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Home My WebLink AboutBuilding Permit 11.252 J 0 w Z Z Z W W Q 0 W ') � 3 3o = > Lt., I`_ 02 W W , 0 Q °2! W re� z N W O O LL LL U' I W ? a k30 1_ �J 0 0 0 0 ❑ ❑ 1'``J > co 1 I I U. CC i N O W Z ? Ti Z 0 0 4 -J F- 12 00LLJ O U 0 w 1- E 0 0 0 0 Q 1- O. U / 0 W Z i2ZZ W N O CO _, 0 d j U W 2 U O Z O f O a23 w w w w -3 000000 411 CC • CC 0 O. re a LL 1- 4% J z° 0 O a ° 0 W W �� 1- Z o W a Y V Z 0 0 Y In cc Ce Z ZO Z U N C) u) a Ili 1— - Z O C7 Q0- N Z N °� o ?g z w W W w OV W IX W o M * Q = a W O CC W U ° a o Z OOLLZU co � O O a 5 z Q O a 0 0 0 0 O O U 0 ❑ S Ytc10\ �� /W\ � \ CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /3 /1 AND UTILITY CONNECTION PERMIT hivE I. White Pile 2. Pink City PERMIT NO. / / 15 Z 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / 7/7 a), /le /tress 7i /'(v /aJ 4-0 5,53? LEGAL DESCRIPTION (office use only) LOT 6 BLOCK 1/ ADDITION ,n.erd/% PID OWNER (Name) _ i (Phone) (Address) / 7 /76 �// /4e5s //: f !! d r Ga ke, ,o.t1 .5 BUILDER (Company Name) e 77itcii /v1'I (Phone) 952 3R-7. F707g (Contact Name) a4 /c� (Phone) /d• 79/•/P70 (Address) /697a /7ra14 / r'AtI Pr / A- v/1/4,'t141 S3 W TYPE OF WORK ❑ New Construction ❑Deck ❑Porch DRe-Roofing ❑Re- Siding ower Level Finish ❑ Fireplace DAddition DAlteration DUtility Connection CODE: ❑I.R.C. I.B.C. ❑ Misc: Type of Construction: I II III IV V A B Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ 3S DOo Division: 1 2 3 4 5 (excluding land) I hereby certify that I have furnish- • 'n ormation 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 . at . t construction ill 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 - ' o . st cause. F - lore I hereby at. ee th. the city official or a designee may enter upon the property to perform needed inspections. x i - ; /// G1105 1 7 / * �3 zot( signature Contractor's License No. Date Permit Va ation a e v Park Support Fee # $ c Permit Fee $ 0 2 S - SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Z C/D Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ .547 S te) Water Tower Fee # $ Mechanical Permit Fee $ / Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ / it - '7 . 76 -- _________, This Application Becomes Your Building Permit When Approved Paid / 1.? 7s Rece' t No. 42'#'O Date ¢, /1 4 B 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 S.E., Prior Lake, Minnesota 55372 Residential Building Permit Checklist a mentFinish or Interior Alteration to Single Family Homes BY: Building Permit # 14 zSz PID: Zoning: Site Address /7/7 6 M/q /DE 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 o r -11-10,' CITY OF PRIOR LAKE Date Rec'd r HEATING /AIR CONDITIONING/FIREPLACE PERIVIIT ti'NESti'' t. was ruse i �,, ! PERMIT NO. 3. ve0w wain .........----.___ ............. .....__..................._. - -- - - - (Please type or print and sign at bottom) ADDRESS ZONING- (office are) _ / z( e(i1i 7 -Ss37cZ LEGAL DESCRIPTION (office we only) LOT 6 BLOCK. 4/ ADDITION /� PM er�r'G1 OWNER (Name) ____ ... /( (Phone) • (Address). l7. f(' _ _ al /Y e/fress !j ill✓ Lie �' J 53 - .F7z- APPLICANT (Name) __.. � e_ 44#1, __..... (Phone) _ 9S-a- 7‘ 7- /eR 7 (Address) - - 40 • NI L. Bar , Is ui7 /e. 6" - 377 0 (A e (City) (Zip Code) Contact Person t _J 1Ck.�.. - C� i.