HomeMy WebLinkAboutBuilding Permit 12. 1334 J
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,, � CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE CE // /2__
AND UTILITY CONNECTION PERMIT
j S
kiv E SO
I. White File
2 Pink City PERMIT NO. /Z ✓ /334-
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS LP 5 5 P R t t D F- C ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ( BLOCK l ADDITION 3 ��z-5 V\I PID
OWNER
(Name) t" A T T lNy M Y .44 0 NI > .S (Phone)
(Address)12nt WASHIt-1 tl AvE S SE_2p a.O ttit- HN SSU.39
BUILDER
(Company Name) t -14-- T - TA -1-1 Y 4 +0 Fl ES (Phone)
(Contact Name) 5 Li F — B t (Phone)
(Address) 1' t LA-ilk S 14 ti-4 � ito.is. S 5T_ w I >=0 I NJ a H f....‘ SSA 39
TYPE OF WORK New Construction ClDeck ❑Porch ❑Re- Roofing ❑Re- Siding 1,.ower Level Finish ❑ Fireplace
❑Addition DAlteration ❑Utility Connection 2 /2,KS.
CODE: DI.R.C. I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ 1 c ' , 0 c -
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. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X u— ..e _ BC, 2 53S)b
Signature Contractor's License No. Date
Permit Valuation 2 , D 0 0 C) 0 Park Support Fee # $
Permit Fee $ to 2-s 2.5 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1 "; $
State Surcharge $ / o 0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 5 4- sz Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE �i E. $ /17 75
This %- ti Becomes Your Building Permit When Approved Paid < G- c.v( • Receipt No. 7 &t. 2
)0 — 6g.(-eefele i (--- ,..-ii..--
Date / (-- cl— /,' By ��1,.e._
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 S.E, Prior Lake, Minnesota 55372
Frog:Genz -Ryan 952 767 1900 11/01/2012 09:17 #711 P.001 /OP�
PR lfa Date Rec'd
' CITY OF PRIOR LAKE PLUMBING PERMIT
2. Cield al 3. Mira WINN
PERMIT NO. I _ 13 3"' I
(Pleaac'pe or pesot ad stn at bottom)
ADDRESS ZONING Nike we)
1 I I3 %8 ' fin, v ,P1 Cover N.\\O
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) __` (Phone)
(Address)
(Name) A GBNZ -RYAN (Phone)
(Address) 2200 IGHWAY 13 W , BURNSVILLE, MN 55337
(Address) (City) G (Zip Code)
(Contact Person) ` -1_ O ( V t5 q (Phone) 1 'J Z1 `D 7 1 f4(�
APPLICANT SIGNATURE a k 4.A) , V AAA..' DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
1. Bath Tub with or without shower Rough -ins
Dishwasher Water Heater _
Floor Drain Water Softener
_ ' Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
industrial. Commercial & Multi - family 1% of job cost with a S49.50 minimum Residential, New Ono* Taro - Family S149.50
Residential, Additions & Alterations 549.50
The Minnesota Statutes $ 32613.14R The S Building Permit #
"SURCHARGE" boa been changed for one
year effective PLUMBING PERMIT FEE S
July 1.2010. irntil Jane 30. 2011. STATE SURCHARGE $ .50
The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE S
is ,I,i. benignity duly 1, 2010
This Appilcatfon Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buamut Opal Dee
14 hour notice for aN impactions (952) 447-9850, fax (452) 447 - 4245
4646 Dakota Street B.B. Prior Lake, Minnesota 55312
odtnc, 46s11 1 NotpLutt Vc \
From:Genz-Ryan 952 767 1900 11/01/2012 09:18 #711 P.002 /0R
1
4 p Rtp� CITY OF PRIOR LAKE Date Redd
HEATING /AIR CONDITIONING/FIREPLACE PERMIT
mo t is ar.. rat, 1 PERMIT NO.
3. Yon mama I
(Please type orpekd and alas at bottom)
I ADDRESS ZONING (otux o.c)
L 14 ' II • &' ,
LEGAL DESCRIPTION Wean only)
LOT BLOCK ADDITION PID
•
OWNER -
(Name) (Phone) •
() •
APPLI (Name - • A ` (Phone) -
(Addrc3s) A 06 . _ ,. � (' .. kit ■ •
( T/ Mao R..
(Contact Peron) C�1 /11 Y Y i S n ( PMne{�'�Z 7 Col — W G i5
APPLICANT SIGNATURE l A \! M) DATE 1,31 1 It
APPLICANT PLEASE COMPLETE BELOW ,
❑NEW OONST turrioN ❑ REPLACEMENT [] ALTERATIONS -
FURNACE MAKE AND MODEL FUEL
FLUB SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner •
0Warm Air Plants 0 Scam Units and Fireplaces Cannot Encroach
❑tkavky Hot Water into Required Side Yard Setbadca.
O ir FOR Fireplaces with Box Additions Conditioning Special Cants to the Outside of Bniidinp •
ent. Syslan Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL
FRI SCHEDULE
Industrial, Commercial & Maki - Family I% of job cost Reddeetiel, tau Flapless • S4930 •
549.50 raininum
Residential, Heating & A/C (New Construction) 314930 : ` ": - 1: ° ,.p I OV M
Residential, Head Only (New Construction) 364.50 54930
Estimated Cost S Building Permit # •
The Minnesota Statutes f 3268.148
HEATING PERMIT FEB f "SURCIiARGF" has Meer changed kw one
STATE SURCHARGE f .50 Jul 1.2010, until effective
n 30.2111.
TOTAL PERMIT FEE S Tht Waimea a►rhargr Ier a Nixed fee" penal(
(Office Use Oary) b 2S beginning Jab 1.1010
This Application Become* Your Building Permit When Approved Paid Receipt No.
Date By •
Wan Official Date .
24 hoar notice for all Inspections (952) 447-98511, fax (952) 447 -4245
4646 Dakota Street RE., Prier Lek., MIaaeseta 55372 .
4 kSVIal \.
PRI0R OF
DEP ARTMENT`
LA KE BUILDING A AND INSPECTION
INSPE
RE
SITE ADDRESS /¢350 Mgrs",oe e.r.
NATURE OF WORK h 4W alt PEY5Z
USE OF BUILDING 4er 4094e.
PERMIT NO. / Z • !33 DATE ISSUED 1/. 5.12.
CONTRACTOR tiO/777,1 NotifeS PHONE
NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
MIS 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 11.11WA -I/D
INSULATION
ELECTRICAL -
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
_BUILDING P� ��
ELECTRICAL
PLUMBING
HEATING v
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