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Home My WebLink AboutBuilding Permit 09.0248 J w Z _ am P J W M V E LL = W W Q z X555= > _ ^ � a aa� o W Ur 2W Wci Z Q W W Z [. m �OWZQ Q (v W ULLLLUr N N 000000 w csi re W = lk. re 0 O aaJ m c O_ lig z »Z Z o I- a 0 a' H 2 0 00LLJ 0 0 W N s: Q d O x Z W Z_= 2 Z U c M O y m 1 >. N �� 0 W 0 a m2 W mx p p Z z O ti Xi m2S 011 W w w t: W M a OLL I- \ I re Z a 0 w � 0 a . • w t 44 • U J t U � m S ° N 1 0 Q � r 1 .1 pi O Z g z w F - ~ < w O Z '9 a z N v J QC a U w w ~ziga W Q o IQ • O w W w z ooW NZ► - 2 0 IX 0 0 n 0 N 0 0 LLLLLLZtif/ o a az a 0 a ❑0❑Cf` 0 V 0 0 c �F PR I 0 � P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5— �S ! G C� AND UTILITY CONNECTION PERMIT 4 :A'NES0"0 I. white File PERMIT NO . z44 3 Pink City O D 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / 7¢ 2-& DEie 4,40 Dom. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER / P D t 1 OfL ((I D (Phone) 1- ----- G 5-377 `� L...1-c2._ /(--7 / 1/41 s ; 1 '2_ (Address) - ,� ( _ J <<� BUILDER • t2 - 9 8Z - ( 15 75 (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection / ` 3 ,/7S CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 1 1 hereby certify that I have furnished information on this application whit• is to the bes of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above - mentioned prop . d that all • tr on will conform to all , isting state a d local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke perm fort • se - thermore, I hereby agr. that the city .fficial or a designee may enter upon the property to perform needed inspections. X � t 77 Signature Contractor's License No. Date Permit Valuation 3 D CO 6 0 Park Support Fee # $ Permit Fee $ 7 75 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ /3-7) Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ :J v �-7x , CA) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ _ TOTAL DUE $ /Z • Z`j This Application Becomes Your Building Permit When Approved Paid /..1, Re ipt No. ,575 Date S. /-S.G 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 Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: 1/ Date: - 5 - • 7 - 5 : 0 7 Buildin t Permit # 9 Z .rs PID: Zoning: Site Address / - 7 , / 6 ce x - 6- Piz-- Legal: L B ` f Subdivision: Existing Structur YE r NO CONFORMS TO ZONING YES NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning ✓/ building height? Is the property located within the flood plain? Refer to Planning i v Does the alteration include any additional kitchens? Refer to Planning V -- Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single ----' J family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L: \TEMPLATE\ALTCHCK.DOC o CITY OF PRIOR LAKE Date Rec'd 0 rRr 4' HEATING /AIR CONDITIONING /FIREPLACE PERMIT 7, 2 j�NESC��P I. Pink File 2. Green City PERMIT NO. ( (-- -- 3. Yellow Applicant 0 y' 5 . 0 S • / (Please type or print and sign at bottom) ADDRESS / Zc � ��1 c. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLO — K ADDITION PID — OWNER ( '� P 7 4f1 ) � (�! L /v l (Phone) (Address) APPLICANT (Name) (Phone) (Address) (Address) ( i(Y) (Zip Code) Ail (Contact Person) I (Pho I APPLICANT SIGNATURE /I / „� DATE _7" 2 - 1 ---- 4 : 2 7 APPLICANT PL L • SE ONPLETE BELOW ❑NEW CONSTRUCTION ❑ RIEPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach III Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Air Conditioning ❑ Special Devices Fireplaces with Box Additions or V stem ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE E AND MODEL FEE SCHEDULE 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, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 5Zi w (Office Use Only) This Application Becomes Your Building Permit When Approved Paid --� w Rece o. Sit¢3 Dat Building Official Date 7. Z (q i. U 7 • 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 pF PRIO4) Date Rec'd A. B CITY OF PRIOR LAKE PLUMBING PERMIT /L... 1. D7 A 1 \ 4.4 ArESOS I. Gold City PERMIT NO.O9 02 4.. e 3. Yellow Appiiaot (Please type or print and siin at bottoms) ADDRESS ZONING (cam use) r1117_.Li, - 9,9__Qf 4'; 6 ‘(. s LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Nam ' e_ a OS' 1d (Phone) (Address) APPLICANT 5 Q\ QXQi( 9 \\ Lnl'O - `c ci (Phone) q5 �o 7 3 y (Address) 1 5 5 `-1 (6. �d Oc.. . 5 \` ■ o 1 � e.,A1,-0 3372____ (Address) 1 ,, (City) (Zip Code) (Contact Person) / e CC SC y Q-vor (Phone) ( 0 D - - 74 - 7- 3a2 APPLICANT SIGNATURE �� ✓ ��'— DATE 4' / � ___4 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener i Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler 1 Water Closet (Toilet) other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a 549.50 minimum Residential, New One & Two -Family $149.50 I - Residential, Additions & Alterations $49.50 LQ j Estimated Cost S Building Permit # �'' ' 2. �� \ 1 PLUMBING PERMIT FEE S y q . U PAID WITH STATE SURCHARGE $ EPAN TOTAL PERMIT FEE $ S0 , 00 (Office Use Only) / This Application Becomes Your Building Permit When Approved Paid ji o. Banding Official Date / L ' (, U BY 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 r LA INC. BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS / 7ZP' De64 4 / W NATURE OF WORK , ` Lei USE OF BUILDING A PERMIT NO. I,11t,:t D A TE ISSUED 11119; CONTRACTOR %Zi?'1 • PHONE - i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IAN I I 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING P16. i2 /8 4 INSULATION 1 ELECTRICAL PLUMBING HEATING (if required) IMIMOOWE r 12* c6' 010 11111111111111 . 11111 1.! FP 9 /0F COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS aNIMIIMPORMIPIMMINjw BUILDING � , J 2/ ELECTRICAL AEI 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