HomeMy WebLinkAboutBuilding Permit 11.428 0 J
2 J Z ~ t-
F J � L L cc
W e.
F- U
a _00 a z w
z >
`, � gga� z °
W
CI
lu .Q � ,.s W ULLU.0 w z I,
` \. V 000000 0
eU 1
C:4-6, U Oo
x
v N G aaJ m us O J Z - YY LL J — z V 1-
OO
w '' 1-- m 0 000a 0
6- a o
2 z x LIJ ea zaxx3 0 c w° o 0. 11.1 eg N U d = U w re u 3 a 0 O O Z O
J W a W J W W W W W t e a 23vaa2
00000 0 0 0 O Ce
W .0
X. d LL H rt
O a Z a O W
a c
N 1- U •
x Z ° O z W 1 ._ 1= Nklic: , W
rY 0 u' 4z1- U1 Z y 0 U J W
z o _, a
0 G W 0 000XT.ZH g 0 0 c0 e U U u.
Z5 a 0 a 0000 0 0 ❑
� 4 PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 / / /
til AND UTILITY CONNECTION PERMIT
44 N F$0 11' I. White File
2. Pink city PERMIT NO i t V
¢Z
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS {� ZONING (office use)
Z2fS SoLctr J�-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER T
(Name) / T Oo "t" L /tic�.fft y L YL' (Phone) 6/240 — 72g/
(Address)
BUILDER
(Company Name) e nv th1 j TKO .,:j Ivo, Am,oc' f u,.. G � . (Phone) 6/?-9i14 —6 ,/6
(Contact Name) ,904,47 , (A)111*P4H4 (Phone)
(Address) /1/3 w y t.,,,, , O... J/fif,(roo'FC /Y/A -) 5E7 9
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding g JLower Level Finish El Fireplace
['Addition ['Alteration ['Utility Connection / //f \ \ \ \ \\
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5 t
1 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 1 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 r e t permit for j cause ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - 2(4 z1>r? - 5/3///
Signature Contractor's License No. Date
Permit Valuation 4" , 0 OQ , 0 Park Support Fee # $
Permit Fee $ , 7 ZS SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 2 , 6 O Pressure Reducer \ $
Penalty $ Sewer /Water Connection Fee #
Plumbing Permit Fee $ ¢ J� Water Tower Fee # $ -
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ S ¢ TOTAL DUE /70,25
This Application Becomes Your Building Permit When Approved Paid j0 ! S Re' - . t No. lP z9 #1
Date 5', 3/, // '∎
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
Basement Finish or Interior Alteration to Single ' : y$omes
BY: , Date: -57 37' / j
Building Permit # ! / 4 PM: Zoning:
Site Address
Legal: L B Subdivision:
Existing Structur . YES 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
ty
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
, PR IG
CITY OF PRIOR LAKE Date Rec'd
HEATING /AIR CONDITIONING/FIREPLACE PERMIT
P'°k File P ERMIT NO.
Green cny 4
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
2955 BOBCAT TR
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) SOUTH METRO CUSTOM (Phone) 952 - 469 -8800
(Address)
APPLICANT
(Name) FIRESIDE HEARTH & HOME (Phone) 651- 638 -3318
(Address) 2700 NORTH FAIRVIEW AVE. ROSEVILLE 55113
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE WENDY SCHROEDER DATE 651.638.3318_
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
DAir Conditioning ❑ Special Devices Fireplaces with Box Additions or
['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL HEAT & GLO CNXT42361T -C
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 $ /Q03. JO Building Permit
HEATING PERMIT FEE $ PAID WITH
STATE SURCHARGE $ .B UILDING PERMIT
TOTAL PERMIT FEE $ Sq
(Office Use Only)
This Application Becomes Your Building Permit When Approved Pa „ _ • .
Date By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Cie.. 41'4,
'" • 1 t
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Z 955 130 .0 0+ - T
NATURE OF WORK L-UW6� �E1/67
USE OF BUILDING ^3 ( //'--
PERMIT NO. / 1 • +2.-0 DATE ISSUED 6 3 / - / /
CONTRACTOR 5 Th f^- PHONE e Z- Q i4. (9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
NEM 1 1
PL NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING C.�?
INSULATION
ELECTRICAL n
PLUMBING V I'SUa.Q.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
)
BUILDING 15 SLg
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