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HomeMy WebLinkAboutBuilding Permit 11.100 I§ k j �u- Ew w R 0 § 2 §\ \z ,, > � aaa2 > k UJ 0■wwu) 0 2 0 EU��A § z CX 000000 > & , 0 R I 0 A aa� U Z 2 D D« m •E' o e � 0 §§u--1 z E 0 i z B 2_2?2 0 0 1 0 0) ' 0 a � ) 0 CO 2 k ...c4 j2� j § § j Lim ki 000000 ° 0 0 r‘ Z a a E / § \ a 0 b 0 z z 0 % 0 0 o © 0 0 § w "" / -- 05 ■ § o� B 2 u, 0 kl a— z o z z w w w .. -.1 w of UJ w LU § § 4 � ot L cc cc 0 -,? B 0 o EE§2It 0 k 0 0 k Q o? 2 0 0000 i3,0 S E O f 04 Prt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd T EMPORARY CERTIFICATE OF ZONING COMPLIANCE ,,.. dik 7; AND UTILITY CONNECTION PERMIT 2,/(a.// 41-1NNESO'°P I. White File PERMIT NO . / 2. Pink City /I , / 0 D 3 Yellow Applicant I (Please type or print and sign at bottom) ADDRESS ZONING (office use) t , x% 9.3. ,4 POD LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 253OZ. 0-32 O f (Name) It1 L- % kb,g, E ,.�j- 1 ssg-V (Phone) (Address) `50—e, e - 1,- ,2ptk]Py,4- BUILDER (Company Name) 44.4t_ ■ -- " _ Y 7eua (Phone) 9h z ' 4- - aild (Contact Name) '�njl i E A..frl/ZA14d (Phone) C7i Z • 4-4") rill (Address) iu'ij G .47E+4.tj A , f 7 TYPE OF WORK ❑ New Construction DDeck ❑Porch DRe-Roofing ❑Re- Siding er Level Finish ❑ Fireplace DAddition ❑ Alteration ❑Utility Connection 3 121 . CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. W/ F P. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (excluding land) t 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 f r 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 ilding official can revo 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. / Si Contractor's License No. Dat Permit Valuation 3 06 (1.00 Park Support Fee # $ Permit Fee $ 7 4- 75" SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5¢ 67) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 51--. 5-0 TOTAL DUE $ / 5 2"6 This Application Becomes Your Building Permit When Approved Paid 4 r :.3.1 -5 Recei.t N . .4 2/0Z Date iy/iNINI B ai 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 - — Basementt Finish or Interior Alteration to Single Family BY: Date: 2- l er t 1 Building Permit # `(, / c U PID: Zoning: Site Address Legal: L B Subdivision: Existing Structur , : YES or 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 Does the alteration include any additional kitchens? Refer to Planning 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 ,s 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 c p CITY OF PRIOR LAKE Date Rec'd ,,..,i..'1'.1,. HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3 7 " t5 ` t1 41I NNES 0* 2 1. Pink File PERMIT . Green NO.1 1 • 0 I00 3. Gr Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5553 ef ossari a ra_ �---- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) y a u \ X (Phone � � - � , d 0 (Address) 5S (13 6rbs._ra. s4 1 Q■ 61 U,► 0%) --s APPLICANT //�� (Name) '� I QU i ' \/ I \��L - (Phone) 053_ -90)-M CP (Address) 1 0 0 V Y ark 1, C� \ \i' i , oc(�CIJIr VI 1 I V s 3 C ( d r s) City) (Zip Code) (Contact Person) wr r ' C- UA f ' \ (Phone) 0 sa - "fq 0A- ' i -- -� APPLICANT SIGNATURE DATE 3 i - 7 ) f • LICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ❑ REPLACEMENT K] ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water ❑ Mechanical ❑ Radiation into Required Side Yard Setbacks. DAir Conditioning ❑ Special Devices Fireplaces with Box Additions or DVent. System ❑Other Devices Cantilevers to the Outside of Buildings all Require a Building Permit. FIREPLACE MAKE AND MODEL l ) d TO1 / -�- —3E-7j - )21 1 r, rY-Cr — •e — FEESCHEDULE ' Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $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 # The Minnesota Statutes § 32613.148 HEATING PERMIT FEE $ 1 19 1 S) "SURCI IARGE" has been changed for one STATE SURCHARGE $ 5 . (o year effective TOTAL PERMIT FEE $ ( 5 ` S-0 _ (Office Use Only) The surcharge for "fixed fee" permit be . y 1, � 2010 This Application Becomes Your Building Permit When Approved Paid .; 1ptrtrgr'I Date B , Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 IF 45 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 1 / Ne• . i k • 4 • i h . 'eghtill ,A1 7 ! 0 4,4 I i '‘ • ' - 1 , . Wil1 4 . 4 i 11 0 `. 4 i 4441 „:. .. i .„4 ‘.,t PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS S593 C./ea s ,9N.DE-i9 NATURE OF WORK L 1 &V, R_ USE OF BUILDING / IS- /?/ PERMIT NO. l/. / 00 DATE ISSUED 2. /& . l / CONTRACTOR M45 EMMAJ� PHONE e 34 (0/0e NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING (7. INSULATION ELECTRICAL PLUMBING 4 A HEATING (if required) I . FIREPLACE GAS LINE AIR TEST =' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING VSO 1 2(,, ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABO E 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