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HomeMy WebLinkAboutBuilding Permit 13. 1147 J W Z 1N E2 N. ~ F r ZWWa v w ilg55 = Z `� aaa7 m O2Wwa, N (� W G �' 81111. 0 I ? 1DDDDDD > m 1 o W cc = O N CI o » a m C o ii a ci 1- re oou. J O Q V C' v w i X m � � � ma a z N a V a. 2 = W 2 = N 0 — O W I- 6 m W O G Z 1" 0 a2 $ (oa2 W W UJ W Lt. = ❑ ❑ ❑ ❑ ❑ ❑ C4 0 0 O w a a ce fig: n O re IZn^ OO OZ W F- Fa ZII Z p,�0 O Za ~ N W coH V WN WO — � Z J u.V W F= Z2 G a t ) VOw µW ce w Z 00 � L O O O a o O aaa = LLQ, 3 5z a 0 a❑ ❑ ❑ ❑tA❑ V 0 c OF PRio� CITY OF PRIOR LAKE BUILDING PERMIT, Date R c'd ,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1�/ � AND UTILITY CONNECTION PERMIT /Wc 4iNNEsole. I. White File 2 Pink City PERMIT NO.� 3 _IF.77-1 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5 33 /— /67 u (k(..j PUS` LEGAL DESCRIPTION(office use only) LOT 3 BLOCK 3 ADDITION /4(c..1.--c)(21.'' tit /'(2-'f� 4 /I'd p PID25 914_b S^ OWNER _ (Name) �./ /c A/V C C/-(2 1,S Z1 /J C� �/ (Phone) / `7 g .I :1' `l (Address) :3S l--G/acGJ2/ C,,a c(E., BUILDER _As- (Phone) /(J (Company Name) A-)A��l,/r'-) CJ C � !�/ /J� 3 — O9- -' 6'I(0 (Contact Name) S C 644 C=6,,,A„ ,,---. ,t (Phone) (Address) (16 FhA-i i2 ST //' rs/A , N E.----- TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing :Me-Siding 'wer Level Finish 0 Fireplace ❑Addition DAlteration ❑Utility Connection CODE. I.R.C. DI.B.C. 0 Misc. Type of onstruction: I II III IV V A B PROJECT COST/VALUE $ _ UG J Occupancy Group: ABE F HI MR 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 authe ed..gent for the above-mentioned property and that all co st Iction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware th the building official can revo this per it for t e. urthennore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X IS 6 /7-- s” 70- - l3 Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ .?4 :Zrc SAC # $ Plan Check Fee $ Water Meter Size 5/8"; I"; $ State Surcharge $ t. '';;=) Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5 4-co- Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee I $ TOTAL DUE $ (30.'715. t •01 /0 r3 This A lie n Become4,Your Building Permit WI Ap oved Paid Rete N i-- (0 3 Date 6�/�� BY _7 uilding(Mich Dain r This is to c' ify th. the request in the above application and accompanying doe encs is accordance with the City Zoning Ordinance and may proceed as requested. Thi:.docurnc, when sign• th •'ty Planner constitutes a temporary Certificate of Zoning c pliant and allows construction to commence. Before occupancy,a Certificate of Occupancy must i issued i. fAlrL_ 1a !b 13 R �r Rate Special Conditions,if any ..-/- 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,1~LN55372 041"19+ Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT l0 L I.Blue File 2.Gold city PERMIT NO.j3 7�1 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS II,, ZONING(office use) 14, (cl&Ory Girc LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLIC "4/7/V-216rtier" (Name) . ttJ'14t1 Rom_ ttt (Phone) 9)504- 7/ - ! (7 l9 (Address)3 Jot Q ct,a4Dee S.S 3(Address) (City) (Zip Code) (Contact Person) 1.,/� • A (Phone) 679 —?/; , 1 APPLICANT SIGNATUREAli/ _x_1..5/ DATE Jo — 3 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 The Minnesota Statutes§326B.148 FEE SCHEDULE "SURCHARGE"has been extended of job cost with a$49.50 minimum Residential,New One&Two- .t y $149. r The minimum surcharge for a Residential,Additions& erations $49.50 "fixed fee"permit is$5.00 Building Permit# PLUMBING PERMIT FEE esID Il, STATE SURCHARGE $ . i TOTAL PERMIT FEE $ 3 L D P.- (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Rece • . Date By Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION/RECORD SITE ADDRESS -315 c C e) ILI 1 xe..egfig-e.. _ NATURE OF WORK -C-( . r USE OF BUILDING mss- �- / - f PERMIT NO. /3- � 47 DATE ISS ED l o --- ( - _ CONTRACTOR 4N1"�1467- &f�n--rt-3 PHONE 7‘,3 -ZS6- /i¢©v INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FleMINNIO 511111~1iiiel l (Prior To Backfill)oommisiA RDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING WC /04'/3 INSULATION _ELECTRICAL PLUMBING / a /?:70- , HEATING /AV7 d/ r/4 =I=1*TEST RDER COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED Iliiiii.11111111 41111111,16 FINALS ( PRIOR TO SODDING) BUILDING g4ti „24b ELECTRICAL PLUMBING Vi utt,Q 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