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Building Permit 11.881 (2)
O J N w J - F- ~ W W < 0 u4 Z g 555z > Lt. .<12 4 w _ 0 a. a. g ._ CO 000000 > h I x v 0 f C CC N t� 0 O »a , m L 0 1K D Z Z o W G F re ppu.J z 0 0 II' O W Z� Z o W v W W O vs 0 a x go a Z • p W /- x p p co F- O a J a�3 w J Te ` w w z wh wy - D ❑DD❑ 0 0 x Z 4C O w ` C 4 oz.) CL d a F- p J Y V Z O V 4 C 0 14 4 W 3111111%; il Q 0 ce z O z rtp O 0 < 0-2 a Z 4 N N aG U.1 ui W V W W l Z o Q Q F Z p 0 1 0 i u. u. = fa 0 3 0 0 V V li cs Q 0 a 0 DDD'D 0 D 0 E. _ 0 g§ § ■ ui § 2 ww< 0 m A. 2� \z k _ 0 _ &ww 0 2 .4 k w 0 c, ? 000000 > 2 0 D w 0 0 o m § w z §§z © ° 0 § o E E o 0 -J 0 Q o z � & 2 0 c $ S 0 w ©xw �m 0. 0 2 0 § Q < § u o 0 o ..1 Ill w § • w k � OOOo 0 0 0 w % a a U. 1- 2 UJ uj 0 < 0 U % k k� N 0 0 § 0 § ° .�. g ILI z a « $ N u. § kg �� � � « § �K 0§ 0 U.U.U. 0 § 0 0 I. 5z 0 < z 0 O 0 00 U \o0 £ C 44 PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 7 / I AND UTILITY CONNECTION PERMIT Nesu�� I. White File / PERMIT NO 2. Pink City I / ' 8 S / 3 Yellow Applicant ////��� rint and sign at bottom) ADDRESS ZONING (office use) 3 $ /y t559/4i si s AZ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ( R 4 (Name) (//?T 4 c/Ply G/2 ,LL G1 En/ (Phone) (Address) / (Company Name) We- i ' Gr' 32/// Con,) L L L (,thone))I/oV 73a - 77 V r (Contact Name) 67:=10145 5 J�C/ //4"7, (Phone) I Address) j /L // 2,P 4-, X Lower TYPE OF WORK ❑ New Construction ['Deck ❑Porch [Me-Roofing ['Re-Siding Level Finish ❑ Fireplace ❑Addition ['Alteration ❑Utility Connection ', ' e - fl - RO 0 1 CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. ` • Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 I hereby certify that l have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above - mentioned property and that all constructil 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 re his ermit for just,use. F j r'rermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. I x ""-. - 9-- Signature ontractor's License N. Date Permit Valuation Park Support Fee # $ Permit Fee $ 3 S -, SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ . Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 3 / V Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ Ocil 7_ This Application Becomes Your Building Permit When Approved Paid U 9 7� e ipt No. (, 7.,.._, Date Date 9, ?„ / F B . 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 Residential Building Permit Checklist Basement Fini 'trgle - Fam ly Homes BY: Date: 9 7. / / Building Permit # PID: Zoning: Site Address 33 P02Sfl/tic1 S Legal: L B Subdivision: Existing Structure: ' S or O CONFORMS TO ZONING YES NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning building height? ✓ Is the property located within the flood plain? Refer to Planning ✓ Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L: \TEMPLATE\ALTCHCK.DOC cc RI Lii I R ' IQ' ,...1 s a ai C Z 0 \V .1 x i (.-:, u.1 1 -, 3 - E3 ce,3.5 - cc 5 "-- °C$ Z -F!) 2 1 C) 00/6§11 0.E D 2gWil 6 O ff ' `� 0 w 002 w w7 1 f 1 1 it .10 CD a 1 I LI A„k .1i h F (%) . ; r § E 41 Y 4 .... .1,,,,, i p Rlp Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT p 7 / / Z x 7 I1 YNESo; . Blue File 2 2. Yelp PERMIT NO . City it — ee 3. Yellow A ow Applicant (Please type or print and sign at bottom) ADDRESS 3 0 I � Pats-1-1--/ � � ET , ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) R lc v M/ !MTh E L r Y (Phone) (Address) APPLICANT (Name) (Phone) (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE DATE `7 n . 1 4 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 • Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector — 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, As_0 '. s & Alterations '.49.50 m Fetiafprl Cost $ Building Permi - The Minnesota Statutes § 326B.148 "SURCHARGE" has been extended PLUMBING PERMIT FEE $ ?ND 3 until June 30, 2013, STATE SURCHARGE $ .50 The minimum surcharge for a TOTAL PERMIT FEE $ 3 CD "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid — • 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 DEPARTMENT OF PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS iilL A NOSMW S NATURE OF WORK �.l�� ��'AIL.cI X USE OF BUILDING PERMIT NO. 4WD :T ISSUED 7e CONTRACTOR i 7-1 7lIg.r PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IMMO 1 1 Illaggligillant 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING (2 t -p � ! INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS BUILDING 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