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HomeMy WebLinkAboutBuilding Permit 12.284 0 a N W Z _ Z F- P j _ a' u. E Ly Z W W Q 0 w O -UU Z ty Q ; 5g , aaa� W 1, O 2 W W N O 0 `M \r, W 0LT.L E ? 1, 6 j 0 0 0 0 ❑❑ > j ���, U O W = N o N °" I LL 0 w z aa -/ w i_ Z » = m o 0 P CI / E o 0 LL -- M 0 U 0 4• 0 0 W Z _ Z Z U c a j o u1 U a Ea a la co 0 Z �, b O UF'Lu I 0 o z f- p a�3 �► w w IV w � O 000❑❑ �■ 0 0 Z Z QC O = a a. LL i- 0 I Ce Z Q 0 W w €� a w O Z U LL U -� Z O / U O Y m Q4 '� \ n 0 �Z O a ~ ' < E f a o . o z oZ ~ z w , v w w J w LL CO Z PZN -+ re CC o Q A O Ce w Z OO 2 0 0 0 a�i U O � >--a o 0 u. u. LL = (A > U U a U? Q o a ❑❑00x c, AK 0 E J z i a�' s J LL a U LLZww I z w > : to, � gSgJ c ��wwN O a m „I ,� w z N c �wLLt� w C 00000 ❑ �- v r x ` ° N 0 O a 1 m L O D ` d z E OOLLJ 4 ,, 0 a, w j a = z ex z_ z S z? � t w c a E. CZ k C1) 0 W °D =wpm= a z ∎ � UF - 3 U w W z X CZ 1 0 0 0 00 0 I N 2 0 0 O w `c CL a LL i- 1--. z a �� 0 • a • `O LL� t� O O t YV o U a S � O z z v N : l co o , ^ W O z O O W F- • g a F- ' oC z i= a Z v� 0 0 -J OaOF- zn w w W a y z Z p? g z W Y a' a' o Q A 0 w w w 0M <Lw- ■ 1 O O O U o a 0 v N 0 0 O O 2 LL h 0 U 0 a 6z a 0 a ❑❑ ❑❑❑ 0 N c� ❑ ❑ � /1 N \ ,,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd f TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTIO PE RMIT r�NESO� `-/ L 41a. z_64_ I. White File 2. Pink city PERMIT NO. /2 X8 6 (Please type or print and sign at bottom) 3. Yellow Applicant / ADDRESS ZONING (office use) 9 \� C 0 Ir"\rVC,rf r,JC_ S`.�i V ( kW) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) c _6 :k: C J LC, N 6.S (Phone) (Address) BUILDER (Company Name) ',SAC a ii) t f ire ink C C Or (Phone) 051 -77/ S-g 71- ( b„ikv,o (Phone) (Contact Name) `a � eJ\ ` ` ^� , e) ( N ''` Et$Q ...) (,,s1 -�.y (Address) JOO e_t_v\ - -e'!'tJ 11 L f c I� M1 t, (�- c q. 1 Mk) f s7 ! . 5 73 TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Leve Finish El Fireplace ❑Addition Alteration ❑Utility Connection 1 e_ ‘b e ,,k. t_ t> A p r, 4t_ --' C(. t (. . CODE: ❑I.R.C. jI.B.C. ❑ re_ Type of Construction: I III IV V A B A err, Occupancy Group: A E F H I M R S U PROJECT COST /VALUE $ 1 i 1 l.JO 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 I am the owner or authorized agent for the above - mentioned . • •erty 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 re s permit for just,eause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X _.. --� ----- C '— D S O 4 -7 - la `�..' ature Contractor's License No. Date Permit Valuation 4 / o 0 _ 0 0 Park Support Fee # $ Permit Fee $ 44- 57) SAC # $ i Plan Check Fee $ Z (33 Water Meter Size 5/8 "; 1"; $ State Surcharge $ SS 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 . 5 a 10 $ 3 ' , This •a'rica on Imes Your Buildi�tg Permit When • . pro • d • P a id � Mar zing= / 4 / (-Z--- Date �? D . ildin_ Official D.te 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 whin 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 I 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 r 0- PRI0., CITY OF PRIOR LAKE Date Rec'd ti . x HEATING /AIR CONDITIONING /FIREPLACE PERMIT / /'� ^� U trr � L C./ , / L - .4rN E\cS OkQ /=r W/ r2 . 0284-- 1. Pink File PERMIT NO. /2. .. ¢0 z_ 2 Green City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) / W V ° Corn rraerc - e, Ave- N. e LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ! A.e,llness (e rke (Phone) Name Leg �� C_.r' {.G (Address) APPLICANT -/ (Name) Lees fet�vc Q. / (Phone) qv-z_ gig - 8 s00 (Address) 8555 12-sri 12-s SA . 