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HomeMy WebLinkAboutBuilding Permit 12. 0409, Mech 14. 0744 C) 0000 ❑❑ -1. o o E0 cn 0 13 o o -iz, p, co m m m no p n o 7Y m 0 • C::7 g mr9Cmz,a z to co «^t'n m r 0 0 a C Z -n o ° > � o 073 z0 01 1111 -4 �� �A 7. _a - O z 01,-- r 7 m z ° C .� mm tli o rVv ?<'' fih c•3 -� v v O m �. o 0 000000 Z -j 0 n I -o cn '0 m m m m mr amr Hu"h mx 1 xi mx x73 c:9 'um 8 r c°0 . o • ? 13 0 n zm=�> 00 -zi NI • o zSDCDncc z0 _ m 0 " 11 I tar r) .. 0 * ro rt.. --7H •, P < �. ,�""' ❑ 00000 N • i � m rn g. > ill 0 / r-o-o �o z ` ' Cti ammz- '\`1 ). vi **`4%.< . , � Z m a r 0 of Pitic CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd t: 44 ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5' /' d ,. AND UTILITY CONNECTION PERMIT U � �'�Hxesot° I. white File PERMIT NO. A z Pink City f 2 4,7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /lo073 73,qy/dEe— PAtSS LEGAL DESCRIPTION(office use only) //� (� LOT BLOCK ADDITION PID 6 ,,Y. V O, O 17.0 OWNER (Name) d6i8/C'1�' //L(.f�IEi/�S''� (Phone) Z3 • Q (Address) 54//6 // BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction !t'.i ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish 0 Fireplace ❑Addition ❑Alter. ion ■Utility Connection CODE: ❑I.R.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R SU (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- e ed property and that a 1 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 ca rev e[Vomit fo ust au e. �urrthher�mo`ree,,.I hereby agree that the city official or a designee may enter upon the property to perform needed in ections X �_ V�� (. ' 'LLVC a1. cli 7---�L0.>I Z._ Signature Contractor's License No. Date Permit Valuation 31 0 cif _ C; 0 Park Support Fee # $ Permit Fee $ '71/ 7r- SAC # $ Plan Check Fee $ /._ Water Meter Size 5/8"; 1"; $ State Surcharge $ r-, ,) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5 —b Water Tower Fee # $ Mechanical Permit Fee $ � Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ .__•••___, TOTAL DUE $ /3 0 75- • This Application Becomes Your Building Permit When Approved Paid 4..<0, 7 J c pt No.6 G70*- Date e , a.,{ /Z,... 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 I PRI() CITY OF PRIOR LAKE Date Rec' ° HEATING/AIR CONDITIONING/FIREPLACE PERMIT `` .,r x t.1 tr � / -44!" 1.pink File 2.Green City PERMIT NO. `� ? 'llINNESO"P 3.Yellow Applicant Plea int and sign at bottom) DRESS , ZONING(office use) fL loksNJ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID P M., . f L - 11)-6(/Y.(- l/am- LT(�i',e_v-g- "'l ,' one '%--(2.-2 3g--o t 2 3 (Address) APPLICANT (Name) (Phone) (Address) (Contact Person) r ; il/ (Phone) SIGNATURE f',." " DATE Mir 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 ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid.6,----4/5z) Rec t No.qa0 75— Building Official Date Date--zZr'jc 7I By • 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Rip Date Ree'd Et.)01 CITY OF PRIOR LAKE PLUMBING PERMIT •. I.Cole Fir PERMIT NO. 2.Cold City 3.Yellow Applicant (♦ (Please type or print and sign at bottom) ADDRESS ZONING(office use) ,Ly, Q.. Lr P-s.ss LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER S2--- a-s-\ - (Name) )c_� �-�-:, w-�r,.TS o..--� (Phone) d> 1 as- (Address)(Address) �- APPLICANT (Name) P r e m c_� p 1�,,r-�4� 1 ,n c. (Phone) q L t(Lf 7 ,S` 1 6 f (Address) 1O W U o ,4 Tr._ , pr t c r 1.s-i=L S S31 .. (Aess) (City) (Zip Code) (Contact Person) (Phone) 1 - S L1 APPLICANT SIGNATURE - — DATE ct I i 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(I or 2 compartment sinkSewage Ejector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other Tile Minnesota Statutes IEE SCHEDULE §376B 148 i job Cost with a 549.50 minimum Residential,New One&'I No-Family $149.50 "SURCHARGE"has been extended Residential,Additions&.alterations $49.50 The iniflimum surchai ge fol•a "fixed fee Building Permit# permit is$5.00 PLUMBING PERMIT FEE $ STATE SURCHARGE $ XXX 5.00 TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date wrp., Y3uitdine MOM Date � 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 '�� A 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 7.11 ` DEPARTMENT OF PRI R LA K E BUILDING AND INSPECTION INSPECTION CO RERD SITE ADDRESS f( 473m NATURE OF WORK ha Zw USE OF BUILDING .' _— 44 PERMIT NO. 411111Etroli DATE I SUED CONTRACTOR Y At * ` PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIO S BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 11101.1110 1111111011111110111111111111.111.1. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING terb 1-4-41 ri° q ��I e INSULATION ELECTRICAL PLUMBING HEATING (if required) asaINNINIIIIIIN COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL PLUMBING ommmamer 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