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HomeMy WebLinkAboutBuilding Permit 12.883 k �� u 2 c ui E �z Q « z , ou 2n5n « > 7 � 01 wwk o 0 4i ore■« z la — Eu� 2 z \ 0 > & o 0 IL \ CNI w d 4( § ® 0 q z 0 0 I- 2 \\I 0 0 0 / 0 k § o 000 _ z § § t § - § w � ���� a Q z 2 . 4 j§ § §j§ z C °° k ® \ a ■3 a w w w 000000 k CC tr: j § } § re 0 k 0 :ai § IQ Y 0 z 0 • Y 2 © < : - § @ C4 2 § 2 § O @ « a W }k 2 0<01- u) w Nc w ce k \ j la n" Ro < -' «w 2 2 Q § /� C § o ��� 2 Q 20 0 E 0 � 2 o a 0000 0 0 O❑ f 0 F P10 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE x rj AND UTILITY CONNECTION PERMIT 4 /NNE90o' I. White File PERMIT NO . 2 Pink City 7 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) i \ 1 �, \ rte, �� � R �� i , v, \e- f ssS7 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNE' c t - - 7 S L - ckt q Li (Name) ill • 4 t° (Phone) (Address) i 1.4 t 3 , - \)1 't' t 1. -.vr / J (Company BUILDER V w t c (Phone) — 7 I. ...)--k c�- S C- • 7 5 (Company Name) 7 t v .•,o.✓ (Contact Name) • ■J S. (Phone) (Address) ii S `teLSc.,... i \ ? Oc,. 1 i/` SS3 TYPE OF WORK ❑ New Construe on ❑Deck ['Porch [Me-Roofing ❑Re- Siding Xower Level Finish ❑ Fireplace ❑Addition Alteration ❑Utility Connection CODE: 3.1 .R.C. ❑I.B.C. El Misc. �,, ., ,per Type of C nstruction: I II III IV V A B PROJECT COST/VALUE $ 0 I �r V Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the above- mentioned property and that a constructio 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 revok it for )u a urt more, 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 ? ee- Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ (. s.) Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ �4. . Water Tower Fee # $ Mechanical Permit Fee $ `t Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ ( 7 This A :heart i B c i mes Your Building Permit • • n • i proved Paid (30 1) Receipt No. 2.1 Date $ By a � �� e « ice Buildine ()la II to This is to certi /// hat the regt •st n the above application and accompanying doct ent is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed • he Cit PI, e con • uutc a temporary Certificate of Zoning c mph cc and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued �� e 7 r2.-- • Plan - -- - 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 O. PR /04, CITY OF PRIOR LAKE PLUMBING PER Date Rec'tl ! �' MIT @oso, kivEs° /0, Z aloe fiik (Please tv or p ri n t and s ar crota crcy PERMIT NO. /a ..?e 3 lwttom 3. Yellow Applicant L` AD bRESS use) "--.) r ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) (Phone) APPLICANT (Name) ` r - .. MIA ' " ' a A . (Phone) /6 (Address) E � S i • / (* &dress) e...„, �� A ( ity) (Zip Code) (Contact Person) lrral .:!•_l J (Phone) � � ��(��.� �-- APPLICANT SIGNATURE e =.. . DATE _ Q ',30 2-{a APPLICANT PLEASE COMPLETE BELOW ii uanti T t e of Fixture a EM= _111111111111M1 Bath Tub with or without shower a of Fixture 1 .11111111111 Dishwasher Rough -ins -� Floor Drain �� Lavatory (Bathroom Sink) 11/1111.111111 Water Softener _� Laund Tra (1 or 2 - com art sink 1111.1.111111111 Stand Pi . e (Washin _ Machine) Shower Stall Sewage E'ector Backflow Assembly Bar Sink MM® Backflow Assembl Test immaimm Water Closet Toilet) ®_ Other Industrial, Commercial & Multi- family 1% of job cost with a $ CHEDULE Resid • tial, New One & Two-Family .$149.50 esi I tia Additions & Alterations $49.50 Estimated Cost $ Bwld Pe 01 . ilk PLUMBING PERMIT FEE $ pA (D _i_gt_ STATE SURCHARGE $ (Office Use o) TOTAL'PERMIT FEE $ .50 E 0 I �/� This AP n , � I , s Your Building Permit When Approved Paid /0 3/, 1 it: 416 Right ', ine •14ct! �'�- I7at M Date (9523) By W 24 hour notice for all inspections (952) 447 -9850, fax 447 /-4245 Z , 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 t' 1 r' PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS (4% h Pf4p -v...4 � -- NATURE OF WORK ir::14 4 ,t► j,, USE OF BUILDING k PERMIT NO. �� ° `�. �' DATE ISSUED (1 (Z CONTRACTOR _ \! aMES PHONE 7 47- - 7 _ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE - to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING /9/V/ INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I I FINALS Sodding) BUILDING 05 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