HomeMy WebLinkAboutBuilding Permit 12. 0133 y ❑ ❑ ❑ n ❑ p❑ ❑❑ = o o Zn
n c, a xi 73 x,0 0 0 CD m -i 0 08 m m m m0
b r , m m 7 zr-c3o� z y -i.0
tri r 0 171 N › Z z
to t -I -1 ^Zi m 0 0 '1 0 o xi
z o
C t 0 D 6:1C Cl) 0 Z
Z ��
a ?C O n .�� Z n
-n C) > 0 10 m m
il t3
z x• 0
73 o
❑ ❑❑ ❑❑
0 0:11
x m m m 31'3. N53r V
N -I N v v 0 C .at 0 C
,'-"�"- x3 mx3 -a C) co
ti p m92. - . > 000 � 0 3 ? m
. t. � o z rz �� 23 Z .r C
c 0 m ,� CD � cv-co O m
0
IN
.p
A[` 0 XI
Him"
.71.
44.......G 0 •
N\
vmm � "r.i 0000❑❑
7
y z �+^ : , `1i`ii 0 [ii 1
Rs 0 � . Nmm30 � _ • 'Is---3"1
to 0>.< Cfr (1) amm=v
4464‹ '
r-0 z 3
t0> z
ctm
OF PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Z , 27" Z
ell
PERMIT NO./a /33
~�NNES3��� I. White File _
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/& 29-- 8/vea4rav Oft- __< Piglet tc44e ilai
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERt /
(Name) i6b f. Lf-ti^JU SCN ctecC>� (Phone) 95-d— W 7`4_O<S'6
(Address)
BUILDER � /1 j
(Company Name) DeS I!,N Bc ?cI L-'€NSU//A�tl/S (Phone) b$7 7SS 519 2 7
(Contact Name) T V l f Sc WO d (Phone)
(Address) 766 (VAS(..t )05/430 A-0 e. J47 PLS , its A)
TYPE OF WORK 0 New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: DI.R.C. DI.B.C. disc. -/e- i • //i/ �7O//
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $
(excluding land)
Division: 1 2 3 4 5
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 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 revoke this p mit 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 5-0 e) 6 ,.) Park Support Fee # $
Permit Fee $ 2,5 .6 0 SAC # $
Plan Check Fee $ i ZS Water Meter Size 5/8"; 1"; $
State Surcharge $ i1 Pressure Reducer $
A
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 3'-q S Z Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ ;;160, z...„5—
This Application Becomes Your Building Permit When Approved Paid . Rleipt No. ee 5ZZ 2....„
Date ? •• 2-7- (2
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,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
04 PRip� Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT Z 13. /2-
2.
Q
x
��NNESD�P _
I.Blue File PERMIT NO
2. Yell App .. /�
3. Yellow Applicant �� �J- I
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/S 21-3 1/,.i e c/o r/'t c i'C-,/e_
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
PLIANT /kfti O r /7e G C c1/ (Phone) ‘/,2 `.�✓�e O/C zv
(Name) ��JJ�� ��/
(Address) /70/ a q/C C'P s74- --c- ' Ol-e rr A 55// 39
(Address) (City) (Zip Code)
(Contact Person)�/4-1 ,/n (Phone)6 -5 i' .-2/
APPLICANT SIGNATURE _. 0 _ .— / A - DATE ^ a-- 7- 40/4N
A' 'LICANT 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
/ 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
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
'ost $ Building Permit#
The Minnesota Statutes§326B.148
"SURCHARGE"has been extended PLUMBING PERMIT FEE $ PAID
until June 30,2013, STATE SURCHARGE $ .51 _
The minimum surcharge for a TOTAL PERMIT FEE $ B V C (A ) '
"fixed fee"permit is$5.00
This Application Becomes Your Building Permit When Approved Paid eip ,..
Date By
Buildine Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372