HomeMy WebLinkAboutBuilding Permit 12. 0233 J
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CITY OF PRIOR LAKE
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Final Permitted ❑ Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the CI R I ❑ International
Building Code certifying that at the time of issuance this structure was in compliance with the various
' Bldg. Permit No. / 2 _ • z3
• ordinances of the City of Prior Lake regulating building construction or use. For the followings � j
�• Use Classification �..l N t i / `' ' 1 "'� 3
Occupancy Type Typ Construction Zoning District
L Z 5 14 Gt6,&/ �
Legal Description / f
Owner of Building Site Address ' 3317 Sv,". y �c// t ""►
Contractor's Name & Address BEN / ! 9 , - , A J / L E - - - /A JV5C
t` - ,/ ;'/// /�
{ je W � i /<-'/� �C/ / (.� � / �� �''� City Planner <
Building Official (j J
Date: J / 2 o//: Date:
POST IN CONSPICUOUS PLACE 1
N,4 K ai m c
6.AN't 04 L'R44 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TE MPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
d rfk t O4
r. White File PERMIT NO . ^�
2. Yellow City /Z... _ Z °\
3. Yellow Applicant 'V
(Please tie or print and sign at bottom)
ADDRESS ZONING (office use)
S3 7 &v1 CA , (k-e 5s - 7a_ l2 -t
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION ND
OWNER _ 1
(Name) 7� • CL V \ v► /1 (Phon SO -`% --/SS.._
(Address)
BUILDER
(Company Name) \bar(' v T ewsc1► Cam, (Phone) �y`
(Contact Name) 4\ f'(i'v'Ss0✓1 _ (Phone) 6/d - 3o)s = / 7So
(Address) 3O) to-cl efs „ ; A 4-k - s , ►M ,v 53 7y
TYPE OF WORK New Construction ❑Deck ❑Porch [Me- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
A ddition ❑Alteration (]Utility Connection
CODE: I.R.C. I.B.C. ID Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H 1 M R S U PROJECT COST /VALUE $
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. am aware that the building
offs ' o e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed .. • - 'ans.
X \� \�, v /
Signature Contractor's License No. Date
Permit Valuation .2-‘0P$ p� • Park Support Fee # $
a
Permit Fee $ 2061. So SAC # $ Z Was C.
Plan Check Fee $ 1 .M.4ste5 Water Meter Sizie; 1 "; $ As
State Surcharge $ S sc Pressure Reducer $ ! 2 o. .
Penalty $ Sewer /Water Connection Fee # $ k S O0 ,
Plumbing Permit Fee $ I S 4 , Water Tower Fee # $ i O 00
Mechanical Permit Fee $ ` S 4 co Builder's Deposit $ ( c., oft.
Sewer & Water Permit Fee $ 56 - Other $
Gas Fireplace Permit Fee $ s, . SO TOTAL DUE 7;14 Geo , ) N p r4 s i6 . -
This App . do . B mes ; ur ... nF' ' ermit Ap . ' ved Paid ��E ` a t No. �� ����
Date !',. Z 1, /)---` i .
•
' '�� � - L
B 'Iding Official • , to
T h i s is t o certify th. the • q - i n the P ve a. • ' . : • .• • - ompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by 4, City t cons. I r . temporary Certificate of Zoning corn • ' ance and ows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. , � iir
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i
• armi or ` , Da 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
* 1;1111: --* 41 :r . ti4444:
� � PRip Date Rec'd
N CITY OF PRIOR LAKE
' 4 SEWER AND WATER PERMIT �"
INNESO
: Green PERMIT NO. 1,2 22_3 22_3 . Yellow File City
3. Gold Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
3 ?fl s a
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT (\ v
, S 01 E' !, _ (Phone) — C I I q'� f 3 �f
(Name)
1✓✓ N i c�N`2 ) 1)
�o
(Address) a-c, b C
(Address) (City) (Zip Code)
(Contact Person) i . ! 4 yd (Phone)
I Tr i
APPLICANT SIGNATURE DATE 2 --
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC ❑ PVC ❑ Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'l & Multi- family 1% of job cost with a $51.50 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE $ PA L D 13
STATE SURCHARGE $ .50
'e." TOTAL PERMIT FEE $ J3 n v
(Office Use Only) +
I
This Application Becomes Your Building Permit When Approved Paid Rece'� /% j
Buildine Official Date D. - am . By /�WM
The Minnesota Statutes § 326B.148
"SURCHARGE" has been extended our notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
until June 30, 2013,
\ ..
The minimum surcharge for a
"fixed fee" permit is $5.00
N_
rRi ,/'M ?; CITY OF PRIOR LAKE Date Rec'd
-f - - w - - 4 ONDITIONING /FIREPLACE PERMIT //0 r '` �'
4iINNESO 1. Pink File PERMIT NO.
