HomeMy WebLinkAboutBuilding 03-1144
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
fj lB, a3
I White File
2 Pink City
3 Yellow Applicaot
PERMIT NO. 03 - /144--
ZONING (office use)
/5255
;::/11 /?uI /1'1 /tCI 617fT ;eo
LEGAL DESCRIPTION (office use only)
LOT Z-BLOCK 4-ADDITION
We:JVJI'f /J;JJ /...J' T
PID z..s-: 3 70. (.,Is Z. 0
OWNER
(Name)
-r '. r ~.., )
j e. V' (' (?v,l} { '/r-t/ \ .
kr'(1/q/<
(Phone)
(9S'Q) 'Ii 1-- '53 7 Y
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o New Construction
fLower Level Finish
ODeck
o Porch
ORe-Roofing
X Fireplace OAddition o Alteration
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
o Misc.
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
authorized 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform n~d~ inspec~ ns.
.A" (, / J/\. -
X /\ /; ," /1
ature
Permit Valuation ~~OO.()O
Permit Fee $ f(J7. 2S
Plan Check Fee $ ~
State Surcharge $ 2~O()
Penalty $
Plumbing Permit Fee $ 4-0.0 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 4-0.00
es Your Building Permit When Approved
ffr U'-- () 3-
Date
Contractor's License No.
{~J~ ;;.1; ac~t3
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /692-5
I ~~~45Z64--
Paid
Date
/~'l. 2$
g, z~.
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
tcc-L LO~r I-r-ve I ~'M.tJJr
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
File
City
Applicant
/I~
I PERMIT NO. 03- ..
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
PIDs;2.')-31t,- c' -~ ()
(Phone)
(Address)
(Contact Person)
DATE
APPLICANT PLEASE LETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODE
,
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
'Residential, AC Only
$39.50
$39.50
Estimated Cost $ Building Permit #
Ib~ JetV'
J p
d f)~
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Date
Date / 1-. "} ( . '3
I './
BYe
.,j'"
..'
u
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15255 Frl//ew/lV liDo/-liS ..eo
NATURE OF WORK L-OW~ &&VeL- '
USE OF BUILDING /P&) /7:' ~
PERMIT NO. Q3 - //4 DATE ISSUED EJ. Z&Jil
CONTRACTOR ~L-/1L PHONE 4+-7 -5378
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
'1__ln. ..~._... .lr1:11
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
12 -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,I I I
FINALS
- -
- "~ /'\ I
BUILDING (}I b S-/lf I () 'I
ELECTRICAL I f
PLUMBING
HEATING "'l 7
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