HomeMy WebLinkAboutBuilding Permit 12.968 J
o LL cg Ui E
ZVV< z c
W 0 2 W W €0 = 4 s d
C .0......... 0 u. l L 0 w z
1 000000 4 re ta
y
o
N O
J Z » Z z 0 O
D C Op u.J ∎ O 0 0 o,
OO < W j
w z ce z - =xzz 0 0 O. O
o 0 w mzwrea �
III � a z w , 0 - a „w . x -
J W g J w ±� m a 2 co a. a. W = O
W X
Li! to ILI
D❑❑❑❑❑ e :. a a LL
J I r Z a o IQ
—J 0 < a u.
0
g- - o 0 -- re co
w O z z v N 10 N OI
0 Z
2 0 w 1— H F- V w
a ° -F- CO z zC =g w J z �[ re w a ' J Q
u.
w J
Ow W 01 Ce w Z OO a 0 0 0 .5 V
d 0 O aau. = 3 c) 0 E.
5z 4 0 a DD❑❑1 D V D❑ E.
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
9
U TEMPORARY CERTIFICATE OF ZONLNG COMPLIANCE (,1 � ('7
AND UTILITY CONNECTION PERMIT U I L
.4 ,S`t
`1rN E 5
1. white Fite
2. Pink City PERMIT NO. l2 .. ,?6,0,
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 1 LI 32 -2_ PA-IL It -'tDE c 0 V r2- -1 ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT U BLOCK ADDITION J E l= G" 12- 1,/A ` ' 2 r 120 ` -1--t PID
OWNER
(Name) I A T t: t`--1 - 0 M ES (Phone)
(Address) 12a L W A S1-1. ■ i-11T- , t..1 A v' E s STE_ 2-a I a. O I t-.1 4\ H N S S 4 3 9
BUILDER
(Company Name) M l'r - P . - 1-1 "i 4 I`' ES (Phone)
(Contact Name) S'-' 84 '\. 12 (Phone)
(Address) l2v l 1. S1-1 11-.I (T1 -J I VE S 5T- 7 e)1 -O 1 NI tt H 1.3 SSL 3)
TYPE OF WORK 0 New Construction ❑>eck ❑Porch ❑Re- Roofing ❑Re- Siding ° Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection Z te-M S
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: NO t' P
Type of Construction: I II III IV V A B
Occupancy Group: A B E F III M R S U PROJECT COST /VALUE $ ?, 600
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 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 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X_ c....._-....._ BC-- - 7- 1 :2 ,2 3 - 1 53a4:::. O 'Z2 — 1 2
Signature Contractor's License No. Date
Permit Valuation � OU O .. 0 Park Support Fee # $
Permit Fee $ CO / Z - 15 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / 0 O Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ ✓ 5-3 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE �n q , S $rte $ /17 /75
Ttion co es Your Building Permit When Approved Paid L l z'lG Receipt No. (ow
y
Date �3_) - /d� By /7
g 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
BUILDING PERMIT #
P.I.D.#
CITY OF PRIOR LAKE
SINGLE FAMILY WORKSHEET
NAME OF GENERAL CONTRACTOR: h L�-Tr�. M't L- L -1 S
ADDRESS OF PROPOSED PROJECT: 114 ' P I\ F V 51 DIE L Ov t1
SQUARE FOOT FLOOR AREA
FIRST FLOOR (INCLUDE 4- SEASON PORCH AREA)
SECOND FLOOR
BASEMENT FINISHED 1
BASEMENT UNFINISHED
GARAGE
DECK
3- SEASON PORCH
SCREEN PORCH
NUMBER OF FULL BATHROOMS
NUMBER OF HALF BATHROOMS
SEWER AND WATER CONTRACTOR: DS M t (DC l - t-1 bp- L3
NAME PHONE #
NUMBER OF GAS FIREPLACES:
INSTALLER: L ►2ES 10E 4 Eh Th 44 o t" l E 1.05t- (,'525 -1339
NAME PHONE #
NUMBER OF WOOD BURNING FIREPLACES:
INSTALLER:
NAME PHONE #
MECHANICAL CONTRACTOR: C— 42 - CZ i 4� 952 - 767 1 - 1000
NAME PHONE#
FURNACE: CHECK ONE: ® YES ❑ NO
AIR CONDITIONER: CHECK ONE: ® YES ❑ NO
AIR TO AIR EXCHANGER: CHECK ONE: ❑ YES E NO
PLUMBING CONTRACTOR: (Et1 2 - 2`(�t� S 2 - 1 10 0
NAME PHONE #
WATER METER SIZE: CHECK ONE: ❑ 5/8" (STANDARD)
❑ 1"
❑ 1%2"
❑ 2"
❑ THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE NO CRACKS.
