HomeMy WebLinkAboutBuilding 08-0089
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
ll/3J?
c..rr
Oov6"
3, 5". 08
I While
Pink
Yellow
File
City
Applicant
I PERMIT NO. vg, 0089
/
ZONING (office use)
jJ6'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OVVNER I
(Name) Jt:..UJc. J (Lo c.~ e;
(Address)
(Phone) '157-- L/ 4 J - S-" (, 3
BUILDER
(Company Name)
(Contact Name)
to ~ I - Y b 3 - \ ~Cf 0
l'
c ... VV\
::J/'"'{
pJ
l-b~ ~V, L f)CJf S
fV\ <- rr ~ \t
~, Kr for-!
(Phone)
(Phone)
:5'~ (!) 2-
(Address)
JlO
TYPE OF WORK 0 New Construction ODeck OPorch ORe-RootIng
OAddition OAlteration o Utility ConnectIon
~'
I hereby certify that I have hlrnishcd mformatlOn on this application which is to the best of my knowledge trlle and correct. I alsu certify that 1 am the ownn OI" authonzed agent for the
abllvc-mcntlOned property and that all constructllln WIll conti)rm to all eXlstmg state and local laws and will proceed in accordance with submItted plans 1 am aware that the bUlldmg
()fflcial can revoke th1s permit for Just cause Furthermore, I hereby a Jfee that the City officialur a desIgnee may enter upon the propel1y to perform needed mSpl'ctHHls
~ 5"'1 (p
Contractor's License No.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
x
Permit Valuation l,ooi).OD
Permit Fee $ 3'-1. 1 r;-
Plan Check Fee $ -
State Surcharge $ 5"'""0
I Penalty $
I
i Plumbing Permit Fee $
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ -
-
This Application Becomes Your Building Permit When Approved
lluildll1g. Olflclal
Date
Yt-/V
ORe-Siding
o Fircpl,tce
-r
I
I
Lower Level Fintsh
o Mise.
B
S U
PROJECT COST IV ALUE $
(excluding land)
z.. ,,"2.& - 0"
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE
S-. 'Z. 'i
7. s . Ci ~
ThIS IS to ClTtlty that the request 111 the above appbcatllln and accompanymg documents IS m accordance with the City Zoning Ordll1ance and may pI'< eed as requestelt ThiS document
when signed by thl:' City Planner Clll1StltUtcs a temporary Certificate of ZOl1mg compliance and allows construction to commence Before occupancy, ;1 Certificate of Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) ~~7-91150. fax (952) ~~7-~245
4646 Dakota Street Prior Lake. MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~ IY-~ -I Date: 3 (S-/cJ-R
Building Permit #
Site Address /45.$'[7
PID:
fj~fi U,
Zoning:
Legal: L
B
Subdivision:
Existing Structure~ NO
I @)I
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? YVO
Is the property located within the flood plain? Refer to Planning I
jJ!J
Does the alteration include any additional kitchens? Refer to Planning ;10
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? jJ()
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ;UQ
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
METRO A I R 952-447-8126 NO, 065
CITY OF PIUUH LAlill
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
p, 1 n ...
,.,c,'~ l'ec u
l. Pil\\.
1, c.~tn
J. V.llo'"
-WNING(';;iiice Ult)
~!.l,~ type or print allll sip;n 1t bOltom)
[ AQQRESS
_\,,~S~ \\(~U~(~.
LEQf\L DESCRIPTION (ollice use only)
LO' . BLOCK
ADDITION
PID
ABP~ICANT '{\ \ ~.
(Nar~1e) \<'\<:l......"""f\J ~" r- __1- 'f'\ l
(A~d~ess) \~~ ~\j \,j ~\ Lu~ A.v "-
(Address)
(ClIlI\<lct Person) ~ t" V\ "-\J S L.." ~ "- \ \.
APp\!rCANT SIGNATURE J.f\l:J#\..1 v~"^--
1 .
(Phone) ks13 ~ l:.l ~ 9 ()
t=uv'~;. ~.)\-~.",. ~_~. C; 5 oJ,
(Phone) ~ S :),.. "1 '-\ l- ~ \ d.~_
(l r, (1- \.L,\ll.. t'~\) s s., 'S-,~
(Clly) (Zip Code)
(Phone) ~ ~ '),. \\ \..\ f. <tS \ ~\
O,^~ER
(N!lnjc) ( ~ """
(A~dless) ~ \ 0 ~~ is-\-, ? ~ I \~ ()
.,
DATE
AIJPLICANT PLEASE COMPLETE BELOVv'
~ ALTERATIONS
rUEL
OUTPUT
1'- DNEW CONSTRUCTION
FUI~~^CE MAKE AND MODEL
Fl\J~ SIZE RETURN OPENINGS
TYPE OF SYSTEM
OWal1ll Air Plants
OGrllvlly
o Mechanical
OAir Conditioning
OVelll. System
o REPL^CEMENT
INPUT
FI&EI;LACE MAKE AND MODEL
CA~~~ ~
HEATING OR POWER PLANT
OSIc..'111
o Hol Water
o ltaditltion
o Speciol Devices
~ Olher Devices
) \'1 d- \ R A + 0 e ~l\..\J\~ R ()\)~
PLEASE NOTE:
Air Condilioner Unils
Con not Encruach into
Rcc)uired Side Yard
Setbacks
Inu\ISII ial, Commercial &. MulLi.Family
FEE SCHEDULE
1% of,iull COsI RC$iualllial, au fll'CIlI~ce
$39.50 minimum
$99.S0 Rcsidelllinl, Mdilions &. Alterations
$64,50 Residenlial, AC Ol\ly
$39,50
Resld~rlial. Henling & Ale (New COIISlructioll)
Ite~iderial, Heating Only (New COllstruelion)
$J9.50
$39.50
EblirnalecJ Cost $
Building Perllllt It . ~\
. '0 "tN' t . -
tJ!X,. c .l\~
HEATING PERMIT FEE $ r ,.,,~, t::'::~~l"~'"
STATE SURCHARGE $::\jiL.C,,'" ,50
TOT AL PERMJr I~EE $<
FAXED
MAR" '; 'J;""')
I "(,, I
(Ollico U~e Only)
L.h'~ Appllcalion Decomes Your Building Permit Wilen AJlproved 1.,\
1\ I
_ --,_ '\.l ,D~R 1 4 Z008 i
Uulldlng om~IAI Um . \ ' . .
--, 1\
14 hour nolke for tllllnsl'edions (952) 447 ~8r' fAX (9:.z~'7-4.:45
~----=
PRIOR LAt(E
INSPEC1~ION ~ECORD
~~EU~~D~:~~RK '4Re,i~ r/ll!J
USE OF BUILDING "IlL .
PERMIT NO. () ciTE ISSUED 3. ~ ~
CONTRACTOR~:8JJJItS. PHONE~~'" 4JI3. ffl()
NOTE: THIS IS NOT A PEr MIT FOR ,\NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
~ -c-
L I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
vue....
- :'i"
, ,
, -
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L l
FINA,S
L~, ~~~
, BUILDING
ELECTRICAL
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 shaH be placed near main entrance.
FOil ALL INSPECTIONS (952) 447-9850