HomeMy WebLinkAboutBuilding Permit 16. 0029 3 0 S{ O ❑ 0000 _ 0 > E0
y ` , 0 0 "n2 "n „ „ o 8 414
a 0 0 3 - y 00 Z m 73 mQ
o mitciiii b m u) m E -ioz 0 y p-o
PI r c� H Z v oho z—
ro o y Z = N o73
e � ;+ o
cz
-i
r ^, m
0tti 0 Z r v \
il
[V
4. m X o o iG..� 000000
Z rn m m ii 3lay1 ; 1,
"—' me me
kl CA 111 z c o xE Ai m 0 • CA
0 C -0 m o . > 08p0 � 0 3 Z m
ti De m r - 00 z =1 0
p03 0 0 z ZXX Z ' m
;n° Z P. m r13 -a O m
O N 0
m
V
Er _
TA
-q g 8 , I
m �
N
to 0000❑❑— N
[ ,w `
v
y zzO11 0 lb
RC) m
0 r111 mEO
xi
01
mm 23
zS
mX. 23 "X. -I `—r' m
r Z
Ic
PRio,ti CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 r 45-y /6
AND UTILITY CONNECTION PERMIT
4&NESOt1 ? White File Pink PERMIT NO. `
y J� z
• D0y
3 yellow Applicant ��6!!!///
(Please type or print and sign at bottom)
ADDRESS !Z q T Z i�0 dn_ /4-- ZONI�N®G(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 7--6-. 3 b 2-• 017. Q
OWNER /e vtf) Yr l deny fcj icie—e S77
(Name) / (Phone) 203. 2.I Z . 7 PO
(Address)
Z44 Gof?s Et/ i 0 •ti?ezi 1, 60hi
BUILDER 4 q52. . q4-5'. 1�7a
(Company Name) 2. / c J o IQ. c77 0/ 1 (Phone)
(Contact Name) P6X,ey /ZC'E ! (Phone)
(Address) 423 S 5-77-/ f+e/51/vc S , /1pe.5 . 554-O
TYPE OF WORK 0 New Constrpctyon ['Deck ❑Porch ❑Re-Roofing ['Re-Siding DLower Level Finish 0 Fireplace
DAddition iteration 0Utility Connection
CODE: ❑LA.C. DI.B.C. /3 f7 0 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
I hereby certify rnishe, informatte on this a.plication 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-mention'. .1:,,, - cons.v_ - n ill,/form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke t is parrot or let ca F -. ' eby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / e e/ 6-737 to to
( ignarureT Contractor's License No. Date
Park Support Fee # $ _//
Permit Valuation
,s-oa. o0
Permit Fee $ 2 .. 0 Q SAC # $
Plan Check Fee $ `47. 2.5" Water Meter Size 5/8"; I"; $
State Surcharge $ J V Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee 70 . $ jam;. 15'5-4. Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee 1 $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 4L/9, `` 3
This Application Becomes Your Building Permit When Approved Pair{ , Recei t No. .�7f1
Date /. L/ -/6 By
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
4646 Dakota Street Prior Lake,MN 55372
/5 _I 55
pgj0
tiOgDaRec'd
Ot CITY OF PRIOR LAKE PLUMBING PERMITjv1VES°�
I. Blue City z.Gold ciPERMIT NO./S 155$1-
3. Yellow Applicant
(Please type or print and sign at bottom)
X DRESS , „ ZONING(office use)
2941 c! Tc OO i'
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
r
OWNER
\/ (Name) (Phone)
r
(Address) n
PLIC.•`-'7 fp/-,,,,,h, ) -240"'.S76?( ame `.1 ' 6 �4 hone
Address �� ►• . /2s7 / •dL ,/'�A c _0.7Z.-
(Address)
Z
(Address)
(Address) (City) (Zip Code)
(Contact Person)Z: (Phone) E32r 2W 57/
APPLICANT SIGNATURE �= DATE //t/46
APPLICAN eilltk SE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
II I Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
L. 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
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 Pe it# The Minnesota Statutes§326B.148
PLUMBING PERMIT FEE $ II "SURCHARGE"has been extended
STATE SURCHARGE $ EMI , The minimum surcharge for a
TOTAL PERMIT FEE $ "fixed fee"permit is $' $
(Office Use Only) /• `p a)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date piun
w !h
Buildine Official DateII UAL
per.
24 hour notice for all inspections(952)447-9850,fax( Y4 �4'S" r �
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372