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HomeMy WebLinkAboutBuilding Permit 14. 0224 and 14-228 (Allstate Ins.) n o o 0 20 - 0 ❑ O 2 a �Eo � n \ o 73 2 r R m m x 3 �itcEE§ m m T 0@ ® m 0 ■ m E � zo � z c � -0 % t Z $ -o. Q p z- ■ k § 2 . § § ,_ % 11 0 z q z 0 k t o a » © m m 73 r § .- / 3 0 0 z m MI o o 000OO ■ PN mr � � ■ r . m m m m E -1 Cl) oo �� w nc2 -10c § 2 ? 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SS3`7 LEGAL DESCRIPTION(office use only) PID 2k1,—. i c/-4r, (IGi ,. 0 LOT BLOCK ADDITION OWNER , r C- (Phone) ((a1 - ) (44.-R- 11 2. (Name) V4 ( UJS pt's f/J'l V Gt� t 11 AEA, L L (Address) 'tin 0rD Gpaip_e-4,4 C... t-1 i U z)12... 'PrVIN'(6 ) XI , 5 S BUILDERL (Phone)eiS2_l 9 2 -`j i O� I (Company Name) pc4-4€:S (c,"-14T .1---)CP v� �e-K- D.A 4L (Phone)(0 i -) '1/i O "6O c (Contact Name) �u ) / �4] CS 3 c2_ (Address) i t CO jai 't'`1 L4 TYPE OF WORK 0 New Construction ODeck ❑Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAddttron DAlteration DUtility Connection D Misc C 0-0'1 eT-4-4 t . CODE: DI.R.C. DI.B.C. 2- () (J-\ U Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ ) Occupancy Group: ABE F HI MR SU (excluding land) Division: 1 2 3 4 5 at I the I hereby ve-men that I and that ainfoimation on ll construction tiis ll conformson which is to the to all existing state andest tf my knowledge true local laws and will proceed d correct nccordance with tsubmitted eplans owner I atm authorized aretthat the building abs P q- 2_ � ^ I 1 official can rev •e this use Futthermote,I hereby agree that the city official or a designee may enter upon the property to pet form needed inspections �C. - 3zo3C � X �� ` Contractor's License No Date Signature Park Support Fee # $ Permit Valuation 4o coo. # $ $ Permit Fee 5-7-7. _ SAC $ $ '7 o5 Water Meter Size 5/8", I", Plan Check Fee Pressure Reducer $ State Surcharge $ 2—U r •— $ $ Sewer/Water Connection Fee # Penalty Water Tower Fee # $ Plumbing Permit Fee $ $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other z , TOTAL DUE Mika) kf ICJl(4 $ Gas Fireplace Permit Fee I $ ,✓� t � (1J Rei •i.t No. �/ This App/•do :ecomes Your Building Permit Whe Appro ed Paid Z e I Date / /�• /�� _ 2 4 ►¢ 14- wt ate dno Official This is to certify thattherequest 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 Plannei constit tes. temporary Certificate of Zoning compliance and allows construction to commence Before occupancy,a Certificate of Occupancy must be issued j/ 4 s.g �ffr// �a—/ �rrV�I �� r QXrlri�r -S, v'°t t �/� Date Special Conditions,if any Planning D'ector 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 1,R/4D, CITY OF PRIOR LAKE Date Recd o� CONDITIONING/FIREPLACE PERMIT 4. l6 .7¢ �, � HEATING/AIR �z A W� 4. z U z 1.Pink File PERMITz 2.Green City /4,L �INNESoNO.� 3.Yellow Applicant (Please type or print and sign at bottom) ZONING (office use) ADDRESS 1 4-a---33 corr4 :--- 'WC .._.___________ LEGAL DESCRIPTION (office use only) PID LOT BLOCK ADDITION OWNER (Phone) (Name) Address APPLICANTgp���j (Phone) 04 -3 J -3 y 31 (Name) �l� ) �/1 � � ' L (Address) 5512.,4�� )12.0',5 4 ,h„C) .s7C s �.�.-5 �o"�� 3 EZCZ7) , , (Contact Person) �^ ..r� � 4'eE G ✓ (Phone) y ! DATE 10� /4 APPLICANT SIGNATURE /AT' GAL, �- APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTIONPLACEMENT 21ALTERATIONS FURNACE MAKE AND MODEL v/ _. Tr- <7`a y) FUEL INPUT OUTPUT FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner 0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ,Mechanical ❑Radiation Fireplaces with Box Additions or 0 Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE $49.50 1%of'ob cost Residential,Gas Fireplace Industrial,Commercial&Multi FamilyJ $49.50 minimum Residential,Heating&A/C(N149.50 Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ /1) 0 4 0 Building Permit# HEATING PERMIT FEE $ /k:. STATE SURCHARGE $ 5.00 TOTAL PERMIT rEE $ 11 i ,4;e , , • Your Bung Perm' W •n Approved Paid t U Re ipt N . 011 This Applic Building ��'�� — Date , n , iI Building I ` cial Date r 24 hour notice for all inspections(952)447-9850 II 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PERMIT TRACKING FORM l/-C 3 3 '�/7/'� /�-L%� %/l'-i Description: / �1/✓l Address: Application Received: ' 2 - ' ¢' 7.�."�'K":;a , j .�.-���a '�...'. y y -``\? � a �-: r�r �wt �:•' -Y�::: ,.. }. i'},.u,..c n''>an ,..,. "tzus.-.s.;.�,`;.a:..fi? .L,..,,_,...,.ama.,,............,.3io,.k_...vm...'.'*. 3,:I ::�:......_,,...........;;,.. .........._..a,:......,.._....._.- ,_.............M _. .w..,.,�,..,».,.t�::..; D• e Days Elapsed Initial Review Conducted 4- (q Applicant Called with Corrections Corrections Received Corrections Reviewed Final Review Applicant Called Date Days Elapsed Date Reviewed 11111111111111/11111111111. Initial Review Completed 111EM ( b Corrections Received Corrections Reviewed Final Review Applicant Called "3 '""�'".p,�.s•,,.. v� _�v �'b"f�^S'k,::,mss o�'''" T i �„ s, - "'.��, 4.1*. s ,fs '+ ,2` Date Days Elapsed Date Received Initial Review Completed Corrections Received Corrections Reviewed Final Review Applicant Called Initial Review Time Correction Review Time Initial Application Date Final Corrections Received: Applicant Called W/Corrections: Final Applicant Call Date: Total Days Elapsed: Total Days Elapsed: 6::(IRTMEch.ITI?,0011Fs BNG AND INSPECTION INS ION RECORD SITE ADDRESS t 4a 3 1°5 NATURE OF WORK ''`USE OF BUILDING" ► FC '`'�S lPERMIT NO. 4 '• �DATEEDCONTRACTOR A► Q � PHONE / ._INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTORDATE MEM laiwiehtaiiii `��N (Prior To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS filimmempai FRAMING � --� Li : LAl ,ttELECTRICAL HEATING (Ai c (2-, e, I' 7 11101111111111111M - R TEST allIONITARDER Fjt-�� )COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED IFINALSI ORTOSODDING)BUILDING.limma �� 4/2I�.IOR ELECTRICAL 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