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HomeMy WebLinkAboutBuilding Perjit 15. 0783 J W Z _ 1P r- Z X J W \� a - UVa z 4. —„ .5 J J z o n U' gW WN 0 a Vl + Lu Vli1L � Z E" C �DODEtalcr > N v cu N re w i Z �C s. W O » < CO c O W J Z YQYILJ 0 0 0 � $ Q p s r. S Z O' Z - _ = Z Z W c H o L O W m � cecc [oLL a Z 1 u) O 4. mil yj3W W• W W x 0 aa3v) a �W 000000 °� z° o s a a U. I- J ge a< ' o Ly O C) L WW 1 0 Z N o t. a Z O W H H W 64 wO O (.94z1" co W N w 0 J W 0 W W F- Z � DJ W re X W Tei V O OW ce W Z 0044 I- 2 5f8 O V N o O w , ... = m0 p v h 5Z 4 0 d 000000 0 0 0 c f PRioCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 0 � A, e TEMPORARY CERTIFICATE OF ZONING COMPLIANCEI S� F. z AND UTILITY CONNECTION PERMIT 7. 4.v to 4.� NE$oK� t.white me 2 pi is City `1.PERMIT NO../ 71113 N � t Yellow Apphcwit (Please type or print and sign at bottom) ADDRESS ZONING(office use} „5-5/4 it:-.1,,,A4,1 err „ f , 'r- ,'s , f fiA1 $c37 `J/C [� LEGALq DESCRIPTION(office use only) J LOT BLOCK 3 ADDITION /_' FA/ i - 0`a' / PID 075; 7 5-% t 03/ 0 OWNERr 'f '- `� (Name) $.40 ,f-fe u�` r 4..4u t/cm (Phone) , " IV (Address) , ? f it _ BUILDER Vat .rk 1;(06/01 a // L'4 (Company Name) (Phone) rs'yJ ' (Contact Name) VRr~K T/tt441 L.4C (Phone) /5"2- f?6, 'SOf (Address) JD 7i 6 -tc 194kx MO, iD!"/oI"" �' �, AM/ TYPE OF WORK D New Construction ❑Lteck ❑Porch ❑Re.Roofing ❑Re-Siding Xower Level Finish 0 Fireplace ❑Addition °Alteration ❑Utility Connection CODE: DI.R.C. :ILEX. ❑Misc.__ Type of Construction: I II 171 IV V A B PROJECT COST/VALUE $ 50t*Mt .. t►oj oop Occupancy Group: ABE T HI M R S U (excluding land) Division: 1 2 3 4 S 1 hereby certify that I have furnished information on this application which is to the best of my knowledge hue and confectI also crucify that t 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 yoke foriust cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X 7/OAC/� aturc _ Contractor's License No. Date — Park Support Fee # S Permit Valuation ,0�� Pp E _ $ SAC # Permit Fee $ EV. -' r Plan Check Fee $ �u Water Meter Size 5/8"; 1"; 1 J State Surcharge $ Z •0 O Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ .�— - Plumbing Permit Fee $ 50'5.0— Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ So 00 TOTAL DUE 7i • f5 $ifroszei , This Application Becomes Your Budding Permit When A aved Paid y�Q/�/'^�J 2_5-- 1 Rc , PP� � g PPr R SC.) eCC1 t No. Date 7. lc-- 1 By 6,x4A ) Buildine Otiictat Date _ i This is to certify that the ii quest in the aborve application and accompanying dice me its is in accia dance with the Cay Zoning Oirlin toe anti may proceed is Riposted Tins document when signed by the City Planet constitutes a temporary Certificate of Zoning camphance and allows czonsttuchtit,to commence Befit e occupancy. Certificate,if Occupancy most be issued _-- - Piann _ Planning Director Date Special Conditions,if any i 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake.MN 55372 , [ i Pltro4 Date Rcc'd 4,9(1)1 CITY OF PRIOR LAKE PLUMBING PERMIT - ,.. 1 7 0 44%,,Esdo PERMIT NO./5 Igo 3.Yellow Applicant (Please type or print and sten at bottom) ADDRESS ZONING(office use) 55/G 7 A eaal Z.n ..ci; 6-11,91- j..,:je 41A) 517,2 S/ - / ' LEGAL DESCRIPTION(office use only) LoTcr BLOCK-3 ADDITION >he admo-e elb-mal Leptem 251. V3y,-,031-0 , ! OWNER ,_ I Ws /4 (Name) N Coil- 'le enn i e". uri (42D (Phone) 642 'Ya —ZIY A r- if (Address) —% a eil e -- APPLICANT Cain 1-4 c, ' r 19 eledzi lie/ (Name) (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) _ (Phone) i • i APPLICANT SIGNATURE ....., , / rAr- _ DATE 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 _ 1 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test i Bar Sink Lawn Sprinkler 1 Water Closet(Toiiel4fouj h- I A Al rt ear e xi J.is , Other FEE SCHEDULE Ts r, .yrte ---------------------i § 611.148 ' riot;cost with a$4%50 minimum " Residential,Nm One&Two-Farnily $149.50 cHARGEhas been extended The mininmin surcharge for a Residential,Additions&Alterations $49.50 "fixed fee permit is$5.00 $ Building Permit 11 PLUMBING PERMIT FEE $ Y 9 .5-0 STATE SURCHARGE $ _AM 5.00 TOTAL PERMIT FEE $ sy. SO (Office Use Only) 41 A S f' IN/171# This Application Becomes Your Building Permit When Approved Paid <.:6 1440440n._ "A PA,Pim - Date By Ir.init6 Official Date 24 hour notice for all Inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 rniU CITY OF PRIOR LAKE Date Recd °� `k` HEATING/AIR CONDITIONING/FIREPLACE PERMIT .