HomeMy WebLinkAboutBuilding 02-1002
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f?- Jy(}~
I. White File
2 Pink City
3 . Yellow Applicant
PERMIT NO. J
lu.~ "3
~\~T\
LEGAL DESCRIPTION (office use only) JJi
LOT ~LOCK / ADDITION W~~ jJ&YJ h--6I PID
~CI\n ~ (y)C\ro .bR.2>'KL
"'lI.i:i~ q 5 ~ ~ L.J 47 -5 dlY-\
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
DDeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace
DAddition
DAlteration
DUtility Connection
PROJECT COST IV ALUE (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
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 fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
entermroperty to :~form needed inspel,: ns.
X <..r-.- ~ \- . Contractor's License No. "6 - ~~
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE "AJLL e//(.r O~ $ 3S."2..~
Paid 3"<5. '2/
Date 8.. z. (,.- oZ--
/fz75J
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
---J~ tu/-# Od--/OiJrY
~. ;~w ~i~icant I PERMIT NO. 0;) - 130~
/d Lt.
ZONING (office use)
r
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ADDITION
fivd
PID
()
OWNER
(Name)
f........
· (Y)c\ {ci
(Phone)
9 S~:j. .(./ crf ~)l~Dij
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) ...
-~ .~ j)
APPLICANT SIGNATURE' T ) (~C..~ ~. ... -"--.....
(Phone)
DATE
q . :").. L.I . C :"J......
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
OUTPUT
DWarm Air Plants
o Gravity
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 MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ,,-:jet 50
$ .50
$ 'lO- -
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Residential Bupding Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~9) i-{-
Date:
/1- IS- -() cr-
Building Permil: #
Site Address
PID: . .' Zoning:'
! C: 0 ~ '6 -- J3-tC/Yl cL da./212 0~
Legal: L
B
Subdivision:
E.:dsting Strucrure: x'ES or NO
I~I
I COi'U'OR!vIS TO ZOl'11NG
ORDlli.Al'fCE
NO
YES
NO
Is this an expansion of me existing footprint or Refer to Planning
building height? v-
Is the property located within the flood plain? Refer to Planning I ~
Does me alteration include any additional kitchens? I Refer to Plannmg I \,...0"'"
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? .........
Is the proposed use or the finished space or Refer to Planning v'
alteration for anything ou.1.er than a normal single
family home (ornce, group horne, day care, etc.)?
TillS CHECKL1ST MUST BE COMPLETED AiW INCUTDED IN Till BU1LD[i'lG PERl'YIIT FIlE TO
l'il..\Ji'lTA1N A RECORD OF THE REVIEW.
L\E~c.oL\ TE~-u.. :-C-:C-cDOC
PRIOR LAKE
INSPECTION RECORD
1& G G J - /~11 ~~ .~~
LL-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING Sr:::
PERMIT NO. DATE ISSUED
CONTRACTOR -,'11 v;JCttc/ -K - PHONE !..(L.(7- ~)d-[)L/
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
j~
~~~~~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
FRAMING
INSULATION
ELECTRICAL
16-)" -t'3
( 0 .. ~- ~r:>
/O-j,r(/?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Prior to Sodding)
BUILDING
ELECTRICAL
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