HomeMy WebLinkAboutBuilding Permit 06-0537
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(,,/'1- O~
File
City
Applicant
PERMIT NO. Of,. 0537
I White
Pink
Yellow
LEGAL DESCRIPTION (office use only)
LOT ~OBLOCK J-- ADDITION
tk WI'ld>
OWNER
(Name)
$/1/
PID
ZONING (office use)
(Phone)
C/O;?-'f!o, 5833
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
:lite
(Phone)
(Phone)
ff,J,-~~,- Jg;~1
t-'t
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
DAddition DAlteration DUtiJity Connection
Lower Level Finish
3~.s
CODE: DI.R.C. DI.B.C,
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
B
S U
IV V
I M
3 4
A
R
5
III
H
2
I
E
II
F
I
PROJECT COST IV ALUE
(excluding land)
Fireplace
$
~s: too. ~
/
on which is \0 lhe best of my knowledge true and correct. I also certdy thaI I am lhe owner or authOrIzed agenl Il)r the
or to all eXlsung stale and local laws and will proceed in accordance Wilh submilted plans. I am aware thaI lhe bUIldIng
reby agree lhal the CIty official or a designee may enter upon the propelty to perform needed InS ecllo
?O~i~A ~ ~O
Contractor's License No. ate
$
$
$
$
$
$
$
$
$ /5&. ZS
iftNO .51W
x
Park Support Fee
SAC
#
Permit Valuation
:3
$
$
$
$
$
$
I $
$
+0.00
TOTAL DUE
~ (" Z,I.II,
#
Permit Fee
Water Meter
Size 5/8"; 1";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
-
1.50
Pressure Reducer
Sewer/Water Connection Fee
#
""'0.00
Water Tower Fee
#
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Paid ~~ U
Date' ~,z..-./, v "
This Application Becomes Y OUT Building Permit When Approved
~~~ ~zt6
ThiS IS 10 certify that the request In the above applicallOn and accompanYIng documents is in accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner conSlllules a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ceruflcate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PEmtiW 16, 2006
L Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.
Please
ADDRESS
14845 TIMBERWOLF TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MEADOWBROOK BUILDERS
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW A VENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/1/06
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity D Hot Water Air Conditioner Units
D Mechanical D Radiation Cannot Encroach into
DAir Conditioning D Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000G-IPI
APPLICANT PLEASE COMPLETE BELOW
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
FEE SCHEDULE
I % of job cost Residential, Gas Fir PlacnAID wrrS50
$39.50 minimum .r
$99.50 Residential, Additio s & Alterations 39.50
$64.50 Residential, AC On B~DING9.50
IT
Building Permit #
$
$
$
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
,50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I ::,,;Pt No
Buildine: Official
Date
I Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4845 /11'1t3'6,eWoe-r: ~C-.
NATURE OF WORK LcJWEte L,6 VE L
USE OF BUILDING ~S A//t-
PERMIT NO. O~ . (j.537 ' DATE ISSUED &:'. ZOo 0(0
CONTRACTOR nenO()WB;eO()f::::.. PHONE 2-50. 88'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BE~OW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ J~ I
-- 1-' I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- -
- -~-
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 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