HomeMy WebLinkAboutBuilding Permit 08-0057
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
/7~&2-
!11 /9/V /?.-6S
Date Rec' d
Z . 2 i. 08
I White
Pink
Yellow
File
City
Aprlicant
I PERMIT NO. 08. 0057 ,
w
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zr;-. 4-S4-. 0 +-B. D
OWNER tw I+-. -
(Name) I., It-
A~
L,"f4
(Phone)
Cf)1- -V Y?,. ?Oo)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration o Utility ConnectIon
CODE: OI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
ower Level FinIsh 0 Fireplace
~0.5.
o Mise.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby ccrtity that I have turnlshed mformation on this application which IS tu the best uf my knowledge true and correct. I also certify that 1 am the owner Of iluthonzcd ilgcnt for the
Jhnve-mentlOncd property and that all constrllctlon will confurm to all existIng state and local laws and will proceed in accordance with submItted plans_ I am aware that the buildIng
~rlt=::::.~ Just ~y agree that the City offiCial or a deSIgnee may enter upon the propeny to pert(Jrm needed InspectIOns
Signature Contractor's License No. Date
Permit Valuation 3,OOC,c)O
Permit Fee $ 7~7S
Plan Check Fee $ -
State Surcharge $ /57)
I Penalty $ .
Plumbing Permit Fee $ 4-0.00
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ 4-0 _ 0 0 I
This Application Becomes Your Building Permit When Approved
llulldlllg Urtleial
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ /.5S. Z..5
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Paid
Date
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThIS 1.... to certify thJt the request III the above applicatHln and accompaoYlIlg documents is III accordance with the City Zoning Ordinance and may pn)cecd as requested ThiS ducumcnt
v.'hcn signed by the CIty Planner constItutes a temporary Certificate uf Zllllmg compliance and allows construction to commence. Before occupancy, a Cl'rtlticatc ()f Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec' d
3. 25. 08
~. 6i;e:n ~~il~ I PERMIT NO. 0 <:) . OOc::-t
3. Yello\\. Applicant (.) ~
ADDRESS
::<
Luc
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Contact Person)
t- tit) rY\ lb-one) q 5;). -'-fIi d - 9d. 7&
d-
(City) (Zip Code)
(Phone) ZJ)';J -t.tqJ-tj'J 7&
. D<t
DATE
PPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
. TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and 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
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
$ 41. ~")~,IDY~I,T_~~~"
$ ..,....'.. '. l."'^ '.. .~. '. ~..l.+.,'.I'i 1
'i_..-'~..J.u.u.,~j~ .-", ""'~'" M. .
$ so, DC)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date 3. z..~ . 08
Buildine: Official
Date
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 RI:CORD
SITE ADDRESS /71Pt,z. NA7V/l.€ ~..
NATURE OF WORK t-tJW€.!t.. Le'V~'-.. .
USE OF BUILDING ,ec:r AIIL-
PERMIT NO. ()f,. ()()57 'DATE ISSUED '--Z. Z I. tJt;
CONTRACTOR l'l1i?IUA L-1/!!,5 PHONE ~. 10a I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE '.NSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMEN'.'
DEPAAMEN.. OF
BUILOr - GAl\. } INSPECTION
INSPECTOR Dr TE
~ -~--
PLACE NO CONCRETE UNTIL ABOVE Hp' ; BEEN ~dGNED
ROUGH - IN~
, ....
..,. -i"t, !.7
. "
, ,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I * I
FINALS
-- -- -
',.
~ ~.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
This card l'!Iust 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