('1V tic - G (Phone) ( ) } ��,. . �� ' r' , n ( J APPLICANT SIGNATUR ' ' t� *, ' " T ' / ... _ DATE �'(-'11 -' APPLICANT PLEASE COMPLETE BELOW 1 - ''\ :NEW CONSTRUCTION ❑ REPLACEMENT [C I A LTI'. it A IONS FURNACE MAKE AND MODEL r FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OK POWER PLANT [}warm Air Plants Steam PLEASE NOTE: Air Conditioner ❑Gravity ID Hot Water Units and fireplaces Cannot Encroach Mechanical ❑ (Radiation into Required Side Yard Setbacks. [QAir Conditioning ❑ Special Devices Fireplaces with fax Additions or lW ent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Bu riding 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 $ ► � i Building Permit # The Minnesota Statutes * 326[3.148 HEATING PERMIT FEE $ t J v "SURCHARGE" hus been changed for one year effective STATE SURCHARGE $ 6 J...Skr -- July 1, 2010. until June 30. 2011. TOTAL PERMIT FEE $ f he minimum surcharge. Cara "fixed ler" permit (Office Ure Only) / Is $;, beginning July 1. 2010 'This Application Becomes Your Building Permit When Approved Paid T Date , `. — — _ 1 IN ,J � � H RMIT Building Mew Date 24 hour notice for all inspections (952) 447 -91150, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 A'er. v Rio Date Rec'd ors. = � k CITY OF PRIOR LAKE PLUMBING PERMIT i� is at F 4 1 PERMIT NO 3. YelIM Applicant (Please type or print and sign at bottom) —_ ADDRESS ZONING (office use) /7/7 a7/ v// f � �� .W 5`sY70Z LEGAL DESCRIPTION (office use only) LOT +ta / BLOCK 4 ADDITION 'ems r 'clot PID OWNER --- // ! - (Name) _fit tt' �`7'f l! (Phone) � � � / y -- .� (Address) 77712 a.),: eev t( ( -: f!" /BI'- hke .444/ 6A APPLICANT � (Name)._ C.�? p.E1 (Phone) 9sa X7' x"2 (Address) ,2O0 60. . tt) . 7i'4rt////e_ - SS :337 (Address) � - _ . .� _ .._. s) (City) (Zip Code) (Contact Person) Uf 1 - eta - A _ (Phone) 53:411',,8 . APPLICANT SIGNATURE - MM.. I (4-114-1 r n }� -� ._._.._ DATE APPLICANT PLEASE COMPLETE BELOW Quantity Tie of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough - ins Dishwasher Water Heater Floor Drain Water Softener 1 Lavatog (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray(I or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks _ Backflow Assembly Test t - V _.. .,._Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two- Family S149.50 Residential, Additions & Alterations 49.50 The Minnesota Statutes § 32613,148 ~Est $ Building Permit # "SURCHARGE" has been changed for one �� July 1, 2010, until 30, 2011, STATE SURCHARGE $ , .' . , The minimum surcharge fore "fixed fee" permit TOTAL PERMIT FEE $ } PAID 1 lr , heginuin 1, 2010 .� �' 1►� 1 T I • ERMIT This Application Becomes Your Building rmit When A , 1; Approved P ' ecelpt No. B y Brr Nina Official Elute Dph 24 hour notice for all Inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S,E., Prior Luke, Minnesota 55372 Attil P RIOR LAKE DEPARTMENT OF BUILDING IN a AND INSPECTION INSPECTION RECORD SITE ADDRESS /7/70 WILD JsJE5 . / L, NATURE OF WORK LQWee, LeveL. USE OF BUILDING E A/ i PERMIT NO. I. DATE ISSUED '' CONTRACTOR = :1 i�,'i' ! PHONE 3z2.. 7 NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 01111.1, INSPECTOR DATE < < 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 0 6 . I INSULATION ELECTRICAL PLUMBING f" 3 HEATING (if required) 1111111_1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS IA OUILDING 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