❑ THE CONTRACTOR HAS VISUALLY INSPECTED THE SIDEWALK AND CURB AND THERE ARE CRACKS N THE
❑ SIDEWALK ❑ CURB
ATTENTION APPLICANT: YOUR BUILDING PERMIT APPLICATION WILL NOT BE ACCEPTED UNTIL ALL REQUIRED INFORMATION IS
COMPLETE.
C:\Documents and Settings \sbare \Local Settings \Temporary Internet Files \Content.Outlook \BD8OXI9A \Single Family Worksheet.doc
RUG-29-2012 08 : 50 C I TY OF PR I OR LAKE MA I NT P . 08/00A II
......,1■01d/ N.,0111■ "fa 1,L•
LAKE PL Dte W
Itia,. e'd
:
t. et ,
. ' e t4- - IP
Z
_...) CO OT OF PPC:it IIMIONG
PERMIT
. I ve - .4 ; .
\ •
[Filtildm vio7r....
I Irdlow APP"c• ...::.• • -- .• -we- •••
ri
/ ADDRESS . ZOIIIDIG Comet tad
i (4.32a ( Pcor-cd.t. rmoic.--ONI
•■■•■......... . ,,, ■• •■■• ....■ . ...,...mr,n,•InlIVIIIna...........a.......................,./gomee,' • ` • . " .■ • ,,,... ,,,, ......,,,
( ...‘,,,.,:...._.....1
LEGAL DIWItaltliN ((Ott Ind Ai
NN . .1
V‘
LOT 8 A' 11.0C2C I .ADDITI011 refe.tr4 )e,/,:kerti VW
.................,,,,...................... ..........................■•■■■••••■•Me..................................m,* .
07
_
ww----wwwwwownweway................ —...—.•—...—..........—• • • w.......................w.ww
4........, . . . . .
' „,.. •
PAN il ,, , ..., 4N, '
i • .
1
(Add) %AP -- \ 11..„1: L 9. " :\i' 4 S9jr_rks\ii i le 65' 3' 7
I <AMWAY ' . • (CRY) at Code)
I
i 11171/4 LSK-i7 - (PhOhq) 4 Z--
- 7c.- - 7— ) 5 1
(COnfactPtaanj , • :!..._ ...„, _ - ' ''' fr
, . . . , •
lyt1 (Zajj :
—....—...
_,___,_____APPLTCAIST PLEASE COMOLETZ ina4OW
wreerwreew
_ ..... e •
r .....tilkofortin...... ..... 1 .. ..o.tii. •
i _ Tt with or wiihot11.6MX__ ___ . • ROI'. 114.11.4 —_—___
1 :: DWystslux
1---- rDisth i
— 7.,.. ---- 7 - '1': : We& &Metter .. . . .. .. .. .
IT,V.M..........
.. i Laurolr Du ' .1 or 2 nod sink
I . . . • Buirflow Assomblsi -
5i . . . .
: EaOkEOW: Antral Tog
,..,„
i. gc Mk
- ---- i I Wet Cloiit 'Toilet ' " . . tAllq..
Flo SCireours
weal, cortimaziA & moltAmily I% dial tua with &49S * rakimnio %lame:4 Ntw One IhTist.immiiy 214530
Residadial.Mditiont & MggliniOnS S49.50 •
•
•
Tito h./1 g igues I )24 I ii,i g ' 1St 3 Bulldog llama If
1 $1. 1 .RCHAROr." has beta clanged for ow; PAID WITH
. yor za PLUMBING PERMIT IT.Ii $
BUILDING PERMIT
ai i,2010, nutit Jam 30, 2011. SLAM SURCHARGE S .50
nit rettiinita iitidinie he z ' he wain TOTAL num ME $
Isis, walla/ hiy /am
.......
