HomeMy WebLinkAboutBuilding Permit 14.0076 C PR
I9� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
j i AND UTILITY CONNECTION PERMIT
NESO
1 White File
2 Pink City PERMIT NO. /4.. ,
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
-7 .2-,3 D...,
De t,- -9-,refe0 Dr, s. f . ,,-,0 i-- L ei-K ....
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Nawm) i'c LC -� {o . it o (Phone) `�.3 Z_1t I a- �6 7 7
(Address) ( -7 3)___ D -P r-.r '4t e“"-C 0 r S z ?r• -'o Y L at re 0 52-- 4 4.7 —1 o)
BUILDER t
(Company Name) o I ( , N ( ovi sl v u c(- oin _r 0 C (Phone) G C)----75 _3s-4 U
(Contact Name) ' (c /e, (,-, (Phone) �l S 2 - ) - S-°°5--
(Address) I G ( ' L r`5 I -t' v e, {-J . L4�e a, tie frig 7-7y 01.5 2- - 5/ o - T 5 5 "
Ssv4cu
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofmg ORe-Siding Lower Level Finish ill Fireplace
['Addition ['Alteration ❑Utility Connection , ,
CODE: (iI.R.C. ❑I.B.C. ElMisc: ImCe C. �+yL`�Li
Type of Construction: I H III IV V A B 1 G "
Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ iJ '1
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 revo s permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation 3 Cl U (; , (,() Park Support Fee # $
Permit Fee $ ,7...f •j'5— SAC # $
Plan Check Fee $ ---- Water Meter Size 5/8"; 1"; $
State Surcharge $ / 3 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5 'Z) Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 5 /._7-7 TOTAL DUE 'l $ /c? 2_3—
This
SThis Application Becomes Your Building Permit When Approved Paid / 5-. Z Re 1pt No. �G /7��
Date (c,. (c
Building Official Date
This is to certify that the request m 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
(:). PRI 04, CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
�
P 1.Pink File PERMIT NO.
41INNEsd 2.Green City i i7_7
(Please type or print and sign at bottom) 3.Yellow Applicant (�
ADDRESS ZONING(office use)
/ 7 3 (04 42f--F;: ( c/ a . jc
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
1 OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) Comp ITi j o M FIS Ac p, 0.1 <, (Phone) . S( `r(3 ('
(AddressiSce' ) )((N,S AM L <T'
(Contact Persons << i.,-i C (Phone) Co ( a (, S� y� ?
APPLICANT SIGNATU' \ C, DATE o� - ( 1 •
I
APPLI i ANT PLEASE COMPLETE BELOW
I=1 NEW CONSTRUCTION REPLACEMENT XALTERATIONS
FURNACE MAKE AND MODEL it/` 47 FUEL
FLUE SIZE RETURN OP NINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
crm Air Plants El Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
El Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
,illent. 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 $ ,,
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date
?ND WO
Building Official Date VtAG 9� T��
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIOR LAK E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /1Z3Z agegA1524 O. .
NATURE OF WORK LOW LOVEL..• /tdiwcwrR3fl7'
USE OF BUILDING e t 1 �,.
PERMIT NO. / . AP ATE ISSUED Z•s•/�
CONTRACTOR a<UN &Arj' . PHONE #12., 754. 3.44
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
*MEI '\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING )/(,
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST —� '3•- 1_ 1 L\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
411.111111...11111111111111111111
- BUILDING � J ( i
ELECTRICAL i
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