HomeMy WebLinkAboutBldg Permit 07-1003
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
/5
at bottom)
Date Rec' d
/0; /7.07
1. White File I PERMIT NO
2. Pink City . 0;-1. ,. 003
3 Yellow Applicant ' {
ZONING (office use)
?A-sS
LJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ~~~S
1J 1<;'5 uN
(Phone) q5b-22b-~70i
~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
Lower Level Finish 0 Fireplace
~ /VYJ.f.
CODE: OI.R.C. OI.B.C. o Misc.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certifY that I have fiJrmshed mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-menl1o d properry and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can r ' this permit for Just cause Furthermore, I hereby agree that the Clry official or a designee may enter upon the propelty to perform needed mspecl1ons.
/f,/~ /o-/~o7
Signature Contractor's License No.
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"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
4-0. 0 0
Water Tower Fee
#
Builder's Deposit
Other
4-0.00
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Buildin!! Otlicial
Date
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
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
II. 2ft, .Ol
1. Pink
2. Green
3. Yellow
~~~. I PERMIT NO. () 7 . III 0 I
Applicant
I ~~;~m;;tt'~gAl faM
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
I OWNER
(Name)
(Address)
(phone)
1\\
\
~~;~fAN+t ~ Kr ~ tktUJ,^- ~ ~
(Address>20KO L KJ<-Vt 2r7C?x11-ro-n rKl va
~ess)
(Contact Person) ~W;lh th~
APPLICANT SIGNATURE
(phone) QS;2 -1{(~-&u 7S-
~~/~ { ~50o~U
(City) (Zip Code)
(phone) cr!:>2 - &00 -01 ~ 8
DATE I / ~ 2/fl ~/J 7
APPLICANT P EASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
OWarm Air Plants o Steam Units and Fireplaces Cannot Encroach
o Gravity o Hot Water - into Required Side Yard Setbacks.
o Mechanical o Radiation
OAir Conditioning o Special Devices Fireplaces with Box Additions or
OVent. System o Other Devices Cantilevers to the Outside of Buildings
~Lo. Require a Building Permit.
FIREPLACE MAKE AND MODEL t.ocro TK~ () fH:::-
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
31-So
.50
4-0. W
(Office Use Only)
Buildinl[ Official
Date
Paid +0 , C/t.I
Date I ( , Z (,. 0
No. 55lJ
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
{
PRIOR LAKE
INSPECTION RECORD
1~80 814 HIJItN MS'J
~~ "'-GV&k
USE OF BUILDING lit-
PERMIT NO. t!)& If) . DATE ISSUED IO.I7-(J 7
CONTRACTOR '!SSEAI PHONE Zl,(",. 37()4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
INSPECTOR
DATE
I~ I
I r I UI J11:F19tt (PI i _ ,. I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
C
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~C
HEATING (if required)
FIREPLACE II 4:' I
GAS LINE AI TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUJLDING
ELECTRICAL
PLUMBING
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