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HomeMy WebLinkAboutBuilding Permit 10.0108 ii & 00 n § 0000 7 0 > %9 O ■� -��� o o � g • kF.kccR K m �k � � k m r ■zw $ �� m % § e E 0 P o■ ... 4.� §\ 2 7 0 \ k rri 0 \� - • j / -. z § -n > 0 \ 0 r k . ® 2 000000 = f x 0 \ 000000 • m � m m m r >mE \ § °° ,x m z C m o - cn -a 2- � - 0 ,%.; 2 m / - >000 0 2� m % 7 m 5 _ r -n oo 2- p c rn q § B / k§ 9 -� 0 2 § � ® 0 In m ) ƒ c 0 000000 _ ta.. cl 2 z > o § 5 m R. k k �� � § �� N 4. a � 0 > _i - tli © r rn / ! wZ CA 0 ( � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 . (7 / 0 x AND UTILITY CONNECTION PERMIT cNNe so_) I. White File 2. Pink City PERMIT NO . /O • 0/60 3 Yellow Applicant (Please type or print and sign at bottom) ZONING (office use) ADDRESS /7 0 /_ / / E— /N e- / _ C ' /f V LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER , PE e_ SO A (Phone) � ' S I . I 3. / `� (Name) Y ( ) (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck OPorch ['Re-Roofing ❑Re-- Siding ['Lower Level Finish ❑ Fireplace ['Addition � �j/j Addition ['Alteration ❑Utility Connection � y l — OF Pese / ' CODE: ❑I.R.C. ❑I.B.C. l Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 l I hereby certify that I hav' rnis. - d infor • ation on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the above - mentioned proper a d • . 1 con ruction 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 p mmit '. cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspec ons. X k 0.0.A. 3 Contractor's License No. Da e Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ C Gas Fireplace Permit Fee $ TOTAL DUE $ This Applic% .i /comes Your Building Permit When Approved Paid Receipt No. Date By l uilding Official Date 7 This is to c ify 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 add 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 F PRl CITY O F PRIOR LAKE BUILDING PERMIT Date Rec'd I r e... r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE A ND UTILITY CONNECTION PERMIT 4,1A' I. White File PERMIT NO. 2. Pink City / 3 Yellow Applicant I (Please type or print and sign at bottom) ADDRESS 1 ' 4/067 i J/J T Ctl"g 1 c S,-J ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) 7,/J ffPQOA) (Phone) (Address) t !t' I / C i, <7 S& (Company Name) w= '- .VFS !)>,J , . (CTTOO tAL:.- (Phone) 15.2 - 3 ".- . ' 21 (Contact Name) /?7 (,-.1.7.-i- C$ (Phone) (Address) 7 3 2 S eLn7 ST E &- n C p2'Ul^ rt''1,'V TYPE OF WORK ❑ New Construction ❑Deck ❑Porch DRe-Roofing DRe-Siding Lower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: ❑I.R.C. ❑LB.C. ❑ Misc. Type of Construction: I II III 1V V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) Division: 1 2 3 4 5 I hereby certify that 1 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 cap revoke this permit for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. d f n X ✓ --° s' _,, -::�: ,µ S i gn � , .. - �vCa 3 3 -1 3 -5 %79 1 License No. Date Permit Valuation L. co Park Support Fee # $ Permit Fee $ Gi 7• S'' SAC # $ Plan Check Fee $ V Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Z • CD Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ ,. Plumbing Permit Fee $ SO. Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 67). CD TOTAL DUE $ / S g 7 it This Application Becomes Your Building Permit When Approved Paid 3'[,,i`/, ZS Retlpt No. y(E ?�`' — Date .-v ±;., /(J / 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 t Residential Building Permit Checklist Basement Finish or Interior _Iteration to Single Family Homes BY: . ,/ Date: 3, 5, / 0 Building Permit 4 ' `d , / 0/ PO: Zoning: ' Site address /70(0 / leeNN6" W /6 Legal: L B Subdivision: Existing Structu - I NO CONFORMS TO ZON�`i+G Y NO ORDT ANCE YES i i`■-0 Is this an ex anion of the existing footprint or Refer to Planning building heig t? - Is the property Located within the flood plain? Refer to Planning k " Does the alteration include any additional !atchens? Ref: to Planning of • Does the proposed alteration include any outside. Refer to Planning entrances other than pada door? Is the proposed use of the finished space or Refer to Planning alter.don for anything other than a normal single d/ • family home (oEce, grout home, day care, etc.)? THIS CIaCICLIST YNST BE COMPLETED . -YD INCLUDED IN THE BUILDING PLRti(IT FILL TO MAINTAIN A RECORD OF THE REVIEW. CITY OF PRIOR LAKE Date Rec'd ,� i HEATING /AIR CONDITIONING /FIREPLACE PERMIT � p '3 t 14 4r, . Pink F PERMIT NO . , �� NNEs ��, 1 2. Gelb city / V 3. Yellow Applicant ! (Please type or print and sign at bottom) ADDRESS ZONING (office use) /1olO l I &r 4 7 1WE L Nid 53 ' 12 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER • (Name) a1 • (Phone) �O57'' /(a (Address) APPLICANT (Name) (Phone) (Address) (Addres (Phone) (City) (Zip Code) (Contact Person) _ DATE 3 (, � / /19/0 APPLICANT SIGNATURE �� _tom APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ❑ REPLACEMENT ❑ 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 EGravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or ['Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑ Other Devices Require a Building Permit. FIREPLACE MAKE 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 $ Pik D `( STATE SURCHARGE $ .50 E L: TOTAL PERMIT FEE $ 4 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAK E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /70(j / /t/A/6 W04/6 NATURE OF WORK /W VS-- USE OF BUILDING PERMIT NO. • 0)74: D •TE ISSUED . CONTRACTOR a ilr_!.&.A -ra PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 1 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING \.dc- F114" INSULATION ELECTRICAL PLUMBING ` C Ra 3b0/ 0 HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 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 1 4 1 1 • �I