2. Green City
3. Yellow Applicant ' +
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
J / i
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) 6 e v`+ / ,r f tF -r "-le (Phone) 1 /?' ` ? 7r) - 6 € r 7 Z
(Address) ,) ) 6 b / / (2 '7 f ' rr (- %° G � . %‘ '. M. lei -7 7 Z
(Address) (City) (Zip Code)
(Contact Person) .- ' c '
(Phone) /*/ f
APPLICANT SIGNATURE _ % DATE 1 o 511 1 Z"'
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 Conditioner
❑Warm Air Plants
❑ Steam Units and Fireplaces. Cannot Encroach
['Gravity ❑ Hot Water
Mechanical into Required Side Yard Setbacks.
❑ Radiation Fireplaces with Box Additions or
ElAir Conditioning ❑ Special Devices
:Went. System 0 Other Devices Cantilevers to 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 ..._'_„`x.
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 NN
Residential, Heating Only (New Construction) $64.50 Residential, AC Only -- $19.512,
Estimated Cost $ Building Permit # ' .. l i i ` " s
J; ,. ,
HEATING PERMIT FEE $ -"� /
STATE SURCHARGE $ ' 5 0 ( � �` `
' TOTAL PERMIT FEE $
(Office Use Only) is V Se
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date B
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
1
4 vitr CITY OF PRIOR LAKE Date Rec'd
° ''� HEATING /AIR CONDITIONING /FIREPLACE PERMIT
4r'NNESO t, Pink Fite
2. creep City PERMIT NO. 0 ^ l p��
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS (—
LEGAL ZONING (office use)
3 3 1 SUAL DESCRIPTION (office use only)
LOI BLOCK ADDITION ��
t�f /
� C� C�/�✓I PID
OWNER I //�
(Name) a , U 1 1 1 ' It .l.ri/►... (Phone) P d 7 7
(Address) 3 3 ( t ,51-/V/ ) C+ 1 , ot/ 0 4W S 3 70`
APPLICANT /� (Phone) 7&..?
(Name) �(1Ah' Phone 7ck •
(Address) Aka___ ,,/ ¶ ,4# S `, (/(('A--(4 "&/ sc..? i /
(Address) (City) (Zip Code)
(Contact Person) v64' �I
1. I � �kae'�'' (Phone) 7'3 2BL - 7 4G 6 ,
APPLICANT SIGNATURE I ` —w_ ----- DATE ri
_
APPLICANT PLEASE COMPLETE BELOW
VIEW CONSTRUCTION ❑ REPLACEMENT 0 ALTERATIONS •
FURNACI MAKE AND MODEL __ O' v rCIA.A,Q FUEL 1 5
FLUE SIZE (/
RETURN OPENINGS' ( xl`y INPUT / O60 OUTPUT 6, 60
TYPE OF SYSTEM HEATING OR POWER PLANT .
❑Wafm Air Plants PLEASE NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
Gravity ❑ Hot Water
into Required Side Yard Setbacks.
Mechanical El Radiation Fireplaces with Box Additions or
Air Conditioning • S •ecial Devices
DVent. System P!, other Devices ca c � .31-es-v— Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL /1744— FEE SCHEDULE
Industrial, Commercial & Multi - Family I% 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 #
The Minnesota Statutes §326B.148
°SURC11AR(iii" has been changed lot one
HEATING PERMIT FEE $ year eIfective
STATE SURCHARGE $ .50 July 1, 2010, until June 30, 2011.
TOTAL PERMIT FEE $ The minirnurn surcharge for a "fixed fee" permit
(Office Use Only) is ,'1,;.-i, beginning ,fly 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine 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' DEPARTI OF
BU ILDING AN
AND INSPECTION
INSPECTION RE
SITE ADDRESS 11 4v (4 C ; _
NATURE OF WORK L . v: illt_ . .4 0 - • ' •« Fr�, t. ` ,
USE OF BUILDING 'E
PERMIT NO. t2- - 2 - DATE ISSUED 4-4 !, y
CONTRACTOR F,67 oz,1 PHONE 3w 4qz 133 _
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERT IS BY SEPARATE DOCUM '
r-
(4 z.�:.. S �� N"1 �'�C.. �/QEN'� -{� � IN / SPECT R DATE
'FOOTING a4.4...se. NY 14 k/ I di, 12 .
I FOUNDATION (Prior to Backfill) 1Pig yntir._ 1 f
LACE O COV..pRE E J G H T tB"O SIGN p � 2
Sam U S
SEWER/WATER/SEPTIC f ig ,2/ V ,
FRAMING !VG 0 We.-----
INSULATION 4 silli
ELECTRICAL
PLUMBING -,a 7, i 1j2- -=
HEATING (if required) 6j /-
IMPfflairE
poc9t,i 'a-
N CO ER NO S V 'V B
WORK UNTIL ABOVE I E I�A' BEEN SIGNED
11411%)S6 L. 1 6 9,47../P2.-- I I
FINALS
GRADING (Prio Sodding) 6 ,6 ) 2i l i h i.j
pUILDING $ j ' �t
_ ELECTRICAL
PLUMBING Skcu warn g. 'u ij /0///q-
HEATING A � N
DO NOT OCCUPY UNTIL ABOVE H S BEEN S GNED
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
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