HomeMy WebLinkAboutBUILDING 08-0076
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
;(rJ-cr!~f
I White
2_ Pink
3 Yellow
File
City
Applicant
\ PERMIT NO. ~-oo7~1
(Please type or print and sigll at bottom)
I ADDRESS Z/~ ''':1 ? rOU~'_"" LJ tI /J) I I IU - (
. fJJ Tr L- /_. r....,-..., r,.. b~ ~t!-, ,-.N
5'$">?~
ZONING (o!T1ce use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER A ..!-
(Name) ____.__e.le-
-4
Ja.~e.-
~s~V\
(Address)
BUILDER
(Phone)
2-
uIZ-'57~-is!3
(,(Z--7/~ -") C; ~ /
TYPE OF WORK 0 J\cw Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DI\c1d ,tlon OAlteration OUtility Connection
CODE: 1$l.R.C. 01.8.C. o Misc:
Type of Constmction: I II III IV V A B :J..t)DD t
Occupancy Group: A B E H I M R S U PROJECT COST /V ALUE $ 00
Division: I 2 3 4 5 (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-mentlllned propell, ,lI1d I at all onstructlOn Will conform to all eXlstmg state and local laws and will proceed 10 accordance WIth submitted plans I am aware that the buildmg
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~ Contractor's LIcense No. Date
____m_ ._-~.,..-_._..- -----
Permit Valuallon J..~ (JO t ()"tJ
Permit Fee $ 7Lf, 7~
Plan Check Fee $ -
State Surcharge $ [. 2..S"'
Penalty $
Plumbing Permit Fee .cWI. $ ';-0, DO
Mechanical PermIt Fel' t.P,..Jr 1 $ !)O f 0 0
Sewer & \Vater Pen111t Fee $
------- -~_._---- --'- ---..-~_.- -
I Gas Fm:pL1L'I' Permll leT $
~B""~rtgp;;~;~;""d
Hutldll1g OtTlclal Date
Park Support Fee # $
SAC # $
Water Meter SizeS/S"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ $ ,00
ThiS is to ceJ1lfy 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
iSSU~.' _ ... ..
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1}1;1I1['1111~ \)11<:([\)1 Date Special Conditions, ifany
H hour notice for all inspections (9S2) 447-98S0, fax (9S2) 447-424S
4646 ))alwta Street S.E.. Prior Lake. Minnesota SS372
(
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3 ) I ,Ob
1. Pink
2. Green
3. Yellow
~l~lcant \ PERMIT NO.OB, 00701
I
ZONING (office use)
at bottom)
"Va"'lh
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER chn -i'L dis
(Name) e 'Ii <t-e.-1e Ml 01'1
(Address) 2lo-,-, 01 {)od-h
(Phone)
APPLlCANS n -. '
(Name) u.buXb~ .,.,4..--, ~U
(Address) \ 2--'10 -E::, O.>bame..-Rd rJ?
(Address)
J\ nd -
(Contact Person) n set va. t-T.e..nLh
APPLICANT SIGNATU~au~
(Phone) ,&3-,54 -fo({)O
"-"dk
h1 (c~i)
'7b'b-1M-bl DO
DATE ?/fO/08
S~3>2
(Zip Code)
(Phone)
APPLICANT PLEASE COMPLETE B
[JNEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
LOW
ALTERATIONS
FUEL
OUTPUT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
~ent. System
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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Pennit #
FWD WiTH
30-.!,ILDJNG PERMIT
40.00
$
$
$
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Date
~
Dat~, I z., 0 fJ
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3.10-08
~. = ~:~ I PERMIT NO. :3'"- {() ?f-~
3. Yellow Applicant , Cf/
C;OtZ
a. (/.
(')(~ y ~J
I ZONING ,--> I
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
/>e f E~. ~ J dUe. /t! a i(.~ (1 IA..---- (phone) 96~07. - ~9~- ');) >>
c'?. (c -)? C {l ({ C. (1. f/. t~ </t<.. J j), i (l y' let f f2 /4/ A/ -5~ J"~ "3 I) 'J.
J
APPLICANT ~ II: /)/ . / / --
(Name) '<:::.'e II L L f/t {elii rf; I< 0 V I/f'tlft' tu.. ....L Ii C-- (phone)
{/ (J {/ "~
(Address) /9'3:J 61, Cia I t, ./-1 t (.J (,( (< L ~ (. t 0-- (
(Address) (City)
;0 b s:
{{;5i- (9 9Q - /-:A :3 ~
;t! A/ :?' 5/6 -:;-
(Zip Code)
(phone) CbS / -(0 9'9'- /~ -:3 ~
-0-()~
DATE
(Contact Person)
APPLICANT SIGNATURE
of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $4950 minimum Residential, New One & Two-Family $149.50
(; OCJO ~ Residential, Additions & Alterations $49.50
I
Estimated Cost $
Building Permit #
PAlO WlTH
. - .~J1LDfNG P~RMiT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Dat3' ,/Z . O~
R~
By
Building Official
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE DEPARTMENT OF
.... . HUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 2 ~ 77 COLt G,Ai\ PATH
NATURE OF WORK J(rrCA1tf)J UN'VAil0;::J
USE OF BUILDING S. F: Z> #
PERMIT NO. 08- CXJ?~ DATE ISSUED ~ /fJf
CONTRACTOR ~ft STAll ~J U-CPHONE~""'- 3cUJ
NOTE: THIS IS NOT A PERMIT FOR f\NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-- -
-,
't
1W.
I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
H - INS
INSPECTOR
DATE
- - - : I
. . __I>';f
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L I
ALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
tJe
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 l1av~ teen approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850