HomeMy WebLinkAboutBuilding Permit 07-1154
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
!:?/3/0 7
1. White
2. Pink
3. Yellow
File
City
Applicant
PERMIT NO. 01- ! / rlf
ADDRESS
17224 Burr Oak Lane SE, Prior Lake, MN 55372
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Ben & Belinda Nordman
(Phone) 952 - 4 4 0 - 124 0
(Address) 17224 Burr Oak Lane SE, Prior Lake, MN 55372
BUILDER
(Company Name) Self
(Contact Name)
(Address)
(phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding ~Lower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: l~h.R.C. DI.B.c.
Type of t~nstruction:
Occupancy Group: A B
Division:
I
E
IT
ill IV V A
HIM R
2 3 4 5
o Misc:
B
S U
PROJECT COST/VALUE $
(excluding land)
$10,000
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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev . permit for just cau . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x
Permit s aluation ,. z.~~. OZ)
Permit Fee $ to 2 . Z~
Plan Check Fee $ -
State Surcharge $ I . "0
Penalty $
Plumbing Permit Fee $ ~,O()
Mechanical Permit Fee $
Sewer C tater Permit Fee $
d as Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ r
~
Building Official
I z(3./0 7
Date
CRntURRTh LIIense NR
l"2. -3-0,
DIle
Park Support Fee # $
SAC # $
: DelMeteU SIze 5/8"; 1"; $
Pressure Reducer $
SewerlJ: ater Connection Fee # $
tater Tower Fee # $
BuKae U; DeSlliIt $
Other $
TOTAL DUE $ /03, ZS-
I Paid I C> ~r 2 r
Date /2-{ /07
t~ f L~
I ~;ceiPt ii ~S-D 81
LelJLf ~
This is to certify 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 temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, jf any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~
_-/A r r7 _
~ Date:
1?j3/o7
Building Permit # PID: Zoning:
SiteAddress /7~~'1 ~ O~ ~ 5(.6;
Legal: L
B
Subdivision:
Existing Structur~or NO
I
~
I CONFORMS TO ZONING
ORDINANCE
NO
I
I
I I YES NO I
Is this an expansion of the existing footprint or Refer to Planning
building height? rvo
Is the property located within the flood plain? Refer to Planning tI6
Does the alteration include any additional kitchens? Refer to Planning rJa
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ;JcJ
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single flo
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
,
MAINT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
Date Rec'd
I. Blue File
2. Gold City
3. Yellow Applicant
\ 2-( 3 (01
~ Q~ -:tl ~/- IlS''f
\ PERMIT NO'07 .11~
CITY OF PRIOR LAKE PLUMBING PERMIT
ZONING (office use)
SE, Prior Lake, MN 55372
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Ben & Belinda Nordman
(phone)
952-440-1240
(Address) 17224 Burr Oak Lane SE, Prior Lake, MN 55372
APPLICANT
(Name) Ben Nordman
17224 Burr Oak Lane SE,
(Address)
(Phone) 9 5 2 - 4 4 0 - 124 0
Prior Lake, MN 55372
(Address)
(City)
(Zip Code)
(Phone)
(Contact Person) Ben
APPLICANT SIGNATURE
DATE
/2...-3 -0 )
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Estimated Cost $ $14 0 0
Residential, New One & Two-Family $99.50 /
Residential, Additions & Alterations $39.50
BUild;r"m;t# 50 y)f Q1' \\S~
PLUMBING PERMIT FEE
ST ATE SURCHARGE
TOT AL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Buildinl! 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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
\2, , II. 07
~. ~e~n ~:;y I PERMIT NO. 01 II ,-/I~ I
3. Yellow Applicant , f ~ ,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone) Id2-9/[J- //r;fJ9
('7 r:;-;: ~ 'C7-~. ./'"'"'\
. \ ~ ' "\ -......or"
---./ ~/. .~ '-',./ '-../ ~
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE B
DNEW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL
ERA TIONS
FUEL
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
DWarm Air Plants
DGravity
@Mechanical
DAir Conditioning
I:3Vent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
lV1S~ y S 6) ;;
Industrial, Commercial & Multi-Family
I % of job cost
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Ijl'
.:%/
('~AtiD \-,.;; fI-j
, .50.
L!D: ,~
.
"', '!t_ ;; ~ -',f'-
'. .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
-~
Date
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'~I(.()l
I, Blue File
2, Gold City
:\ Yellow Applicant
\ PERMITNO'67./\ 58
(Please
ADDRESS
ZONING (office use)
i:)af) / /1/ 5f,-',
I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
APPLICANT SIGNATURE
(Phone) {jI/Z- 91LA)- /1~lC!
,b:S ;r.
OWNER &
(Name) '--~ ~
(Address) / ~(
APPLICAN
(Name)
(Address)
,~5./?-
(Zip Code)
(Contact Person)
(Phone)
DATE
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Sac ow Assembly Test
w S rinkler
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
ST ATE SURCHARGE $
TOT AL PERMIT FEE $
3q rS-V
I. .S? ~A JD,'V'Vi,n.,'
':::1:'.; ~'LI"'"""'J.."
/" ~,' "!)I"'~'l''''-~ *,-. "'.
_ ' .....d,,\;.,...,'., ',1 . l
" ,
(Office llse Only)
This Application Becomes Your Building Permit When Approved
Date, z- . II. Of
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAI(E
INSPECTION RECORD
DEPARTMEiT OF
BUILDING AND INSPECTION
SITE ADDRESS 172-2-4- EUlc/c (j If Ie L-AJ
NATURE OF WORK LO~~w(.~ ~/'6L-
USE OF BUILDING IUs' /i //c.
PERMIT NO. 0 to 1/54-- 6ATE ISSUED (d-. 3. eJ7
CONTRACTOR N6/c---{) /"lH IV PHONE
NOTE: THIS IS NOT A PEFIMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
11lSPECTOR DATE
___ I -=~_-
--L_ I
PLACE NO CONCRETE UNTIL J\BOVE HAS BEEN SIGNED
ROUGH. INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING Pi- U~ Wf1{ Me.t) J,'
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
] 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