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HomeMy WebLinkAboutBuilding Permit 11.570 CITY OF PRIOR LAKE , !1rnrfm1?nf of p M c i ! n pirti.au CFina1 Permitted ❑ Condit C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the ❑ Re sidential / ❑ In ternational , , p q f f Building Code certifying that at the time of issuance this structure was in compliance with the various ' ordinances of the City of Prior Lake regulating building construction or use. For the following ,� Use Classification F 7 Bldg. Permit No. / 1 . 5 7 O � Occupancy Type Type Construction Zoning District "' Legal Description Owner of Building Site Address 1 4-m 4 i k--• f / / e Contractor's Name & Address / �r i / P- l y / / k� r r t.-0 6 (. )Z' / 0/ (W1 //'JS �f /� Cit Planner Buildi O icial ! Ott , Date: / Q "( / I Date: POST IN CONSPICUOUS PLACE .' ! I ,,, ,� i 11 I,i ,:,1 '''',I,',"'‘'.',';",‘ ' I � u , , , ., of PR' CITY OF PRIOR LAKE BUILDING PERMIT, a � I 'd T EMPORARY CERTIFICATE OF ZONING COMPLIA i ii, Se e Ma.mtii ti fir 1 6 , 11ESO� t. 1. White City City File R 2 PER T NO. 1 I .a . � 3 Yellow Applicant f tti �l� 1 j . (Please type or print and sign at bottom) ADDRESS 1 '4 ') 0 to PVR-1 =51 O >= CUV (Z-T ZONING (office use) LEGAL DESCRIPTION (office use only) LOT 'k BLOCK ( ADDITION JE.1-FERS w PK E-K- 1r =Ro t..1 i PID 2-5 - 41 $ - CD CD 4 - a OWNER (Name) r'1 It T T r , 1 . -1 Y 4 T-- t- S (Phone) ` S 2 - e2, 9 S - 21 00 (Address) 21 DO t c- 2 - A m 42 z)URt41S✓IL - LE_ t 114 SS - 1 BUILDER (Company Name) M TTtk P— '.- 44-U C-t E -S (Phone) 9S - 2 - - F 9 S - 2 - 1 6 6 (Contact Name) "G.- a.�t2-t_ (Phone) y S2- - (6 9 $ - 412-8 (Address) 2- t b 0 t." \J C-1 1>] L12 la)U 12__h1S V 1 LL Ni N SS -3 TYPE OF WORK $N ew Construction ❑Deck DPorch ❑Re-Roofing ❑Residing DLower Level Finish ❑ Fireplace 1011Addition DAlteration ❑utility Connection CODE: ' ]I.R.C. DI.B.C. 0 Misc. Type of Construction: I II III N V A B PROJECT COST /VALUE $ t'Zm e).97.0 . Occupancy Group: A B E F HI M R S U Division: 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 certify that 1 am the owner or authorized agent for the above - mentioned property and that all constriction 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 this permit for just cause. Furthertitorc, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x r i t,✓i L�---- t�.e—. gL - 7.-c)3'1 5 38.6 lo ‘ t% 111 Signature Contractor's License No. Date Permit Valuation (2.5 Park Support Fee # $ Permit Fee $ 1 � 5. Sv. SAC # $ -z-z- 3.0. — Plan Check Fee $ 102,25 Water Meter Size 50; 1 "; $ Co 1 State Surcharge $ 6?Z • 5C) Pressure Reducer $ \ 0 Penalty $ Sewer /Water Connection Fee # $ 1r Plumbing Permit Fee $ 154. ca. Water Tower Fee # $ (p 00, — Mechanical Permit Fee $ 1 54. Co Builder's Deposit $ 1 SfX — Sewer & Water Permit Fee $ S 0.5.O Other? t $ Gas Fireplace Permit Fee $ 5-.1-. TOTAL DUE $ rirWly This Ap} ,cation : .nte.� our Building Permit Whe Appr ved Paid L ✓ Receipt No. & .S ( ( 6 ) � , Date 1 —( (( By 6 AV: A ,V X 11'144- iuir ' ' Official ate 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 [tour notice ror all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 ‘ 1 %41P 11144;" - ;,37"14,v4 , c.; 4 P RIO CITY OF PRIOR LAKE Date Rec'd I , , e HEATING /AIR CONDITIONING /FIREPLACE PERMIT o a r. 1. Pink File PERMIT NO. 1 + 570 j N1VES 2. Green City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS \' ZONING (office Use) 14 Otp PC01 Catf ( "\i LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER - C k � /, ,�� c� (Name) 1 `� l I�l U l� t t1I (`1 (Phone) (Address) APPLICANT : i . " 1 0. 