HomeMy WebLinkAboutBUILDING 08-0135
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L{/~(1C>8
1. White file I PERMIT NO
2. Pink C..y . 08 _ ,~
1 Yellow Applicant v:>
ZONING (office use)
c Cf fJ1 () re.
TI'.:../ Sw
f2-l S D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION 0-.3,1...0," ~ fV\Afr:..-~"(.)e:oO IO-./IV S, rG-
Pill Z.S- ...~,.g ~O 1&-0
O~R T' 1
(Name) . J m"" '(.1 I??/h / e
H411.Jvn
(phone) 9s).- '1'17-65'3 7
(Address) 3 if 6 9 .5 Y '- "1M "re. T/." I
.51.(..;
BUILDER ./J
(Company Name) C ,c;J, 1- {1 I t/ e, /1"'/"'1 c-
/30 /3 /J/ r1-/17~"
/"" ";J 1."
(Contact Name)
(Address) / 6
0" 5Cj"11
j--""J?/"ye.~,.., e,1 J'-fphone) 'Is-)- Y'Yv" 17(; CI
, (Phone) 6/) -) tYv -5-11/
,/,", ....' L..., I< c.
TYPE OF WORK 0 New Construction ODed: o Porch ORe-Roofing
j DAddi~on OAlteration DUtility Connection .
CODE: rnl.R.C. OI.B.C. 0 MISe:
Type of Constmction: I n ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding
Lower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(exclnding land)
I hereby certiry that I have furnished information on this application which is to the best of my knowledge true and correct. I also certiry that I am the owner or authorized agent for the
above-mentiooed property and that all construction will conform to all existing state and 1oca11aws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlOrm needed inspections.
X AP O~~ g.OS73 '-/1 J 8e 'I' ;;'-01)
Signature Contractor's License No. Date
Permit Valuation ~.-
Permit Fee $ "14.1)
Plan Check Fee $
State Surcharge $ 1.50
Penalty $
Plumbing Permit Fee $ 50.-
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This AppIi proved
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 $ I '2.~ . "Z.5"
~ I~r z.S
~ 'Iltfldi
~ ~;PtNO. i:'l"-
~
This is to certiIY 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 tempora1y Certificate of Zoning rompliance and allows construction to commence. Befure occupancy. a Certificate of Occupancy must be
issued.
~,-~-~--,-----~._---- --~~-------._..._"._---~--._--,--- ----.---.--~-------. ._-~~-- .---~_~ ..._'""~~__.__~.____~_____ 0'__'- ________
Planning Director
Date Special Conditions, if any
24 hour notiee for ai, inspedioRs (952) 447-9850, fax (952) 447-4245
4646 Dakota Strut s.L. Prior Lake, Minnesota 5SJ72
Residential Building Permit Checklist
BY: ~ (;rent Finish or Interior ::::~ation to ;!~ ~il~omes
Building Permit # PID: Zoning: v? Z
Site Address "'2 A-lC> Cf ^ .e.., T (L. ,e..-.'
Z)"1 I S~ CA,/Y\.Dq~U \
Legal: L__ B Subdivision:
Existing Structur@ NO
I CONFORMS TO ZONING
ORDINANCE
81
NO
I
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Does the alteration include any additional kitchens?
Refer to Planning
Is the property located within the flood plain?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
~
Refer to Planning
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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
4-.le..oB
,<)
~=w Elicant I PERMIT NO. OB .olJS
I WNlNG ,-=) I
ADDRESS
(
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
Pill
(Contact Person)
3 b +r
~ Q-l1'\~~:A1 ~
WI dO 9 . tU
(Address)
(phone) 967J.-L/L/7-hS37
Pf';-O (' [Q/CQ
(phone) 96"d - LJ6fj-6't?
L4.KclVt /(fG Im/lJ
(City) { (Zip Code)
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(phone)
APPLICANT SIGNATURE
DATE
'i - /6 -o~
of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $
Building Permit #
PAID WITH
.,ttULDING Pr:RMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERNUT FEE $
Building Official
Date
~
Date4-.le,ot;
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
464(j Dakota Street S.E.. Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
4' i '8.0b
~ ~~w Jl~,cant I PERMIT NO. DB. o~
<G~r
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
'\ Cj \"
CL~~m<Ld\Q(\' ~
<t(; J5 aODJ+-~ ~
(Address)
9s:1-4hQ -IoWF!
Wj)' 0JIJ; / I~ 000CJ,c/
(City) (Zip Code)
(Phone)
(Phone)
DATE
APPLICANT SIGNATURE
EASE COMPLETE BELOW
[]NEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants D Steam Units and Fireplaces Cannot Encroach
DGravity o Hot Water into Required Side Yard Setbacks.
D Mechanical D Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
(Office Use Only)
$49.50
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
n-l
50 PAID WI . MIT
. BUilDING P~A
$
$
$
P~
This Application Becomes Your Building Permit When Approved
Date 4- i I fI" (/()
Buildin! 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 RECORD
SITE ADDRESS 3~ 8'1 c.A-/Y'~ TflA, (., <; fAj.
NATURE OF WORK F ItY ,s... L. L .
USE OF BUILDING ~e-' A {(:. J .
PERMIT NO. 08 - (~~ DATE ISSUED 4(z /08
CONTRACTOR c..rze.:> \ l' (Z.,~ (Atpllov~ PHONE t\ ~o . 11 ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
. Prior to Backfill)
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.... - -
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
........-- - - --..
oj _.~ JJ. JIlt
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
r to Soddin )
. BUILDING
l:LECTRICAL
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.
FOR ALL INSPECTIONS (952) 447-9850