HomeMy WebLinkAboutBUILDING 08-0151
5" o\~ 0 o~ 000 'V 0 > -0
'" :E: ~ C z_
"& 0 ~ 0 en"'-"''''''' 0 C ~~
g 0 Sl 0 s: :::::n~CIl~OO z m ';Q mO
> 0 ::u ::u 3: ~>ca:iS m ::u m 0."
, :1 ::u " z'>zcz z CIl ::!'V
h'l r- m en m 9 CIl
0 ~ ::!C)~C) O::u
:ll:I t -t > Z z-
h'l > -t -t m 0 - zO
to ..... iii en o z 0
~ 0 0';Q
S -t ." -t Z
co > 0 ::!>
~ UI 0 0
0 Z -t Z 0"
." > 0 mm
~ 0 Z ~
::u o .
~ -t " "
~ :E: 0 ::u
~ m ::u 0 000000
Z ::u 0 0
~ m m m m iiC"en:ea:"
>< z m m mE~>mE
-t 0 C
Z en oJ: -t0J:
~ ~ ~ " :E: m:E: 'V 0 ~ CIl
en m .,,2i!::u::U::u2i! m 0 0
Q ~ 'V ::l 0 ZZ:E::E:-Z ';Q Z \r) :E:
::! m ~ -t >C)oo C) 3: -4 !' m
0 (') 0 ,.,,00 ::u =i ;U c
~ -4 0 Z -"" - Z 1- e
0 ::l Zcc ,
~ :; OJ ~"" 9 m
Z m C
~ ."
N 0
....
~ :E: ::u
m
~ 0 0
c
::u 0
< 000000
en m '?~
5! z ::u C)."."o~
> Z >;;;;0
Ro C C) ~mma:C) ~m
~ < -"""~ ~
~ > ~>>>o
z
0 >OOz:;;
~ !T1 _mm-t- -t
::u.,,::u '
-t-- , i
enz z m
-t~ C) .QJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
5"z4~ ~/'/$..S4nd//~ ~I- ~~
Date Rec' d
4-. 8. ()8
] White
Pink
Yellow
I PERMIT NO.
8,Ol5f
File
City
Applicant
ZONING (office use)
R
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PIDZSJ 97. 013.0
OWNER
(Name)
(Phone)
(Address)
BUILDER '
(Company Name) ~.3 c;""$~V?hP/l" U<-
(Contact Name) ~..-r e~ T
(Address) . /ptJ ~// ft. ~ ~X -z7T ~ ~
(Phone) ~..>~Z.-35~ -~2-lg
(Phone)
y _-:>~:':J-'S 7.i>
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddi1:ion OAlteration o Utility ConnectIOn
CODE: b6'T.R.C. DLB.c.
Type of ~stmction:
Occupancy Group: A B
Division:
I II III
Ea~
IV V
I M
3 4
o MIse.
A
R
5
.-
B
S
u
PROJECT COST /V ALUE
(excluding land)
$ /'"vr C? c:J a
I hereby certity that I have hlrmsheclmformatllln .)0 this applicatIon which IS to the hest of my knowledge true and correct. I alsu certify that I am the uwnn or authunzed agent fin the
Llbnvc-mcntJOl1cd prnpnty and that all cons ill conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the building
"ftiCla] can revoke tillS permit fm lust se Furtherm IT, I ereby agree that the city official or a deSIgnee may enter upon the property tu pertllrm needeM
"Lob L,/OC;- ~ _if ttJ ~
Contractor's License 0, 'Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
50.00
This Application Becomes Your Building Permit When Approved
\. r
~o~ ~~){.'l
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 3?o,9J'
3~8/
" ,ClJ
i :~cei~57e
Paid
Date
ThIS IS to certIfy that Ihe request III the above applicatIOn and accompanYll1g documents IS 111 accordance with the City loning Ordinance and may proceed as requested. TIllS ducument
when signed by the City Planner (on511tutc5 a temporal)' Certificate uf Zonmg compliance and allows construction to commence. Befure occupancy. a Certificate of Occupancy must be
li~~ ~ ~ O~~ ~_O._,
I Planning Di(,:ctor spe~itions, if any"'" J
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
JJ! . I Interior Alteration to Single Family Homes
BY:~~
~
Date: V/ar,p
Building Permit #
Site Address ,,5' d)- '7 '7
PID: Zoning:
~ Jt, s-:c.
Legal: L
B
Subdivision:
='\
Existing Structure:~r NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ;JCJ
Is the property located within the flood plain? Refer to Planning j./CJ
Does the alteration include any additional kitchens? Refer to Planning ;tie;
Does the propose:d alteration include any outside Refer to Planning
entrances other than patio doors? }./O
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single }.fb
family home (office, group home, day care, etc.)?
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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
4-. 2S. tJ 8
I. Pink
2. Green
3. Yellow
I PERMIT NO. ~. /5/ I
I
File
City
Applicant
--Z?7
Co s-) CA- ..vh'l
ZONING (office use)
5/E
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
pm
OWNER
(Name)
(Phone)
(Address)
APPLICANTit'?
(Name) / /..'- .0<... y
(Address) 2 J9'~
(Contact Person)
2';"c ,
C" ,jP/~~ 4/~
, (Address)
(Phone) &/ Z -9/P'-7/..TO
hV/7/, :n 5' ~ ....., /?/ /? 5J-tl ?Y
~ (City) (Zip Code)
//~.
Zu.h
(Phone)
DATE
~-z;> c,yr
APPLICANT SIGNA TUItE
---~
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
APPLICANT PL
DNEW CONSTRUCTION
E AND MODEL
RETURN OPENINGS
A COMPLETE BELOW
REPLACEMENT D AL TERA TIONS
FUEL
INPUT
OUTPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
U nits 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
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49,50 minimum
$149,50
$64,50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (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
$
$
$
.50 PAID Willi
BUiLDING P~RMjT
This Application Become:~ Your Building Permit When Approved
I P,id
Date
I :ceiP1NO
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITl= ADDRESS 529 ee osS /IN.D1'GF1 ...57,
NATURE OF WORK NTe:-f~ L/b/VJ77 Ai$. 5" LINES
USE OF BUILDING 260 A /L
PERMIT NO. Ob 0 IS ( DATE ISSUED " 08
CONTRACTOR /..3 CONST;euC770/\'/ PHONE 35'(P. fpZ/{j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
;-.
l I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
FINALS
~~-- -
BUILDING
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 hav~ geEm approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850