1 - I w 5 (Name) If It 1.. � � (Phone) 9 (Address) 1"1 :b ) e i l...0 j 5J ik .. ddress) • (City) (Zip Code)) (Contact Person) � . , 1 (Phone) APPLICANT SIGNATU ".RJ E _IRMA APPLICANT PLEASE COMPLETE BELOW A K e EW CO TRUCTION ^^0 REPLACEMENT ! U c 11 ACEMENT El ALTERATIO ALTERATIONS MAKE AND MODEL J V (0 FUEL lv 14L'A FLUE SIZE RETURN OPENINGS INPUT (OM 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. 4 Mechanical ❑ Radiation Fireplaces with Box Additions or ■1. it Conditioning ❑ Special Devices Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings f�`' 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 $ _ 1•e Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" has been changed for one EATING PERMIT FEE $ tt1c1a SAID WITH year effective (ATE SURCHARGE $ :,1�?7 BiJILOING PERMIT July 1, 20 rch rge June "fixed 2011. 1 . 1 f `= he minimum surcharge for a "fixed fee" permit DTAL PERMIT FEE $ . � is $5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buntline Official Date 24 hour not for all i nspect i ons (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 ...._ .... ■ k rzk E P� *E � Qu 2 h m 4 . --,--, 4 -..... u. E ■ % k OOOOCC > ® o = it _ U. C4 \ ° a § e 2 J z § R B c-a w k § 0 kk0 . g w o 0 W §■JJ§� � . a\ z CL 0 $ ® \ © . �� § §3 0O z e c, It az§ w id e ii§ 000000 ~ : k k■ z y CL O. \ -. / \ C la 41 re re \ � o „ NA } k ....N � ii k 014 Z k 0 U k 4 a. p. 2 $ 2 40 k § § © % �S re & Z 00 WWZ X § § § k (. o & o § 0 2 2 ■ ■s 0 u© g 0z 2 0 a 0000AO 0 o 0 £ 4 PRl Date Rec'd ,�° r �� C ITY OF PRIOR LAKE PLUMBING PERMIT 1-1 v -,:`h1 d'INNESO 'c' I. Blue Pile 2. Gold City PERMIT NO. 1 l 570 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) l Narsae, Ccw- kV.) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N R l 1 Glrni e(li e (Phone) (Address) APPLICANT `'L w� • 1 J� (Name) ��,(� 1 (Phone) T �9f � (Address) ` �TV D l b lid l hilift. j M- 4 (Addy s (City) (Zip Code) (Contact Person) Rth ae-- e'tn IAiA.1.A_ (Phone) 0 % ::r&: . ,1 ,c� APPLICANT SIGNATURE :�?��� � _�a 0_. _ail .l. _ 4 DATE 4+r K I 11 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater I Floor Drain Water Softener 3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink __Sewa e Ejector (.3? Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink I 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 $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 32613.148 )st $ 9N, Building Permit # URCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ 14 9. PAID WITH July 1, 2010, until June 30, 2011. STATE SURCHARGE $ �t�� P>' BUILDING PERMIT minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ �H is 55, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. 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 P R I R DE PARTMENT O LA K BUILDING AND E F INSPECTION INSPECTION REC b JflFIIC SITE ADDRESS 1 43 067 KtzIA4 , ca. C'�� NATURE OF WORK Slat t.&F/#M 1 LY A- 1744.14 ( )..-. c 4, Q 6W— 6 L. L USE OF BUILDING SF-.4. PERMIT NO. ( _ 570 DATE ISSUED to Iii CONTRACTOR 1 14arr- A4-t A ,M PHONE 13 .• $ 9i3 -4 f 2A NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW jT P MIT / TE UM NT �,,�r� 1 -L � � IS Y SEPA D >� I4 iuT "J 1 ECTOR 1 l DATE I FOOTING 1 1 I I FOUNDATION (Prior to Backfill) 1 1 I PLACE N �fc�^^ V CONCRETE TIL OVE HA BEEN SIGNED Ottioao S ROUG - SEWER / WATER / SEPTIC • FRAMING Pe 6(196( INSULATION PP glZZ ELECTRICAL PLUMBING a 8ifftcr HEATING (if required) ff4r l p.41 x.�4. k/. /i! fl GAS LINE AIR TEST rA ,.,k.,. 19b y34/ 1/ t P COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I get1562vogiNF 1 1 I F t-. v N a a fi l7 l 1! FINALS 5 P N P4 ?4 / ( �- P d u GRADING (Prior to Sodding) / /o l y /// BUILDING f,�, / I it'? rt( ELECTRICAL PLUMBING Wd2 Mr/ 1 i I <<r Swe a 4Wfr HEATING 1 ! 3o/r( 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 -