Loading...
HomeMy WebLinkAboutBuilding Permit 13. 1005 U, J1_, w Z 1N i J 1Y U. ix V Ly 2g5gz o (9 & WWf/� _rt z o r, Uu LT. W N 0000 ❑ ❑ > a w �/' CL 0 v 0 N o m O lic 0 O O. \ = o - 4 0 I = YYz z U V ,, P N W � c = Z ix z — = = z ? C) c N p a a �' z Cl) 0 0. M0FW- jU W W ? x p W W +- Ja � 3v, aJ � c0i 0 oC = o 000000 �� a a LL x I- } z J 0 r -� 0 < � u. W V O Y Lyy U) 11.4g ~ K = ~ N 4 co ^ a 0z T p 0 W F- N v w a..� to O = OZ ~ z W w wcZ W V W W W 00 ��V4Z1Wrd- 2 0 o V V V S3 0 D = y0 10i D 0 0 co _.1c c to /"\ O� 1,- * CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 9 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /3, /3 c' , AND UTILITY CONNECTION PERMIT e� fN � i.`teteFilePERMIT N0. Penh City / /r /! 3 YellowApplicantr [ l• (Please type or print and sign at bottom) ADDRESS ZONING(office use) )47 l 7 S !+il)`'w \\ cr / -)\----:_-__- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PIDOW (Name �V tA, ` � ci1t-- (Phone) 12 36-3- i yZ. (Address) i qZ Z 7 ���'t* '1 IS L T /\1 i- BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porth ❑Re-Roofing ORe-Siding VilLower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection / ,r,:/ CODE: ❑I.R.C. QLB.C. 0 Misc: Type of Construction: I IIIII IV V AB Occupancy Group: ABE F III MR SU PROJECT COST/VALUE S 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 the p r t cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. .,.pre ; Contractor's License No. ) `Date ' Permit ValuationGf Ll � �� �� Park Support Fee # $ Permit Fee $ 3 f 7 S` SAC # $ Plan Check Fee $ — Water Meter Size 5/8";1"; $ State Surcharge $ _ j Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ ,a Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ _ Gas Fireplace Permit Fee $ �_ TOTAL DUE $ 11 9 'J`J- This Application Becomes Your Building Permit When Approved Paid 0 el 7c R ipt No. 76 Oft Date /3 /J Building Official Date This is to certify that the request in the above application and zccompanying 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 PRI0 Date Rec'd e CITY OF PRIOR LAKE PLUMBING PERMIT 414NES0* ©lag File PERMIT NO. 3 YellGolAppCay /3 l 3 Yellow Applicant Please type or print and sign at bottom) ADDRESS � ZONING(office use)) . 14 22-7 . c ` \ .!C��k7 L i NC:- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER'' `_ / (Name) VA t 1 V u .�1 (Phone) tD 12- - 1Y le (Address) I i-LL l y it;1 ,('1 ,( UT A) I: APPLICANT /� _ 3 (Name) TVNI�i I �� (Phone) f — ,3—.3— of 2 (Address) lit/Z Z / itiH 11:711_ L J UE- 4 (11Z 4( 6'c-37z (Address) (City) / (Zip Code) (Contact Person) p\ v A t(1 ki�/7� (Phone) 4C I Z r" 353- APPLICANT -S APPLICANT SIGNATURE DATE 9r J J 1 3 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Ro gh-ins_ Dishwasher Water Heater Floor Drain Water Softener _ i$ / 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 I%of job cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326E3.148est $ Building Permit it "SURCI LARGE"has been changed for one year effective PLUMBING PERMIT'FEE $ July i.2010.uutii June 30,201i. STATE SURCHARGE $ .o The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ is,tis,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid eceipt No. Date By Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.F..,Prior Lake,Minnesota 55372 i VRrp CITY OF PRIOR LAKE Date Rec'd ,� .:„*-T, HEATING/AIR CONDITIONING/FIREPLACE PERMIT `l iiiii't`` I, Polk File 2.G,een City 1 PERMIT NO./2 --- , l/3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office Use) LEGAL DESCRIPTION(office use only) I,OT BLOCK ADDITION PID OWNER?11,1111) (J — -- — — ! (Name) � (Phone) � it-Z v 3 13—11.2y .2 (Address) At 7..Z. 7 ,01✓ 11)I(,S ,1----A),-: p L I APPLICANT /� (Name) •P\bl 4 (Phone) b 12 _ 3 3 /9 2-O (Address) 1 92-2.7 `IUW\/ tk 14'6 C/ P L C5-37 Z (Address) (City) (Zip Code) (Contact Person) K:14 ( I) / r--y'r -C.- (Phone) 612 -'.3----3-- RI? ? � APPLICANT SIGNATURE `'t/ . DATE q'-- 8- 13., APPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ❑ REPLACEMENT ❑ALTERATIONS / FURNACE MAKE AND MODEL, fu/�T A� J�V 9 Q FUEL 'v _3C4-5 r FLUE SIZE ._. , RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water El Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings 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 $49.50 Estimated Cost$ Building Pe • t # T c Minnesota Statutes§326R.14S HEATING PERMIT FEE -cp " . RCI IARGE"'lilt:been clanged liar one n year eft-ectise STATE SURCHARGE $ '/ . e ,J.ily 1,241111.untit.tune 30.2011. TOTAL PERMIT FEE $ lrininimiim surcharge for a"lied fee"hermit (Office Use Only) is tis,beginning Jul, 1.2010 This Application Becomes Your Building Permit When Appro ed Pai Receipt No. Date By Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /4tZ27 AJTh/IV HDLs D,Z'• NATURE OF WORK LOWF. L' gie 714771rl USE OF BUILDIN PERMIT NO. a • 0 vs DATE ISSUED 9, /313 CONTRACTOR $ 1977E PHONE &'2. 353 . /4.20 NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE OM. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ij 12? , INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING 1 41 ELECTRICAL 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