` 1 , i 'T- 6" v' ; tri 1.Pink Fits 2,Green City PF,t MIT NO. /S' 703 ���NNES��� 1 Yellow Applicant (Please type or print and sign al bottom) ADDRESS ZONING(office use) SS/G 7 i iA ee Ln SE Pr�`,o r L A, M Al sS37 I [ S F LEGAL DESCRIPTION(office use only) ,1 l �y�i� LOT C( BLOCK 3 ADDITION ,� �IM & e e a /4.4.1_D 5-- 1745-V-.0 /—c:0 OWNER ,.. r (Name) G .oleiin/ e r Lq.vie/e Z� (Phone) 6/.2 9I r 7£'Y (Address) ti a m e fi APPLICANT /C. #r4 c#r not se/s 7LeI ye 1L (Name)_ __(Phone) .., (Address)__ (Contact Person) (Phone)__� . APPLICANT SIGNATURE r / ; / DATE 716 APPLICANT PLEASE COMPLETE BELOW )61LW CONSTRUCTION ❑REPLACEMENT ['ALTERATIONS FURNACE MAKE AND MODEL - Not se/et~led yef FUEL FLUE SIZE RETURN OPENINGS INPUTOUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE;Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks, ❑Mechanical ❑Radiation Fireplaces with Box Additions or ID Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. S stem ❑Other Devices Require a Building Permit. 1'PLACE MAKE AND AODBL FEE SCHEDULE •, ', a 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,I leafing Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Building Permit/{ HEALING PERMIT FEE $ j Co STATE SURCHARGE $ 5._()0� � �a,, TOTAL,PERMIT FEE $ 1 /o /r� 0 14777) This Application Becomes Your Building Permit When Approved Paid ReceicAP.thA Date By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.I .,Prior Lake,Minnesota 55372 o �ff; L ,. + gE 4 '� CITY,c • OF PRIOR LAKE PLUMBING PERMIT 'I . $1 't: JUL 16 2015 dr cP - 1.sine me PERM Tiih' : , ! . 1 2.Gala City 3.Y to toa� AApp13aM * I•, (Please type or print and sign at bottom)ADDRESS ( ` ZONING orrice used 551 6 .T i Y f'�e&I (-N 5-1 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION FID OWNEIi. S GO A"----‘' Lou( C r\ Z-0 (Phone) to!2 -9gi`7g - (Name) G (Address) 5 J 1 Cc K Ai 1 L 1""/J S APPLICANT kb 1r\Gk A.l i cr"-\ Co _T-Pc (Phone) 9-5-2---75g --- ()(35-- (Name)... a �.4-v, rte-I-- N 0 Nu,J rruc 5(06-7) (Address)(Address) 2 (City) U (Zip Code) (Contact Person) 'ha e 4 0 S4-e ffG� (Phone) °152-'158 -809S APPLICANT SIGNATURE — P6,--(;144-a_ic,-&-- DATE 7/ ik Ii S APPLICANT PLEASE COMPLETE BELOW _ Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins / Dishwasher Water Heater / _Floor DrainWater 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 0The Minnesota Statutes§32613.148 , ,lob cost with a$49.50 minimum Residential,New One&Two-Family $149.50 "SURCHARGE"has been extended' . . Residential,Additions&Alterations $49.50 . - The minimum surcharge for a • Building Permit# / O "fixed fee"permit Is$5.00 $ ,i ,Off PLUMBING PERMIT FEE $ -,i96,0.)�,� STATE SURCHARGE $ knit . .�1 5.00 ' ti E $ TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date BY �0 �¢�� I. Buttdine Ometat Date 24 hour notice for all inspections(952)447-9850,fax(952)441-4245 n 4 , .s l iro 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 .y"- DROF PRIOR BUILEPADING TMENT AND INSPECTION INSPECTION RECORD SITE ADDRESS 55/ � /,, NATURE OF WORK APO 1— - fide w/FP. USE OF BUILDING if PERMIT NO. DATE ISSUED 1. �• CONTRACTOR Seim LAOIQ6W O PHONE &&It. ?8( . 76� INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ! 1 aT? \IC INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 011111111111111111111111 FINALS BUILDING - ' i ( 2 , 1 /3- ELECTRICAL '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