The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 15. 1162 E 0 O OOOCO 0 > 22 i nn O 9 0 zz 0 3 §EB � oo z § �1 % ° 73mx � r � E� � n� . �_ ® m Z - off z y -I17 • r._ %IQ _ lelb q - m §� O P o� e co m z 2 z$ $ 0 o o 2 z -4 z ox / 0 r / 27 x o ,3 m ok m q / / 000000 0 -I L m m ,� ■ r ■tmr �c c $ / "0 ƒ § rL. q § ■ � \§ m p ■ m zzz ■ - z ■ z z N, J a Z r $§ § m § p v / r -0-a o m 0 Ml. 20 . \ 03 < m 0000 ❑ 0 7 oililn§ > 0 rnmm2o , 4 » c "0 "0 -0 � \\I ri _/� R � m Aam7 F � ; ■ ■ 1r o ---^ ! I O OH n 000000 ; 0 > E" n § n \ 2 2 K 0 ® z ■ �-o z m $q % g mm R 3 m�c32_§ z § m Om-,70 qq . � �� C -I 13 Z �o-4 P 0m \ ! m Z OB z -I % 0 . \ / § § ,� z Q r xi R R e \- hi Z �' 000000 C5 \ - m m mr- 1S ® � b• k 2 9 m -IC)� a ■ § mz ■ ! R § m 0 m _ ■ ■ � § m p0 m zzzz - z ■ z z q J / § r7§0 % § p k § $ rkk o \ § x ■ 2 C 13 2 ( z m 000000 te , / 73 �17"017m ) ;� � 4 Z rn 1.7. 17 , ■ c � ; r z ■ -4r Q 1 F PRI0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd a �P r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 Z ,<r AND UTILITY CONNECTION PERMIT v �, 414xhe .sot� IWhite File 2. Pink City PERMIT NO7 /t& 3 Yellow Applicant l (Please type or print and sign at bottom) ADDRESS ZONING(office use) L3 (13 S ,,e___C-fGsk AlL11 NL LEGAL DESCRIPTION(office use only) LOT BLOCK • ADDITION PID OWNER,4_ C �1 c (Z ,. t 3 ^7 23 7c (Name) JG f"" �• rTE'cc( �,p✓ �S 5-(<- ('1 - (Phone) (Address) 2 3 43 S --tbn.L L-e S•-4- All, /U1'L BUILDER / (Company Name) P4 6 C 6r5'1 t't c_ 0'^ �`•i -2'1 (Phone) g/Se_ -(ici r 4 C G y (Contact Name) cv'•{-2 M .,cue-��'' (Phone) ls�iz_�- 3 °G —43 33 (Address) I 7 LI? I7 ON Au-t_ C e� S I"c L,p,c,e_, AA--- TYPE 'fr1rTYPE OF WORK 0 New Construction ❑Deck DPorch ORe-Roofing ❑Re-Siding wer Level Finish ❑Fireplace DAddition DAlteration DUtility Connection 3 g-A4J CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A BPROJECT COST/VALUE $ 731 o•=0,-J Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have fumished 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 Iofficial can revoke is emit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ' Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ /4✓ 7 S' SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ I 0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5?) J--o Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 57) s,'7...) TOTAL DUE $ / '7. '' This Application Becomes Your Building Permit When Approved Paid /7 7.. Z(--- Recei n t No. 7j 41l,- Date i i B //d' / 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 1 4646 Dakota Street Prior Lake,MN 55372 � 1 PR/0 Date Rec'd % CITY OF PRIOR LAKE PLUMBING PERMIT 1VNESO I. File Gold / 2. Gold City 6 PERMIT NO.I .-/f(e 3. Yellow Applicant '.- (Please type or print and sign at bottom) ADDRESS ZONING(office use) G2 313 sAM eCf.( yi- POIA LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLIC(Name) ANT t/V .� V 14 4►1 CJk LL( (Phone) (O/; "y90 C-74/ �J (Address) ,,0 Tell Ct. .ti.✓174 K'f O% 7 cOc9 Cu (AddrePh'1 s) (City) (Zip Code) (Contact Person) Gil ti S n 1 (Phone) lZ - 3 4�0 7 y� APPLICANT SIGNATURE DATE 9.-,775'—/r 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 i 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 I 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 $ o Building Permit# PLUMBING PERMIT FEE $ la. rHSTATE SURCHARGE $ '3.di ....., - TOTAL PERMIT FEE $ P 7.)! �" N.. r �. -"`'li l (Office Use Only) This Application Becomes Your Building Permit When Approved Paid9,--g_6 Receipt No. f f'o i6 Dateg),, By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Z''5'; Date Recd CITYOF PRIORLAKEHEATING/AIR CONDITIONING/FIREPLACE PERMIT ar:�V1�rE51.Pink Pile PERMIT NO. 15i Zoom 2. Green City 3.Yellow Applicant (Please t j a or'tint and si? at bottom) ZONING(office use) .ADDRESS a5,15 SoneCfl ci4-11 LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER 0 t �G � ( q�'�• 06 •� 6 C Q t/1 C—t1/i • (� Phone) (Name) ~�f�1;� W G J hv ,� �.., � ,G I "aAddress) f 1'— f l6 Sko vet il ,A P m H,/� l (Phone) nAIiss i/ `% (Name '��. !C i�' I �� ( o-�— �T/� t i I a Q Dr= o r a (Address) (City) zap Code) (Addres) � �, a1 Cfl I (Phone) ` t "'��444 (Contact Person) a �� -- APPLICANT SIGNATURE s +__,.�'�`� 1. -- DATE —1-0:11 AP'' I ANT PLEASE COMPLETE BELOW ALTERATIONS ONEW CONSTRUCTION 0 REPLACEMENT FUEL FURNACE MAKE AND MODEL INPUT OUTPUT FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM BEATING OR POWER PLANT PLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ]Warm Air Plants 0 Hot Water into Required Side Yard Setbacks. ❑ 0 Radiation Fireplaces with Box Additions or ❑Mechanical 0 Special Devices Cantilevers to the Outside of Buildings OVent.Conditioning 0 Other Devices System Require a Building Permit. FIREPLACE MAKE AND MODEL �\e&1+ , 1, S . oT! •1 IF I. ' FEE SCHEDULE $49.50 1%of job cost Residential,Gas Fireplace Industrial;Commercial&Multi-Family $49.50 minimum $49.50 149.50 Residential,Additions&Alterations $49.50 Residential,Heating&A/C(New Construction} $ Residential,AC Only Residential,Heating Only(New Construction) $64.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ Y9- — STATE SURCHARGE $ 1,00 TOTAL PERMIT FEE $ ' " 1. (Office Use Only) Paid , P �, } This Application Becomes Your Building Permit When Approved ,0 Date By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE, DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD 4-3 tc' A'E� Pew SITE ADDRESS G NATURE OF WORK L.- Wad USE OF BUILDINGp PERMIT ATE ISSUED - NO. � PHONE �"�• GG��' CONTRACTOR � •`- � �j`'4�"' AIN CLEAN STREETS AT ALL TIMES INSTALL EROSION CONRTOL AND MAINT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE GAS LINE AIR TEST COVE- `O WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS �i�/ I�UILDING ELECTRICAL PLUMBING ;. HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service binet On bu rior Idings and additnons where no-in isections maintained until all inspections have been approved service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850