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HomeMy WebLinkAboutBuilding Permit 10.0091 5 0 00 C) 000000 Yr 0 > §2 n n n § 0 0 . mzB@�§ § k m2 § g XI xi . dres§� ■ § �m r m 0 � . m e \zs_z P ■ pm / t 2 § A �f� Z xi zo o ■ T. (D 0 z OZ % o 0 0 -I OWOMEMMWM- z . m z � q 1 m -- ii UN _ z \: \ � CD 000000 • X § mm mri>mr 0 ••••••••••••_¥ Z o o OC .40C � ' E %§■§x_ § m o© o % 2 en E § . §§§�B _3 m § 0 0 r m22 c § z A § §�� P �i X0 73 . § . ig 2 . . � a �' oovoOO 1 4 E § < : 000 �� §%%� ,_ 13 / Ct.s< (I) �0C)��� � -4z § §$■ Ffll r taF PR/Q4, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd .� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z Z 1- i a AND UTILITY CONNECTION PERMIT 414NE SOAP I. White File 2. Pink city PERMIT NO./0 0 o 9/ 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS Livii\ c P 1<u-31 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUILDER (Company Name) C r\\(\64 b Y o A \ CICI-Q\ (Phone) ' 3 `S (Contact Name) ` ,,, ,, (Phone)( (Address) 90 �l S \ ( kR Cl rC:4-�._.P i(1 CSr�i ) S1.SO V y TYPE OF WORK ❑New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ELower Level Finish ❑Fireplace ['Addition ['Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 1 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 r : •ermit f. rcause. urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X �y Signature Contractor's License No. Date Permit Valuation Park Support Fee # -- . $ Permit Fee $ Z .s u O SAC # $ Plan Check Fee $ /, L Water Meter Size 5/8"; 1"; $ State Surcharge $ 5-7) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 50. 0 Q Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 7/1.5— This Applicati,.. : c Imes Your Building Permit When Approved Paid y/ 7 j Recei No. 5G Z(o //' Date Z., Z¢, e 6 By Z, Z-fh, to Bi;ding Official Date / This is to certi 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 0i PRIp, CITY OF PRIOR LAKE Date Rec'd 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT . 3. f C) ri 4 66. ' IA/ /0-06)7/ 41jkNESoo I.Pink File 2. Green City PERMIT NO./L) /U 7 (Please type or print and sign3.Yellow Applicant at bottom) ADDRESS ZONING(office use) /52-3 7 IkAgil W 6'6's /arAAv y LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION . PID OWNER (Name) (Phone) (Address) APPLIC ► T I (Name)A n4e_c.A•a 71 (--4 / (Phone) —163' 8-4^ to.r7 f (Address) /S/ 1-21,+& Lrt) Niv. %N/20 wiz 57f-a0 Y j(Address)) (City) (Zip Code) (Contact Person)'Q.f1 G G!/,a Y? (Phone) 7/63- a"1 b' &S1 J APPLICANT SIGNATURE DATE ''"3) /D APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants 0 Steam ❑Gravity 0 Hot Water Units and Fireplaces Cannot Encroach ❑Mechanical ❑Radiation into Required Side Yard Setbacks. DAir Conditioning 0 Special Devices Fireplaces with Box Additions or DVent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIRE MODEL './1-/k/6(; ` (it"/ FEE SCHEDULE Industrial,Commercial&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,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ 1 l s STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ _67)/,' (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5D g, R , eipt No.396 3-7 Date? j `v Building Official Date �_ 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /523 .7 hen-ar .490Wy TYPE OF WORK /Alr. 4C7: USE OF BUILDING /Zed #4/ic PERMIT NO. /0. 00, DATE ISSUED Z. 2*. /O ti BUILDER osoigael ear via PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 111111m-PL41NOillf PLACE NO CONC1RETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING /4/.5W..4770/4/ 6itilFINAL f, "ar FOR ALL INSPECTIONS (952) 447-9850 .$110 _ 161 tv,- 1 -ei ;col'