HomeMy WebLinkAboutBuilding Permit 10.915 0 0 0000 71 0 > En
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�� '�' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti T EMPORARY CERTIFICATE OF ZONING COMPLIANCE O /0
c.) AND UTILITY CONNECTION PERMIT
l
1. white He 0 `/ //
2. Pink City / ` PERMIT NO / /� .
/
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
0 1 - 7 < c-f rr Pk
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
r (Phone) �� ` �� /,�
OWNER \.) - -, � 4 '' �-' . /e. `r G{,`I�� � . f7Yl
(Address) I 6 11 17 \'�tfeAr PA.
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch DRe- Roofing ❑Re- Siding EiLower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: DLR.C. DI.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $
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 autho ed 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 the building
official can 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.
x '-''f''r ,
.gnature Contractor's License No. Date
Permit Valuation 3 0 b o , v 0 Park Support Fee # $
,
Permit Fee $ i #7. SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 0 U Pressure Reducer $
Penalty $
Sewer /Water Connection Fee # $
Plumbing Permit Fee $ / 6-0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit / $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ .5 S7) TOTAL DUE / $ e • ,
This Application Becomes Your Building Permit When Approved Paid / pc' t9 S ' = s - *pt No. f.& g
Date / o . 7, /d ■y .
Building Official Date t -
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
_____
, ritio,,
4646 Dakota Street SE
V
(
E
Prior Lake, MN 55372
March 21, 2012
Jessica & Lee Patterson or Current Resident
15147 Jeffers Pass
Prior Lake MN 55372
RE: Building Permit Number 10 -0915 Final Notice
In review of the building permit files it was discovered there is an open building permit for basement
finish. The City would like you cooperation to schedule a status inspection. Please call by March 30,
2012 to set up the inspection. If there has been no contact by March 30, 2012 the City will deem the
permit abandoned and invalid per State Building Code R105.3.2. This will be recorded in the permanent
public record. Any additional work will require new permits.
If you have any questions feel free to call between 8:00 and 8:45 AM Monday through Friday at (952)
447 -9853
Sincerely /
WIllo
Paul Baumgartner
Building Inspector
Phone 952.447.9800 / Fax 952.447.4245 / www.cityofpriorlake.com
•
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: Date: A0.7, / U
Building Permit T `0,7'/6' PM: Zoning:
Site Address 794- 7 `J ff1� 0 455
Legal: L B Subdivision:
Existing Structure: YES or NO
C ONFORMS TO ZONING YES
ORDhAN CE
YES 1 o
Is this an expansion of the e:.istng footprint or Refer to Plan/1
building height? -
Is the property located within the flood plain? Refer to Planning • ,/
Does the alteration include any additional letchens? Refer to Planning
•
•
Dees the proposed alteration include any outside. Refer to Planning
ercances other than patio doors?
Is the proposed use of the Enished space or Refer to Planning
alteration for anything other than a normal single
• fanny home (office, Prouty 'home, day car_, etc.)?
•
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED Il{ T'rIE BUILDING PEB!Y(IT FILE TO
NLLINTAIN A RECORD OF THE REVIEW.
v Ri CITY OF PRIOR LAKE Date Rec ' d
IlEATINGAIR CONDITIONING/FIREPLACE PERMIT
-••...,
4dzivNirsoo' ■ 0
rile
z G„„ city PERMiT NO.
5. Wk.,' Applicaot •
Please t • or .riat and id ,n at bottom)
. ADDRESS ZONING WI c use)
151 i n
_ .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER_V es_s_ i cicis_ozi,
(Name) '---.- . • '' Ci i"" , , (Phone)
ddress) 1 I 4 4 r- -•-) a .--- ....ir , Pass
. .
APPLICANT (---■ . k
•
(Address)
(Address (Ciry) (Zip Code)
(Contact Person) . (.A.. C.L' ' i C,L.0 S 2 -____:(- IA,)? (0
. (Phone)
APPLICANT SIGNATURE -- -- ..------- T — ? ---
- -- DATE
AX-1 ICANT PLEASE COMPLETE BELOW--
:NEW CONSTRUCTION D a:PLAcEMENT ri ALTERATIONS
FURNACE MAKE AND MODEL _____ _ _______ . .
FLUE SIZE — RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT -
PLEASE NOTE: Air Conditioner
°Warm Air Plants EI Stearn Units and Fireplaces Cannot Encroach
OGravity 0 Hot Water into Required Side Y4111 Setbacks.
o Mechanical 0 Radiation Fireplaces with Box Additions or
DA,ir condiLionin 0 Special Devices Cantilevers to the Outside of Buildings
0 Vent. System E3 Other Devices
i Require a Building Permit
FIREPLACE MAKE AND MODEL i 4 :i i 0______ , 5 5ririeS
FEE SCHEDULE
Industrial, Commercial 81: Multi-Eimily I% of job cost Midential, Gas Fireplace $49.50
$49.50 minimum •
Residential, Heating, trz A/C (New Construction) $149.50 Residential,. Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64,50 Rosidemiat, AC Only $49.50
Cost $ _ Builditig Permit #
The Minnesota Stainics § 3:)6I3,1•48
"SURCHARGE,'" ho ban changed for one
year ell'eedlic HEATING P11IT FEE $ +, SD
30, .?.1. it, STAT suRcHARGE
$ Ti „..\17
Tike l uiffignim son:lone to a "fixed fee” permit
TOTAL PERIVIIT FEE S_5.,,...,fin_
is ..1 0,,Inining ;July 1,2010
.. ,
.. ----
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date Mit:PM/Mg
Bailable Official Date
-- E3UitDtNGTERMt - T ---
24 hour notice for all inspectiom (952) 447-9850, tax (952) 441-4245
4646 1uitut4 Street S.2,, Prior Lolko, Minnetptil 55572
113/10 39Vd HOIW:HJAV3H DNIMD19 901219Z6t2ZGE GE :Zi OTOZ/LI/ZT
PRIOR LAKE E R OUIL TMENT AND 0 N F
SPECTION
INSPECTION
RECORD
SITE ADDRESS / 7 ,7 f icet-s P/9sS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. JO . DATE ISSUED /0 , 7. /0
CONTRACTOR 7 PHONE 22-(a. (o (r/ 6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1011
1 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING et /z - /
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ,&2.
GAS LINE AIR TEST FP.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 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