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Home My WebLink AboutBuilding Permit 11.127 0 Q H w Z Z i LL U � J �"ww� w W Z U U a Z 44 IN- �55gZ > ,.4 aaa� o ul c95ww _ Z Q W \ U O w o = re N O u. O \� a a -r m O_ J z >> Z — z o F" 4 Q - H IZ 0 0 LL J C. 0 0 0 w F- m 0 000< \ v w j o = z fr Z —_= Z? U 0 w 0 N O y v) U d ? "- U 0 0 i ►- p iii wa w w w x c: aEv�a 0 0 z C.) 0000❑❑ 0 a a O LL = re Z J O 44 Y Q V • Z \ U O \° O z N // Q 3 1 0 p z 0 0 W f- Q H H oC Z ~OH a Z U a o co Z �Z2-"I M YY rt r ° Q O O w w w O u = i < O O 0 y 0 v a 0 z oo� z LLU , �� U ,,)) U y 5 a 0 a ❑ ❑0❑ ❑ 0 ' 0 c Vie` -'ci CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd E, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE t AND UTILITY CONNECTION PERMIT *NES ° 1. Whin He 2. Pink City PERMIT NO I I I z 7 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) ( LEGAL DESCRIPTION (office use only) g 6:93, LO LOCK ( t ADDITION '" ' j'" aril cn 14) 114 PID CIS 3 CR (N ame) : y L p,t..,,e_...A (Phone) O 2. - 5 i 3,g (Address) \1 (0 bi SUD BUILDER (Company Name) R ♦ A� . :A I _ .A (Phone) Ci ' �c...21 " ��q (Contact Name) 1!tM*,1 '" . A. (Phone) A (Address) t"--) '-` 6 0 YAP aLa TYPE OF WORK 0 New Construction DDeck ❑Porch :Me- Roofing DRe- Siding N.ower Level Finish SI Fireplace DAddition DAlteration DUtility Connection CODE: DLR,C. DLB.C. 0 Misc: Type of Constmction: I II III IV V A B Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $ Dom: 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 ceitify 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 oJllc+al revoke t raft for j cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X / /c 'rI. ... 2a Signature Contractor's License No. Date Permit Valuation 3 Park Support Fee # $ Permit Fee $ 7 ¢ • 7 S SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; I "; $ State Surcharge $ / J r') Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 51-,50 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5-1— 6 TOTAL DUE $ /0 5 25 This Application Becomes Your Building Permit When Approved Paid /135. . 2-5 Rec -apt No. 62.-076 Date _3 /. /1 ' Of 4 • 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 tempoauy Certificate of 7'siing 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: Date: 3. I- ti Building Permit # / / / Z PID: Zoning: Site Address / 707 S 6/.168, Legal: L B Subdivision: Existing Structure 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 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 4 v Rto� CITY OF PRIOR LAKE Date Rec'd BEATING /AIR CONDITIONING/FIREPLACE PERMIT 3,1 J / U 41'5o0* t. Pint Pile 2 o men a PERMIT NO. , ( 1 2.-7 3. vcl w Applicant (Pleaae type or print and sign at bottom) ADDRESS ZONING (office case) \101 ) v- „-c) a i C LEGAL DESCRIPTION (office use only) --iti1p i 19 f2'GX\\ Y.• j C)4)., LO'I{ /3LOCK O (”) ,DDITION 1r'` 1(5 PID CS t i (s9 5 C OO (Name) 1AW \ - Pe °-x (phone) co, " .es ..4'2 (Address) 6 • 3 6 1 / 0 02 _ • /' ! _ 1i � & 1�:7Z APPLICANT �- (Name) 4- -' Y' 7 --t ^-' (Pve) G - 355 - ' (Address) 0 lre A' I l > _ il . ! • / �_ 2_ (Address) (Ci (Zip Code) (Contact Person) _ 4 _ CLI u _ (Phone) APPLICANT SIGNATURE ..f _, DATE c' _ y APPLICANT PLEASE COMPLETE BELOW [I BW CON STRUCTION ❑ REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ClWazm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach [Gravity ❑ Hot Water luta Required Side Yard Setbacks. ❑ Mechanical ❑Radiation Fireplaces with Box Additions or [Air Conditioning 0 Special Devices [Vent System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit FIREPLACE MAKE AND MODEL _ ' _ E _ " ' ''1 Cs R (N SC,- FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 minimum Residential, Heating & A/C (New Constriction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50 Estimated Cost $ a Building Permit # The Minnesota Statutes * 32613.148 ,, "SURCHARGE," has been changed for one HEATING PERMIT FEE $ , ,- t� year effective STATE SURCHARGE $ .50 July 1, 2010, until June 30. 2011. TOTAL PERMIT FEE $ The minimum surcharge for a "fixed fee" permit (Oface Use Only) is beginning .taffy t, 2010 . Date This Application Because* Your Permit When Approved Paidcei t_ p P N ERM IT o. sa0dfas Official Date BUI LD o 24 hour notice for all inspections (952) 447 - +9$50, fax 052) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Mianesata 55372 O 4 p itip� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 3 I J F.4 `E U "NESO 1. Blw 2 a� Pie ,,,, PERMIT NO. (1 12.7 3. Ydbw Applicw (Please type or print and sign at bottom) ADDRESS ZONING (office uee) \- I Cp 5 bn ?r C I . (S LEGAL DESCRIPTION (office use only) 1- ' (( ig C'aa LOT LOCI ADDITION <5 i �[ )t?l( l )1� tia11X Y4",4 ) ( c 7 P a5 07 V (Na�me) )C)r1 'VEkf., (Phone) 2- 1 I t (Addres r ,��rV Y\ ( C t V 3' 'tom r IO\ 1 s APPLICA (Name) \ -P� -f .6 l (Phone) f c (Address) \ 5 �J� 0/ ` � � Pr 4 Q J.. (Address) (City) (Zip Code) (Contact Person) . LA A X'l , ( C) ' (Phone) G I S - S � CJ APPLICANT SIGNATURE k'.„x 1 ` �" DATE ` 5- I 1 1 1 I APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener 1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test 1 Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other FEE SCHEDULE lndustrial, Commercial & Multi- family I% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49.50 - " 1st S Building Permit # The Minnesota Statutes § 32613.148 "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 The minimum stlrckarge fora "fixed fee" permit TOTAL PERMIT FEE $ Is IN beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. PA Date Stan! 6TH • lo.idha Official Date mi.- 24 hour notice for all inspections (952) 447 -9U1, fax (952) 447 -4245 4646 Dakota Street S.E., Prier Lake, Minaesota 55372 P R O R LA K E DEPARTMENT OF BUILDING ANID INSPECTION INSPECTION RECORD SITE ADDRESS /70 76, (5 A/682/4f - 61/2_, NATURE OF WORK [.076 IN/ UPP6 -- ev2- F P. USE OF BUILDING PERMIT NO. //. 1Z7 DATE ISSUED 3. CONTRACTOR 'PETES PHONE 855 4 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BE OW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 01.111.111, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 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