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HomeMy WebLinkAboutBuilding Permit 11.319 J Q c o LL z U U Q z R 2 Q.g gz > Q. a a O Q 41 w U' 0 W W N W Fc � � . ❑ ❑ ❑ ❑ ❑ ❑ ` 0O CO 4 U O 0 II O N w Q Z O Dm J CO - � c 0 PIG m t. z �YZ 1 o v W 1- H - 0 00 p a`, W o = z _ xce w 3 w U 0 w 2xww '► 1 0 0 — W Q Dc- W W W W X a 23 v�a2 , � U U W Z a 0000❑❑ CL CL LI 00 0 i CI z WW n t o z - 0 W z .1.1.1 N a ��- a o z o z U 6 O O W F Q °� � z (7aO f . N Z 1,) o J W 0 0 ai Z �z gJ Z w ,_, c Q o Q ti U Z o 3 o OO LL ZLLU) v 3❑❑ a v 5 _ a 0 o. 0000 E. ( .--- F PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S Z // AND UTILITY CONNECTION PERMIT Aj, �NES� ' 1C.. I. White File PERMIT NO. / /) 2. Pink City / 3 Yellow Applicant , (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT / / BLOCK ADDITION A /E-S PID ZS, 037 O (2.-. 0 OWNER 1 , I (Name) � G o,v►A( .. 4 -•• I t s 'C tic+�/ eo.„ (Phone) (Address) I d r�o'$ f 4 L - t i / � c, BUILDER C (Company Name) !GkkoF- (Phone) (Contact Name) Cr'a∎ep f C tN•e ` �p (Phone) 6, ,. - i6p — 0 , (Address) 3 0 L`..� f t"e, /V , NUC�v fr -- M VV TYPE OF WORK ❑ New Construction K eck ❑Porch ERe-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace ❑Addition ❑Alterat on ❑Utility Connection . �� ' Z - \./k1 /L- 1 L �/� CODE: I.R.C. ❑ ❑I.B.C. ❑ Misc. � Type of Construction: I II III IV V A B PROJECT COST /VALUE $ _ 03 Occupancy Group: A B E F H I M R S U (excluding land) t Division: 1 2 3 4 5 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 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 can revoke, j .is permit for just cau Furthermore, I hereby agree that the city official oor�a designee may enter upon the property to perform needed inspections. X .G ©3© 1 1 -Z5 1 - 1 Signature Contractor's License No. Date Permit Valuation DoO. ' Park Support Fee # $ Permit Fee $ r' g . ZS SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ ' p Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ g 1 c / G ZP'f I i i This Applic / lion :� t � irliMtg Pe 't When A ro ed Paid � 7t Re = , et No. f ' Date 5.,,3 // ` I k dr .uildin g Ofticial 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 K RI() CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT 510 VI ' A / V 4r YV 1. Pink File ; NNE 2. Green city PERMIT N .// 3 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /5Q2 r 1 S t 4; LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT r (Name) A ,� . -✓IF'. t' C o t L) 4 la 1 .,[. (Phone) S Y j,. 2 . 4.17 4 v Ai (Address) )7 7,3 C Nil 1 C 41,/i. /16 4.1 �l -' j *re .. Z7C 7/ (Address) (City) (Zip Code) (Contact Person) 1 P' r ti c - /ft (Phone) -sue t t _,r APPLICANT SIGNAT . W : f f DATE h 2 c 7 / 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 Conditione ❑Warm Air Plants ❑ Steam Units nd Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Re wired Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplace with Box Additions or ❑Air Conditioning ❑ Special Devices ❑Vent. System ❑Other Devices Cantilevers the Outside of Buildings 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 $ ' Sv STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 5 -2 /S -13 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 54 0) Re .t N Artl Dates (a J1 B Building Official Date Z V ll 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 15248 Fiffi pr. a ). TYPE OF WORK USE OF BUILDING ' er */,V. PERMIT NO. 11. 3( DATE ISSUED .5„200// BUILDER & SW/ NOM r e PHONE # tsz. 366 iI% NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING J , 1 y3 (( ILL FINAL FOR ALL INSPECTIONS (952) 447 - 9850