HomeMy WebLinkAboutBuilding Permit 10-1012 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ‘1/27/1/
ADDRESS 076 /(6,04- S
OWNER CONTR.
PHONE NO. PERMIT NO. / Q — / O (
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
C(ot,) G2
X r WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CAL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, � Q etr,
AND UTILITY CONNECTION PERMIT
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�'N E S O
1. Pink PERMIT NO
2. Pellpp ` /0/2—
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3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS , I ZONING (office use)
A tract of land in the Southeast Quarter of the Southwest Quarter (SE 1/4 of SW ''A) of Section
Thirty -six (36), Township One hundred fifteen (115), North, Range Twenty-two (22) West, Scott
LEGAL DESCRIPT County, nnesota, escrbed as follows: Beginning Nine hundre sixty -nine and one tenth (969.of the '
f eet E Mi and thirty - th d re e (33) i feet North of the Sou c orne r of said Southeast Quarter
Southwest Quarter; thence North and parallel to the West line of said South P�
Southeast Quarter of the ' 2.5"-- C
LOT BLOCK Southwest Quarter a distance of two hundred eight and seven tenths (208.7) feet; thence East and
parallel to the South line of said Section Thirty -six (36) a distance of one hundred four and thirty -
five hundredths (104.35) feet; thence South and parallel to said West line a distance of 208.7 feet;
thence West and parallel to the said South line a distance of 104.35 feet to the point of beginning. .
OWNER /
(Name) win CS � � /t & n/olotp � / (Phone) (. /a - 33 / - Yoga
(Address) 3 !� C t ( 1t SL Se. Al 5 t M N ,
(Companyy Name) /; k1 6� 4 es bii.t / m - Amirk t'?� (Phone) &/2 - 35/ -Yana
(Contact Name) g - I 1 7 Q (Phone* if; - 3 - /g°
(Address) 30a / Lf S. SE / i nne& i Si M i 5 - /
TYPE OF WORK ❑ New Construction Deck ['Porch agRe- Roofing ❑Re- Siding ELower Level Finish ❑ Fireplace
['Addition EgAlteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B d
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 1 ' °d
Division: 1 2 3 4 5 (excluding land)
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 revoke this per 't for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property' to perform needed inspections.
X 4 o 3 ...4: �Q
Signature Contractor's License No. Date
Permit Valuation 3 000, 0 U Park Support Fee # $
Permit Fee $ t Se 2 SAC # $
Plan Check Fee $ — Water Meter Size 5/8 "; 1 "; $
State Surcharge $ /. 50 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 8 9 75
This Application Becomes Your Building Permit When Approved Paid e/ 9, 7.S Receipt o. e, /6 4-0
Date 1/. 3,I 0 BY
Building Official Date
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
v . P Rio
CITY OF PRIOR LAKE Date ltec'd
0 f . t A HEATING /AIR CONDITIONING /FIREPLACE PERMIT 1.1€1.
pi.EWl iO.IOIL
�� 1. rink File I
PERMIT NO. 1 ( O 037'
41
INNItSV 2. Green City i
3. Yellow Applicant
JPlcase type or print and sign at bottom) ..._ _ ____
ADDRESS ZONING (uatce use)
5 ` S o 1 0 4-� `S+
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION _ PID
OWNER ` i • V "C - v \, h'R h t_ �^�1
(Name) �� t \ t T �S ` G (Phone) a .-.1 , 0 "1 _
(Address)' \ L\ S $ �( . __ rN n -� tA le G ) ( u" V - S' S I _
APPLICANT fx\ k �. b ' � ^ - L (Phone) C ) S �" \ A -1 - 1 -1
(Name) +. \
(Address) _ \ \9 c -1 C) K\ L ° 1 (\V 'k e c) v, \---W4-.Q S .31 t),
(Address) • (City) (Zip Code)
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f
(Contact Pelson) , V K-'\ l 1/ S ( t' 1-
1 Q 'c. (Phone) G\ C `k q I " A A
APPLICANT SIGNATURES DATE
APPLICANT PLEASE COMPLETE BE. OW
ONEW CONS'TRUC'TION AltliPLACEMENC ALTBRAT1O S
FURNACE MAKE AND MODEL ) (11--;1 �X i (Ss 1 v on , 0 (9 0 FUEL cam'
FLUE SIZE J C RETURN OPENINGS 1NPU'90 ) 0 OUTPUT C (p () ab
TYPE 01? SYSTEM HEATING OR 1'OWElt PLANT
PLEASE NOTE: Air Conditioner
❑warn Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
['Gravity ' - ❑ llot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices fireplaces with Box Additions or
❑Vent. System ❑ OUtcrDevices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCIIEDULE .
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Beating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ ' O Building Permit iI
t ,
HEATING PERMIT FEB ; $ "� c1 `S u
STATE SURCIIAI.GE $ .50
TOTAL PERMIT FEE $ Su •S\) (Office use Only) ;,
This Application Becomes Your Building Permit When APP roved Paid 1/4 5-.A_ ' Receipt No620 / /
Date/ /9 i/ > 3y
Building Official Bale
24 horn notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Slrec.( S.E., Prior Lake, Minnesota 55372
r�.
• 4 •
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
Smoke detectors shall be upgr
as per the requirements of the
roughout the house. Battery operated
*poke detectors may be installed in RECORD
existing structures.
SITE ADDRESS 5400 /GDS 67+.
TYPE OF WORK /P.DOF /SL. R. /VL1 /,7/O/s8'
USE OF BUILDING lee A it
PERMIT NO. /0. /0 /20 DATE ISSUED /1. Z. W
BUILDER 7:6, HABFm F6e mom/1l PHONE # 6 /L. 3$V. 4070
NOTE: THIS IS NOT A PERMIT FOR ANY OF HE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
R ooO ` it QFF INSPECTOR DATE
I-1 7Dfere
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMIN DCA,/ 1 1 1
frrA •
FINAL 1 p 1 oz , I
FOR ALL INSPECTIONS (952) 447 - 9850
4