HomeMy WebLinkAboutBuilding 08-0018
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. \4-. Ov
1. Whde File
2 Pink City
3. Yellow- Applicant
I PERMIT NO.()8. OO~S
I
ZONING (office use)
Prior Lake, MN 55372
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER
(Name) Michael and Christine Blanchard
(Address) 17223 Deerfield Dr. S.E. Prior Lake, MN 55372
(Phone)
612-840-0862
BUILDER
(Company Name) Digital Oasis, LLC
(Contact Name) Russell Mull
(Address) 4528 149th Court A
(Phone)
(Phone)
612-978-2000
952-454-0843
MN 55124
ORe-Siding
~ower Level Finish I 0 Fireplace
'3 R.I1S. W f.P.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddilion OAlteration OUtility Connection
CODE: l'd'1.R.C. OI.B.C.
Type of @.stJUction: I
Occupancy Group: A B E
Division:
n illIVVAB
F HI MRSU
1 2 3 4 5
o Misc:
PROJECT COST/VALUE $ 63,641.00
(excluding land)
I hereby certifY that I have furnished infbrmation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized asent for the
above.mentioned pro and that nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildi~
official can revo permit for . ause. urthermore, I hereby agree that the city official or a designee may entel: upon the property to perform needed inspections.
20628631
x
Permit Valuation 3, 00 0 .0 0
Permit Fee $ /4 7::J
Plan Check Fee $ -
State Surcharge $ I. 50
Penalty $
Plumbing Permit Fee $ 50.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 50 00
This Application Becomes Your Building Pemrit When Approved
Buildine Official
Date
1/10/2008
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /1C1. ZS
I fINO.
551.3/
\ Paid /"t-(, . ~S"
. Date I. /~ 4 Ii
This is to certifY that the request in the above application and accompanyi~ 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 Zoni~ compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Dirtctor
Date Special Conditions, if any
24 hour notlce for alllnspectlons (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
,.___~_"._"~~__,.___....__.".~."".~_,_~,_...__.,__.,,,.~N'~_'____~'~.~_~''''''''_"_' "_.,, ,~.~. ..__._",.,~ '.,-.'
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
( . ~~. 08
t $~:w El~ftant I PERMIT NO. '8. 00 I e> I
ZONING (office use)
ADDRESS
ld-d3
'"
\Jee(
-e\cl ~e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~=~~ICI.--G .\ ~\ahchfi~
(Address) ~ ~ ~'ee a ~ \J Y"
r~\ '\-
Prlo\' lcd~t, (phone) ~:-ifi'/D
5~.. Y0?--Q)7 ~
~d.-
(City) (Zip Code)
(Phone) q c;J ~ 4 Ct ;) - q ).7lp
DATE D~
APPLICAN
(Name)
(Address) -t-oD-
(Contact Person) _ ~-M
.-/'
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Vnitsand Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions Or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
c~~~~/)
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
1\.10 'J'I\~ .. \:\'
"PI'" ..",- r'n.-. ~,<l~
<r'"\'''' ,! .~. ~ .....
"'U1\ ,.)\;:~'.,
o 1.....'
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 3L1 j 50
$ .50
$ 40. oU
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build!n!! Official
Date
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 /7223 Dc~!2.-F/6uJ DK!... 5.6.
NATURE OF WORK Low Ere L61/ 6 f-
USE OF BUILDING 126 S' ~{(-
PERMIT NO. 08. 00 I B DA E ISSUED /. /.(... Ob
CONTRACTOR D/~/7EL- O/fStS PHONE (,12.... 97~. 2-000
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
- I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I J
FINALS
-
----
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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.
- ~.u-6
l1-V1.{)~
. ~ }.;t1- ~
SIGNED
FOR AL.lINSPECTIONS (952) 447-9850