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HomeMy WebLinkAboutBuilding Permit 14. 1211 n 0 0000 '4 0 > 2 i o o 0 ■ -n 0 & § 2 4 2 0 o s 2 ■■ c § m m n0 t, n ■ ■ ■ X 3 rC ■z � 73 ■ � - § r R m m m m $ k ■fa ■ g co p� hi r o o Z § Q� ® z° k % ■ U § z 0 s, ■ S. & 0 � � � ; ■ § > Z �) p t z § P ,,, ■ r o . \ m x 0 § 000000 41 / m m m � 13 E � § � / ) E. ? -0 zs mzE m 0 0 ! 2 rl ; t §X § ® s q v 01 § 0 o � z §q - c % p 0 . � � � P �§ z # m 2 ■ MSi § m n § 2 000000 Q � � n 0 � mmE@ PI N R. > Q E � -0a Att, Ji \ 0 , \ q rn _, cici � _ ■ r _ ca $ - ■ z m -Ir 0 �oi pR1o�i CITY OF PRIOR LAKE BUILDING PERMIT, ti \� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd lNNESo�� 1C, a 12• I 4 1. while File PERMIT NO. A . Pero Ci9 •• iZ 1 r 3 3. Yellow l Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) I Li .S-S 7 Pine IZ.cd M r;o(-lqke, _0 P 37a I S� LEGAL DESCRIPTION(office use only) LOT , f BLOCK / ADDITION 61)04..6"- C% PID 46-'_ QV-0- O//_0 OWNER I (Name) M • \L� Qv\ Nary ID e*-L 14 6 CJ Qvls , 5 (Phone) 9 S�r�- a 33 ' 13 ab (Address) I N S s 7 7 ne IZ-0 ud N p f;(Dr- Lk.e ) Ni IJ s'S 3 /7 a eel,Li' _ 0 (� BUILDER - a $ / (Company Name) ..--.-� : i : vcJ i [ Ik__ 0A, , (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding ,owe evel Finish 0 ireplace ['Addition ['Alteration ['Utility Connection CODE: I.R.C. ❑I.B.C. 0 Misc: Type of Construction: I II III IV V A B Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 1 t©1< Division: 1 2 3 4 5 (excluding land) 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 authorizes 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 Yke t 't for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. /p4l Ir� Signature Contractor's License No. D to Permit Valuation S00>7 Park Support Fee # $ Permit Fee $ 1 4 .mac SAC # $ • Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ t Co Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $al)t15 Cit This App anon : co s Your Building Permit When Appr ed `� G r c Paid � �, Rec pt No. �G� /4"���' Date jam_. O./� B i6/26 14 Bui ding Official Date This is to certify that the r• est in the above application and accompanying documis is in a rdance with the City Zoning Ordinance and may proceed as requested. This document when signed by th C'tyr'A.J. ner constitutes a temporary Certificate of Zoning co liance allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. „,,,,,._.„, ......... ...„„„., Planning Director-"111.6 Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Dec. 16. 2014 8:43AM Norblom Plumbing No. 2290 P. 2• p�D Onto;Reed pR7p ,� "� CITY OF PRIOR LAKE PLUMBING PEST •. 8 3.O» Ole PERMIT NO.I +. rat as bo 40401 ADDRE$S ZONDTO useless LEGAL DATION(aim use only) LOT BLOCIC ADDITION PID OWNIKEt carne) 1M.+�1..q,•e. ca ..."� (Phone) 43 114• l (Address) t S5'—t ?i rt c A �t-i` �.-,�la,e CU-.4; 'S372 APPLICANT ( ). AJOrttat otok". j 1..4..4A. (r,, C o (phone) GO- - 72.7 - X1033 (A ) .14 & S �b AiJ e. 5 C. c-�-t, 1►u4) sS 0 (Address) (City) (ZIP Code) (Contact Person) (Phone) 64- 1 - 2.62 - 1 964] APPLICANT SIGNATURE _01.5DATE / ar APPLICANT PLEASE COMPLETE BELOW Quantity -Type of Fixture Quantity 1)pe of Fixture Bath Tub with or without shower Routh- s Dishwasher Water Heater Floor Drain Water Softener Laystou t(Bsthrootn Sink) , .. Stand Pipe(Washing Machine) Laundry Tray(I or 2 compartment sink Sewag Elector Shower Stall �. Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other 'rht Mintsesota Stahates -3Zbt3 ....._ PEE SCHEDULE .r4$ doll cost Wild a$4930 minimum wit,ztew ase at Taro Family 514933 "SURCHARGE°'has beer►eXtended' R,�iaenttst,Mdit oss&Ahacations 549-50 The minimum surcharge for a ' "fired fee"permit is$5.00 .S Building Patanit# .PLUMBING PERMIT FEE $ ,SU STATE SURCHARGE $ Ita 5.00 TOTAL PERMIT FEE $ sal. 3 0 (Mk*Use oaly) • This Application Becomes Your Building Permit When Approved Paid Receipt No. Data By uaatsa au tier Date 24 boar*otic for aS inspections 0952)44744550,fac(952) 41)447.424 a �•acl2Mr� 4646 Oak,Strut SA,Prior Lake,Minnesota X372 13t 1,1.AJ r� TOW `` • PRIOR LAKE TOF BUDEPARILDINGMENT AND INSPECTION INSPECTION RECORD SITE ADDRESS 1155-7 Po-k5 A NATURE OF WORKLo� R Liv Full is USE OF BUILDING (ze.S A- 2 , PERMIT NO. k4 i . l i DATE IS UED i c/z �4 CONTRACTOR l„ ' 4, MAP---‹ $.610- E S PHONE 67i2- -82)6t -14S-1 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE rior To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS StIVER/WATERISEPTIC FRAMING ceD INSULATION ELECTRICAL PLUMBING ,e,�/. iz/z f4 HEATING FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS BUILDING r5 /6- ELECTRICAL PLUMBING *7(K 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