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HomeMy WebLinkAboutBuilding Permit 11-0131 o0 1 C) Oc0O o ;V o > 2 . 0 0* O ■ _s�on'n § § § 2 4 m 0 22 s m r - Eg§ m § �@ k �• ��� � m k ■ §� § ® o 2 m Q5® z — i 0 i §§ m Z 2 § 73 ;I: Si k 0 0 (---• _ 0 k % 0 0 >© . 0 mm ■ r 0 3 q 1 - n 1/ '0 t m 2 § § < coOO ❑O ,1 x q m r ® ��r \ �0 § E § �2E -0 0 n § 2 en \ E § T § � § § 2 r x en o Z � � r m00 73 q • o 0 en z ' m ' r P 0 / X 7 § 0 k § B � . 000000 E2 §§ CO * -141° r -13 \ 4 � mm %_ § m q ■ r § -I 0 . OPRto* CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z % / _ J AND UTILITY CONNECTION PERMIT iVivE l 1. White File 2. Pink City PERMIT NO. 11 0 13 3. Yellow Applicant lease or print and sign at bottom) ADDRESS ZONING (office use) Li g6,5 I `.4.„,„ (f %i.„ 1 NvJ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) °-"" f/1 vl £ , J 1 : t- � U 6 I 1 i_ (Phone) (' a) 3 5 3 (16 31 .1 t J (Address) / t 1fp D & s J:,,.... iv ba.. i-); f ,' I of > 1 N ll3 BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing [Me-Siding Ci Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection 3 R -m'S CODE: DI.R.C. DI.B.C. ❑ Misc: W /r• P • Type of Construction: I II III IV V A B �/ •3o Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE S / (J 000 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 . that all • , struction 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 s• - ,1"-for / just %' - . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X I �" Signature Contractor's License No. Date Permit Valuation 3 0 O rJ , O O Park Support Fee # $ Permit Fee $ 1 75 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ / 57, Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 54 53 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 54 .50 TOTAL DUE / 8 5. 2 This Application Becomes Your Building Permit When Approved Paid / 0 5. ZS Rec ' t No. r', Z /O.3 Date .3 - /. / ( By . 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 Residential Building Permit Checklist B erior Alteration to Single Family Homes BY: Date: 3. Z Building Permit # / /, 013 / PID: Zoning: Site Address /1 77/ Legal: L B Subdivision: Existing Structure: S o NO Ada CONFORMS TO ZONING YES NO ORDINANCE YES ( NO Is this an expansion of the existing footprint or Refer to Planning building height? Is the property located within the flood plain? Refer to Planning ✓ Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? ✓ Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single ✓ family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L : \TEMPLATE\ALTCHCK.DOC 0 4 ?RI0 CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT J 'lNNESC; / 1. Pink F PERMIT NO // 2. Green C ity 43 / 3. Yellow Applicant I" F lease or print and sign at bottom) ADDRESS i Lt ZONING (office use) 6L25 — 1 - 1 - LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ((Name) OWNER \ 0 � � �..Y. (Phone) go 3S3 -,f-a 9 (Address) 9(1 ()r L \ N 553 1 APPLICANT (Name)_ 0 1 : 1 ; ° -: � � � c q Sp--Lie a (Address) . 0 0 IA ' L 5 C (Address) (City) `� (� ( Zip Code) I (Contact Person) _ ' Ci d '"1�� f. (Pho APPLICANT SIGNATURE DATE ? 1 r / APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑ REPLACEMENT LTERATIONS 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 into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings e Require a Building Permit. FIREPLACE MAKE AND MODEL S�e LML. ( L s2 INI C- FEE SCHEDU Industrial, Commercial & Multi - Family 1% of job cost esi dent i al, Gas F - .. _ $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 Thst $ Building Permit # The Minnesota Statutes § 326B.148 1131/0 � � /0 I,Aw' ;vRr l 1 1?c,r" !s heen changed for one HEATING PERMIT FEE $ / 7 C r ,7 `� `VY vig year effective STATE SURCHARGE $ "'' CID I '� July 1, 2010, until June 30, 2011. r �`� The minimum surcharge for a "fixed fee" permit COTAL PERMIT FEE $ 5 Li no , 4 4 j , is S beginning July 1, 2010 '�" This Application Becomes Your Building Permit When Approved Paid Re :iiitiw Z! tsd Building Official Date 7 6/ 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 04 ?Rio Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT / � . / Att hi L l DSO . Blue pie 2. cola d City PERMIT NO. 13 I 3. Yellow Applicant aSe tyj o ' t and S at bottom C ADDRESS ZONING (office use) 1 V LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) _. (Phone) (Address) AP ' CANT �// ame ✓!nI l't - 7 ` l (D (Addre) — (City) (Zip Code) elvse 4! (Phone) � -1 ANT SIGNATURE DATE AP ` L ANT PLEASE COMPLETE BE W Quantity Type of Fixture Quantity Type of Fixture 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 $49.50 minimum Residential, New WO- Family ° $149.50 Residential itions & Alterations $49.50 - Estimated Cost $ Building Perm' PLUMBING PERMIT FEE $ p f o iSAI STATE SURCHARGE $ , .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Date By Buildian Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 DEPARTMENT OF PRI0R L BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 1 4 77 ,i06721/VO -P «- NATURE OF WORK LO 02 L-'671/67.-- CT /2-15/ k/ /f P) USE OF BUILDING RES 02 PERMIT NO. l 1 . /3 / D A T E ISSUED 3. 2 - - / / CONTRACTOR l21I PHONE 353. OV NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE P.M I ► PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 415111 i INSULATION SI,O . ELECTRICAL k r PLUMBING (2.6 . 34-4/4 HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 1 FINALS BUILDING (di I 6I I1 ELECTRICAL PLUMBING HEATING Y 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