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HomeMy WebLinkAboutBuilding Permit 15. 0987 2 4i § _ aLL u § � � i � � « ::: �/41 ° 5 5 � zA§ 2wwk 2 0 o iZC E ® DODO ❑ O re § u w z \ §u. A to 0 4 6 § § �� t Z col D z YX ■ z g o E ■ o0I � o kill ce It!0 ccn k k La / 0 a xmaigaz & - % �wa § � w 'O►� w w § X k. IP a ■ ■ ■ a ■ I. � � ■ z OCOOOO o o § tu •• 1 , a a e ■ IQ m Al 0 z © � Z �S < /- 0 0 0 2 § g w « � 7 -z P0R a- 2 1.. 1-- U.ct 0 CO -. kz2j _1 - 2 X rt k § U w w o W o 0 0 Q �2 0iii § 22u.2I ■ 0 Sog o 0 < 0 a O O D O$1,0 B O O E. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd (' pR, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x AND UTILITY CONNECTION PERMIT �` �` S v �, 4'oIresot" I. WhitenkCityi 2. Pink PERMIT NO./NO./.5; qa - 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1677? 5 k I-4 e, be AV LEGAL DESCRIPTION(office use only) / LOT BLOCK ADDITION PID 26/`//'oC/o OWNER �j / / 1 i a J /� (Name) ' `u K 4/ e- 4. / 1" 'frie ke 0 !� e-a-- (Phone) Y 57—8.29-c ?si (Address) @efikYIL, en p r'o1 ec i B(Companyy Name)DER � (Are-e-k 1-l-C-L— (Phone) /9 e7?6° -J X / (Contact Name) Vii(e, 1311'r/slut ,,`e (Phone) (Address) I7 �ICf-SCJ/V " FJ✓ aKP 0 6337z-- TYPE OF WORK 0 New Construction ['Deck ❑Porch ORe-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace ❑Addition 'iteration CI Utility Connection 0 Misc. lit / �V''. l' /�e-m-o L / CODE: • I.R.C. ❑LB.C. Type of C struction: I II III IV V AB PROJECT COST/VALUE $ /a) LJOC-- _ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have film hed information is applic 'in 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 pro an that all constru . will cord• to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revok er ' forst cause. F - ore,I .y agree that the city official or a designee may enter upon the property to perform needed inspections. X /�! & (5)3z3 g— ? Signature Contractor's License No. Date Permit Valuation i©� 0 00 ' Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ I C� � Water Meter Size 5/8"; 1"; $ State Surcharge $ 5 ! Pressure Reducer $ Penalty ' $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5-o_ 50 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other p $ Gas Fireplace Permit Fee J $ J 57)J TOTAL DUE /-/S-- � $ 4,21. TB • cf' Tt i•• 'on Bec mgs Your Building Permit When Approved Paid z/_Cf Rec o. �1 Date L1�l7 (sr- ' �' 7 By -mo• r. i 4----7 •uildi t Official This is to certify t ,4 the a uest in the above appllcatton and accompanying documen•is in aeeo ranee with the City Zoning Ordinance and may proceed as requested. This document when signed by j t ity'l nner-onstitutes a temporary Certificate of Zoning complia cc and all ws construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Pt i 7'1: mng Director ii:to Special Conditions,if any t ' e for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 04 0� Date Rec'd � CITY OF PRIOR LAKE PLUMBING PERMIT (01 r 8 t soe I.Bone Cd PERMIT NO./`5 e gg 7 2.Cold City ` 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /$777 S.tyI/04-x- - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PH) OWNER (Name) (Phone) (Address) APPLICANT 6 � (Name) C L1 p 1 LU ipwi (Phone) e l L - 27o`-- 6er 7 Z._ (Address) 1"`-' 150 ik 17...S.7 1°1' S5'3 7 L (Address) (City) (Zip Code) (Contact Person) -Z'— (Phone) ‘l 2- 2:1° (-p -q-2.-. APPLICANT SIGNATURE _4.t..._ S DATE la I 1 I If APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture f Bath Tub with or without shower Rough-ins l Dishwasher Water Heater 1 Floor Drain Water Softener a Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly 1 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 $ Building Permit# Tile Niinnesota Statutes§3268.148 " i; CHARGE"has been extended PLUMBING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $ 'fixed fee" permit is ,OO TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Rt No. ;4-1 Date `'f, ,,,fl .- E....,E....,, 17 Bnildin¢Official Date a- a_; , , ;Al: 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 o) PRIO CITY OF PRIOR LAKE Date Recd p HEATING/AIR CONDITIONING/FIREPLACE PERMIT jNNE so 41 I !,Pink Pile PERMIT O X.G,eeo City. PERMIT NO. ` 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS15 -11 s K � V ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Cop' 1.r C 4 e f/r LLE_ (Phone)CI-N'( O' sVtll (Address) (Li Iii # r It►�i .1 ° t - r t ! r LO K APPLIC ' (Name) _1 ',y IYi k.!II Y 4 d 1 �I4q s L" ! dl dint" (� (Phone) (Address) 0 `I E ) oro a r a di (Adss) - (City) Zip Code) (Contact Person) aryl;' �. (Phone) • 1:14 h � APPLICANT SIGNATU* f, Q / DATE - S APPLI • NT PLEASE COMPLETE BELOW j r14EW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM BEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam ['Gravity ❑Hot Water Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. ❑Mechanical ❑Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or [Went.System C]Other Devices Cantilevers to the Outside of Buildings 100 CI l)00 Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi-Family 1%ofjob cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # plot 9 HEATING PERMIT FEE $ "-f Ci-�0 STATE SURCHARGE $ 1.00 (Office Use Only) TOTAL PERMIT FEE $ 1F70 r IF This Application Becomes Your Building Permit When Approved Paid Receipt / /A Date MUM PA Buadina 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 SITE ADDRESS /577t Sxr t.,/NE H/ NATURE OF WORK Oterf y USE OF BUILDING PERMIT NO. 7 ISSUED & CONTRACTOR PHONE INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE MOM 011111111111111.11111111111 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH — INS r`c)\"{, FRAMING )0/,(5— ,sor INSULATION /ffo-- 1 ' kc ELECTRICAL b't PLUMBING /0/5/, HEATING w ,- 1 b /c,/ FIREPLACE GAS LINE AIR TEST aIIIIIIII COVER NO WORK UN THE ABOVE HAS BEEN SIGNED 1111.1111. FINALS BUILDING z/q 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