ 0 Y( V' , `'I Vt lY (Aft 3-- -12-
BUILDER -12-
BUILDER n,, ,,, (�,� /
(Company Name) � j f cc, &P F-C.1 I S L( (Phone) 1✓d�?I'1 %S V
(Contact Name) tA 1l (Ph - .29e)
gilo *
(Address) a V V151 Cry one F-`► 1 Z41 ,J I/{�c v 1� l ,75301
TYPE OF WORK 0 New Consction ODeck ['Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
['Addition Alteration ['Utility Connection
CODE: ❑LR.C. ❑I.B.C. 0 Misc:
Type of Construction: I II HI IV V A B /�/y
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ l-r�J/ U CO.
Division: 1 2 3 4 5 (excluding land)
I hereby certify th. h.-e rnishe ormation on M. lication 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-mention.pro. and th all c struction onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev. e 't f,- t e. Furth e,I here a that the city official ora designee/1may enter upon the property to perform needed
nesc
ii it 1
Signat, a Contractor's License No. Date
Permit Valuation 4e) ' Park Support Fee # $
Permit Fee $ 5-1 ..--z_.6.- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Z 'r" 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 C2G� ' `/ Z-`L, $ SQ Z3
Z(-5
This Ap f /f on4 com our Building Permit Wh Appro ed Paid Z Y/ R eipt No.
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1 A.�.
r'I.. g Official ate
This is to certify tha tf e , - t in the above application and accompanying.- mens is , accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by -,,ity. _ .er onstitutes a temporary Certificate of Zo."..complian. and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. /�� '
4WSfa ft 2 - f1-
r Plannmg.' . . -Date Special Conditions,if any
24 hour i. • or all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Q pRlp Date
1 ~Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT •.
dr4nvxsr •
I.atm C� PERMIT NO. /�_ a i
z onw City
J "v
3.Yellow Applicant(Please type or print and sign at bottom)
ADDRESS ZONING office use)
/6 2-7(0 L 6 .ts'de.. /)-v 12 1�,Q
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION pID -'Ui
OWNER
(Name) (Phone)
(Address)
APPLICANT Q i
(Name)
Jo,
CL J �V M) j i 11r (Phone) 65/ 4'5`/ CSC 7
(Address) 7.20 PSS 1-lPA., p 1 m. / S5-/Q0
(Address) (City) (Zip Code)
(Contact Person) t v (Phone) 51 7 h) O eo t?
APPLICANT SIGNATURE ,. -2.---:,....--- ;57 DATEW
APPLICANT PLEASE COMPLETE BELO
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) I Stand Pipe(Washing Machine)
I Laundry Tray(1 or 2 compartment sink Sewage Ejector
1 Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
a Water Closet(Toilet) Other
Tile Minnesota Statutes§3268.14$ (jot
;
cost with a_ FEE SCHEDULE
��StiRCHgRThMinnesota
$49.50 minimum Residential,New One&Two-Family $149.50
has been extendeda Residential,Additions&Alterations $49.50
e infninittin surcharge for
"fixed fee"permit is$5.Q0 Building Permit#
-PLUMBING PERMIT FEE $ "/Q
STATE SURCHARGE $ XXX 5.00
TOTAL PERMIT FEE $ 9 Jf
(Office Use Only) • 7
This Application Becomes Your Building Permit When Approved Paid 4j/r su Receipt No. /145,.
Date `-�' By �n, J _
Dulidinn Official Date I13_15- 'r l l��-.1.�
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
• iPR/04 Date Rec'd
gapCITY OF PRIOR LAKE PLUMBING PERMIT
1. l i
2.Gold City PERMIT NO. /34494694
t
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
17b Ifti A\1€. &
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
O(Name) luau
�r \M (Phone) ci5a- L4L0-3-0 r
(Address) S CVAZi M oc\A,V12,t 5-5---n-1
.
APPLICAN •
(Name) , 0(-) VQ1/4/krf&\VIA (Phone) �� L�-4/0
an (M - (
(Address) �10 ' & 1 ' 1 q I
2.3
(Address) (Ci (Zip Code)
(Contact Person) (Phone) ' ` ✓ k O
APPLICANT SIGNATURE � �� deboage DATE
47
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher k 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 $ Building Permit#
PLUMBING PERMIT FEE $ d • > 0
STATE SURCHARGE $ . .50--
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid SV 173 Receipt No. 7
/hi/0 (4/ /� es-
Date
Date �� Byiit ./-
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 t
0 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
lYrt Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT g';/9, /3
f.v
` Soy°
t.Blue File /g_ fee
z.Gold cityPERMIT NO.
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I �21 L� SE F6 or Uwe .?�s
LEGAL DESCRIPTION(office• use only) �/ M � 3
Off.-tC. (O
LOT BLOCK 0 ADDITION PID ,��S
OWNER 9 _ �7"(Name) -TOM OA (Phone) . 5 Z 771
(Address) '0,,k,(1(\) 1 5 53 7
APPLICANT
(Name) I 0 k0�-P kA 1"Iv
`� (Phone) ci 5-0- 0
(Address) �0 d �� ' (r) MN 5512,3
(Address) (City) (Zip Code)
(Contact Person) Xi( S (Phone) c951,---64 ---SV
APPLICANT SIGNATURE '� DATE * a c X® I J
(.5
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 i 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
The Minnesota Statutes§326B.148 Building Permit#
"SURCHARGE"has been extended UMBING PERMIT FEE $ 1-111 •
The minimum surcharge for a ATE SURCHARGE $
"fixed fee"permit is$5.00 `�
>TAL PERMIT FEE $ ...1. 90
This Application Becomes Your Building Permit When Approved ';1 '''O Recei ���
,.' 6-V--
Building Official Date i at ' 1‘...3
By S
2 5____
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 553721419
. •
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS (62:1ca
NATURE OF WORK LogA-61i -Lc--i, — � ,0r�t. 5
USE OF BUILDING g. -5 �(r- 47_4-
l
PERMIT NO. \A • i i- DATE ISSUED R /
CONTRACTOR fzo 4 ►o .ii-vkL.{��-,A+1op6-- PHONE cjc2-Z17.- t10
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTING I ► \ 9 I / C-
Prior To Backfill)
ARABeimirmRBER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING .\Z. I ��-
INSULATION j z
ELECTRICAL
.�-.. o . .A io TEST
�a Fy
DER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
"=" = R TO SODDING)
BUILDING ` 1 Y t.(
ELECTRICAL
r
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