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Home My WebLink AboutBuilding, Plumbing & Fireplace Permit 13.263 E 0c I 0 000000 -0 0 > ■n 2 0 0 0 . 0 , z „ , 0 2 z m o om� § A ■ ■ ■ sr� § q@ k r m m m § %■ z § ■ * > (n 0 z, 1 � Z p & } �o il § �\ 0 s \ o o , . k m , n 2 0 , m $ 2 W ' § : ) x O Z % k k 000000 k � 1 M m m �, ■ "0 ■s■.0 \ _ % m » m N, p / z m mix m n i ■ ■■ ■ m n ■ ? ■ | o \ . z zz■ � z 72 z x . ` E m m _I° ) >000 ® E -I v n a 0 . Id ho P m a. 0 M c 0 k , ❑00000 m 2 z >22§§ 1 16 ® C -0 '0II2 To m��o \l`.) 74 q 0 >rnm m gmx, § -i 0 o4 nob CITY OF PRIOR LAKE BUILDING PERMI Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIAN / AND UTILITY CONNECTION PERMIT - /', ~'Hxeso't" I. white Fite PERMIT NO / Z 6 3 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) C— OLLC,04 ..,' afk LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER j tt (Name) _ �1 3u (+ "e l (i -f (Phone) (Address) 1\6-.),..)-/-f. l BUILDER / (Company Name) 1 cc ✓tiS'Ne– ex.._ -1 c'' — _ (Phone) /:. — 73 ~IC (Contact Name) PO el' - (Phone) (Address) ) C `112— /4. S€ e — 1 -4,) /.--e TYPE OF WORK 0 New Construction DDeck ❑Porch :Me-Roofing DRe- Siding Lower Lever Finish 0 Fireplace DAddition DAlteration DUtility Connection CODE: DLR.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V AB Occupancy Group: A B E F HI MR S U PROTECT COST /VALUE $ �S j Division: 1 2 3 4 5 (excluding land) 1 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. 1 gnature Contractor's License No, Date Permit Valuation 3 006 0 6 Park Support Fee # $ Permit Fee $ '7 LI 7 , _ SAC # $ _ Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $ State Surcharge $ /- -Ce) Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 SZ) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ S 4 Co TOTAL DUE $ / /es 2-5 This Application Becomes Your Building Permit When Approved Paid / S Z R - ' - ipt No. (O(-1-"! Date , 3 rf Building Official Date 10 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 re tested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate ofQccupancy 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 Prior Lake, MN 55372 4 P Rlp, Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT kikv>rsdo 1. Blu` File t PERMIT NO. 2. Gold City 3 G 3 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER `^ (Name) V ( Gi v k ii , /7',,//-e. (Phone) (Address) APPLICANT / i Al''t (Name) I'll, f 1 (Phone) il (Address) /(I y7 7 7 1 4 't Z , v.tvi . re ✓► ^opt -t ftie (Address) (City) z TZ (Zip Code) (Contact Person) G j 11R.c....-4.-- (Phone) CO /Z. — Z `7 a 9 APPLICANT SIGNATURE I DATE _ I? =/9 — 26 /3 APPLICANT PLEASE COMPLETE BELOW 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 r Bar Sink Lawn Sprinkler r Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ V , K® STATE SURCHARGE $ ,S'; eV TOTAL PERMIT FEE $ )---. .2 (office Use Only) This Application Becomes Your Building Permit When Approved Paid C � c2) Receipt)T --S` Date / B Buildin¢ Official Date �J j/ � j y 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 o� 13 R10 -4' CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONINGfREPLACE PERMIT U rrn �r TP 1. Pink File PERMIT NO. NNESO 2. Green City Applicant 3. Ye p licant ` - e z‘ 3 Yellow / (Please type or print and sign at bottom) ADDRESS ZONING (office use) UWW Co c LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) r V Pt)/ -e bei � -G (Phone) (Address) 2 K `lQ Cdt".e,,- ,4/ APPLICANT J � (Name) Tc ot\ l j 1 4+e� L., �`e 0)11.0 t' iy 4, c_ _ (Phone) 6/2.- V /y- V Z Sir-- (Address) (Contact Person) ..51 Stet (Phone) APPLICANT SIGNATURE Alki DATE / ? - 2. - Z43 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 into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or ❑ Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑ Vent. System ❑ Other Devices 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 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 Cost $ Building Permit# HEATING PERMIT FEE $ 4 �U STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ f'l,1 - -5 1/ This Application Becomes Your Building Permit When Approved Pais - Receipl,lyor�,. Date �'" By Building Official Date 3 // 3 A f 24 hour notice for all inspections (952) 447 -9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 / PRI0R L BUILDING AND IN SPECTION INSPE R SITE ADDRESS ZO9O t of fa. Aim* NATURE OF WORK 1.0 i' 5 - USE OF BUILDING £ s, I �.► PERMIT NO. /3. 2.(.7 DA ISSUED # • 3. a3 CONTRACTOR 7 3 G A/1 M.. PHONE , /L , 730 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE MUM 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS RAMING telr "t INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FINALS BUILDING ELECTRICAL PLUMBING � ��, / 2i, HEATING �/ ,� � � / - DO NOT OCCUPY UNTIL B - E HAS BEEN SIG ED 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: 10,•■•■• Date: 4s 3. 13 Building Permit #g3 243 PID: Zoning: • Site Address Legal: L B Subdivision: Existing Structur : YES o NO CONFORMS 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? 1/ 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 4 a 111 *41116 • SIO • * l k e 4•,,,, • • N4,4