.... •
This Appikattoo Becomes Your Ilona* PrOrnit Men Approvod P'
aid .-- .....
.___.— .......,
Deo . Sy
.....
13514sitat CAM —
Z4 built itoUgnirm ell Iniputotts Dal Owns% rik (954 $47
460 Mike* Srrtet SS., Pthr Lit t Mixteci tit s .55372
TOTAL P.08
SW -29 -2012 08:50 CITY OF PRIOR LAKE MRINT P.05 /0
"— "1 "•' vv.. rv• .vvv uv•cua...vrc. .v.vr +r a , uuf„, VYL
,
• •tl . CITY OF PRIOR: LAKE Date geed
, ' , I A IN - 09 a NDITI l GFF OPLA VI PERMI
i 144 -seer.
i
3 Atl7S _...... j _
I LEGAL b,�S l ' IZ (idr �cw:_ ;y7 _... -- r_ . ...._ •. -•" --.- I
(Addtxss)
u
MltrxteL _' ' •"\,1- 'r ax) holse) _J 2 -) : - 1 VC I 1 •
(Address) . ---- �...m- vi. s � -ms ., 1
lT d ,C4,d
(CoittactPcrso i) £.$j
i... % -v� = {P hanE) (? "� '(
APP'L1 }Ii�I SIG U } "r ,
b 3;1,3; .
APPLIUNT PLEASE COMPLETE BELOW .
I tfCEME: - i 3fdi37f.Tl , ES
FURNACE MAKE AND MODEL FUEL
FLUE -$(2.E iifa"TURN OPENR L
TYPE OF SYSTEM MATING G OR POWER PLANT _, . - Y - ,...�....,.�.rW.,
1 W+rn� e#irPls ata • 1'L SENOTE: Mr Cottat;ioner j
. t i Sim, Mira and Firoplacesa set.Zucraash 1
y 0 Her Writer
D+tatJianital i Whelan
Regard Side Yard Setbaelet.
QAir C c1itipaief& �S iPoriec; _ -... 1F{rc Ba wit t uuxAddifipiisgt
' L 3Vc.•ii. 8ystt.dn o Dow , coAttioyoto to. the Qutsitko of tuddinea
JtiR Ri MAKE A Cw41? € _..._ ,,,_„�,.,. ..,,„, Requite a if t JMtng Fermtf,
FEE SCREDULE
Ji dV5lti, Conuninini at M lit ;ally I% ofjollasE Rtsiiaiiall, Gas FlttGirlarc 549,50
��, $�4'9.501nitiimpat PAIDATH
it;sitWixi, Xiegil. a & NC (N Cimst uuctacso 3140,5.5 itmidtali21, Maims & Aficrolons
Re tdmiti ,Ht4tingCniy(tta *Cotsinictien} $64.5D Rraidmeal, Only BUILD IN
Estimated cost $ _ . Witting .Farriat >'# ..... .,.,....
iti+t i46$i9„ts atlininics 13ZGt3. 14$
Il i i`x PLiR1v1€1' FEE ,' ''F, €tRCI t:l lei - eE'" has b4{ts elnutnc3 for tine
)cut eittk7a4
i~'1 °r'-3V- SURCITAIW g,____.5 .lnty I.3ltlil.RieiilJunr'fit,F.itEl.
- 'ifitimatlM1'F1 �:.... Mt nintrnunaAuretea :p tors 'ttsci0
_ r: Un Oa!) is NS ;x.,;it:sinz•iol; 420fir
'Ii£aApptic ) waits Yeor Bul.kliar Farrah Into Approved + Paid -, Rc P i Nt;, ","
WORE t?l�leht7 — t3
24 Maur netlec sfvr aft: ftaptatlaaa t9M3 6474M tax (951) 4414245
464 Mott Street SII, Prior take, Mfaaeaets Kin
P R I R LA K E BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /43.2 Mitig SW CT:
NATURE OF WORK _MYEIL LEVEL,..
USE OF BUILDING RCS
PERMIT NO. `i ' E ISSUED � . Z3. rams
CONTRACTOR d or ! r — PHONE
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
OMEN
I 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
plINNUM \11
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1 1
FINALS
- BUILDING � /o IZ t
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