4942_ V? ry 55 378 (Address) (City) (Zip Code) (Contact Person) Mit '/ (A /_ (Phone) £ /Z -2 —/6 APPLICANT SIGNATURE �1 ` A, DATE ._5/ 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 ❑ Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water M echanical into Required Side Yard Setbacks. ❑ ❑ R adiation ❑Air Conditioning ID Special Devices Fireplaces with Box Additions or ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL I 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 549.50 // Estimated Cost $ ( gat' • ew Building Permit # HEATING PERMIT FEE $ 4-q. 57) STATE SURCHARGE $ .57_0 _ TOTAL PERMIT FEE $_ ,..5 y r office Use Only) / This Application Beco es s, Building Permit When Approved Paid /, 5 -� Receipt No. 676.3 i 515 t 7i Date _ By A (9 I3ul dme Offi al � Date J � � � � � 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 o f PRI� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4 / (o. /Z AND UTILITY CONNECTION PERMIT t 41 /kN Esolt' I White File PERMIT NO . ?. Pink City / _ / 3 Yellow Applicant 1 (Please type or print and sign at bottom) , / 1 ADDRESS r -(! eo com/ ,4 /rte v /A V C L — / ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ^7_5, / q4 Z.)- 0 OWNER QQ n� ,' I ' ' , / 5 S �, 7R (Name) � G /�i � /+ G(/ � �/[�C��/ �J /�-- (Phone) (Address) /y/ 80 /4t40 — 67/C6 /WA) BUILDER � — (Company Name)�i/v ea EL-544 G / GO/V S • /'J C.. (Phone) 76 3-‘362-- I too (Contact Name) 25e--e'(/7 - //v' S - (Phone) 7 & 3 - z3S- /026.1"* (Address) 7//9 Zr. 43/ A) - ,kiiJ t6Pe, NON 5s TYPE OF WORK ❑ New Constructi n ❑Deck ❑Porch ❑Re- Roofing ['Re-Siding ['Lower Level Finish ❑ Fireplace ['Addition Alteration ['Utility Connection CODE: ❑I.R.C. ❑I.B.C. / ❑ Misc. // Type of Construction: I II III IV V AB PROJECT COST /VALUE $ z(6 ©©le Occupancy Group: A B E F HI MR S U (excluding land) 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 w co orm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official • • • . this . rmit for just cause ire hereby agree that the city official or a designee may enter upon the property to perform needed in ections. all X A II. . . . . i 4 - 41M.2: ......IGT ..tr - A.09- 4/ / z- ft_ r Signa re Contractor's License No. ate Permit Valuation Park Support Fee # $ oc0.. - 49 Permit Fee $ (, 30.1' SAC # $ Plan Check Fee $ 4' del Water Meter Size 5/8 "; 1 "; $ State Surcharge $ '2 2..... 5c> 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 $ 0 (.03. 2 -1 — T ppl' at I: e . es Your�uilding Permit When pprov d Paid ! �- Rec t No. Cp,� C.� �� I Date Z�� . l°Z By • Butt D< to 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 / A// etteeF. "tr gyro j a will revi r �/ � � �3"�2 s e/ret, e S h V � er c Plan. t • : rector 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 PRIp 1 i , 9 White - Building Canary - Engineering �'`^NES °P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: • Accepted X Accepted With Corrections Denied Reviewed By: / �� Date: 1 /` 3 -/a Comments: All ekter -1., slq -O 1.11 re ih -P.rC 579.4 -, -.tit sjn / 0 CVW, "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD � r SITE ADDRESS ( h 60 M L 4,-- J%.G. 50 .-t-lo NATURE OF WORK 'acs I t zs I4 USE OF BUILDING ((c_ Ac PERMIT NO. (2-- ze 4 DATE ISSUED L / z CONTRACTOR L - 1\16-'- 61., -- •� T-, PHONE l(e) 3 - z. 5 . - t2 z - 1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE VON 4 I I 1 ,::U.NDA ,{N (4or to Backfill) 1 1 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FEWER / WATER / SEPTI t. FRAMING wC i5/3),Z INSULATION ELECTRICAL ON HEATING (if required) t ,; ( L REPLA A NE A`ES. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 eP,t6s ,c) 1 t (1_ s �z_-- FINALS 1 ? - Oddity BUILDING 2 1 7 / 6 z3),7 ELECTRICAL 01,4BiNill 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