HomeMy WebLinkAboutBuilding Permit 09-0411
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~.Z-2-. 01
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 09J ~/ / I
at bottom)
c-/-
1IJ~(w~ t
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(N ame)
w/1
(Address)
J
(Phone)
~r7' <5rf:;. SC::,<?7
~~
~~~
BUILDER C' '- i ,
(Company Name) \ \V\(~~
(Contact Name) -p00..;~~"'-
(Address)
(3u~~'U~
~~, (~
(Phone)
(Phone)
0S( -2L~. 700~
TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing ORe-Siding
DAddition OAlteration OUtility Connection
ower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
shed mt(Jrmation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or author a agent for the
that all construction will conform to all existing state and local laws and wiIl proceed in accordance with submitted plans. I am aware that the buildmg
t for Just cause Furthermore, I hereby agree that the City offiCIal or a deSignee may enter upon the property to perform needed mspectl(lns
ZoVCc c77( ~/zz/tJi
Contractor's LIcense No. ' Date '
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
zS
--
Water Meter Size 5/8"; 1";
Pressure Reducer
l
ThiS to certify that the request in the above applicallon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
s Your Building Permit When Approved
" . z Z . 09'
Date /
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(, .2Z-~OJ
t ~~L ~~~ticant I PERMIT NO. oq. o~l U
ZONING (office use)
~ !,cr,'/ &-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) P Mr,"'dc.
fhd,~
(phone) &; {;)-$f'O - '1k,~7
(Address)
APPLIC~ 1/<f2)1/4.
(Name)~ l)'vY'o~~""~ ,^'-
(Address) I l "'2> ...LrJ--E(Lt A vC;- sC
(Address)
(Contact Person) ~~ ~ ok^~
(Phone)
h..JJ!'A/o
(City)
(-;'Jld-a-PH- '5Gc.,1
~ 11 '><; 1 ,~
(Zip Code)
APPLICANT SIGNATURE
(Phone) ~f':>- a-bd- 5;0'11
DATE ~ - 9';;)-01"
l
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Estimated Cost $
Residential, New One & Two-Family $149,50
Residential, Additions & Alterations $;:1
Building Permit # . -l
1)r'IO ~.
r i (/0
$
$
$
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
(Office Use Only)
Date
By
This Application Becomes Your Building Permit When Approved Paid
Date
BuUdinl! 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~
11. z,~."7
I. Pink
2. Green
3. Yellow
~:~. \ PERMIT NO.IJ'i fJtHlI
Apphcant ·
ZONING (office use)
/S-~tJ5
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~be-I,/tj
m.
(Phone)
(Address)
~/}z)-r;M~'C. /">I/hI~~ J'M;';7j?tfJ~"J (phone) ~f-Sr/"'Z~
H(/l) (()i~ .1h~Ai ,\uk/dlJa- Cd~~l;^J S5~("
(Address) (tity) (Zip Code)
7ft _?-~571-;}:>~
...;; /tJ
(Phone)
APPLICANT
(N ame)
(Address)
APPLICANT SIGNATURE
DATE
(Contact Person)
APPLICANT PLE SE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
~echanical 0 Radiation
DAir Conditioning 0 Special Devices
OV ont. Sy_ I '-. . 0 Oth" nevi",
FIREPLACE MAKE AND MODEL ~'/wfnlC- 1JDV:?1~n
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Commercial & Multi-Family
Estimated Cost $ :? 1. S1l
Building Permit #
l
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ PAlO WITH
$~ING PERMIT
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
By
Date
Building Official
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
z" ,(,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE Dd~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
RAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
, FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIG
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