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HomeMy WebLinkAboutBuilding Permit 07-1154 5" 0 0 (') ~DDDD -a ~ > -0 III :t C Z_ ~ ~ 0 en."z"''''''' 0 C ~~ 8 0- 0 3: =izen~Oo Z m " mo 0 " 3: ~>C:!:~~ m " m '=' :'1 =" en (")." ~ en m z'!;zcz z en ::!" ~ > z ~ ::!(i)~(i) 9 0" t!l .... -t m 0 - z- Ie Cii en o Z 0 -::r zO S ." .... Z 0" co > 0 ::!!; ~ en ?' 0 0 .... Z o=" ." 0 0 mm ~ 0 > ~ ;;0 , ~ .... , ." -a ~ :t 0 ;;0 m ~ ;;0 0 000000 Z ;;0 0 ~ m m m 3C-aen~3C-a >< m .... z c m'~>m' ~ z ~ en oC: ....oc: ~ C5 -a :t3C m:t3C -a 0 en en m "'~"""~ m 0 0 Q ~ -a ::l 0 zZ:t:t-z " Z :t ::! (1) .... m :::t >(i)00 (i) ;:: .... m "" 0 () (5 ,.,,00 ;;0 =i ::0 c ~ .... 0 z z~~ - c (5 a- m Z p- , Z :'1 m ~-a-a 9 m C N ." C ~ ". 0 :I: " C) m ~ 0 0 c: t " 0 en < 000000 m ~ z ;;0 (i)"''''o~ 0 Z ~ > >;.0;.00 -4 Ilo C (i) ~mm3:(i) "' ~ < _-a-a-a~ ~ > ~!;!;!;c Z 0 >ooz:;; ~ !T1 _mm...._ ;;0"';;0 , -4 ....-- , i: enz z "' ....~ (i) 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