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HomeMy WebLinkAboutBuilding Permit 14. 0010 n 00000E3I 0 0 kk - 0 0■�■- q 2 0 0 « ng � \ Om o § 0 rn 5 f,E>0 Y z - n n § $ $ 7 -4 m z a - °f a e ■ cn q \ r � q § q& t t k _tO q § 0 B - o -11 7 o r § 7 Q 000000 2 -n "3 s7� t§7 $ 2 0 © n �K® � & 0 o z $ \ \ k. -ng22M2 9 2 m -4 $ ° >00 ®\ \ 0m)41 £ ? r �g7 z k ■ n cc R o ® � -0i r k § a o 2 k \ kN $ nt • 2 000000 » 0 n ® �= §2 m k0 xi : mm -4Q PI 3 -n@ r m ® z \ \ �f 0 Pi OF PRJO� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / 3 ft AND UTILITY CONNECTION PERMIT 4%H1vESoiR I White File City ? Pink City PERMIT NO. / CO/0 (Please + Yellow Appncani type or print and sign at bottom) ADDRESS Z ' 4BCJPT ZONING(office use) Ave 1 i� LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER / (Name) 7j le-%.tie -: t'1 I �� vv t c\_.! (Phone) (Address) BUILDER n \ (Company Name) C� i1f..,� .I( /✓,5•.,. I\ 1�:-; I) (Phone) 6 12- [ .�j 3 (Contact Name) D--.1 P--\•vcJS (Phone) (Address) 7 i IC, L--Nk..,s,. it, /31t,), i.... -t,..- IL P'11J TYPE OF WORK ❑New Construction ❑Deck ❑Porch ORe-Roofing g ORe-Siding .ower Level Finish El Fireplace ❑Alteration 0Utility Connection CODE: DI.R.C. DI.B.C. 0 Misc Type of Construction: I II HI IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E F H I M R SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct I also cei tify that I am the owner or authorized agent for the above-mentioned pro • and that al onsti uction 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 rev t ispit fort ise Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed mspec ion= X Signature Contractor's License No ` Date Permit Valuation z% C 0 0 4:).) Park Support Fee # $ Permit Fee $ f 67. 2-3- SAC # $ Plan Check Fee $ / Water Meter Size 5/8", 1"; $ State Surcharge $ L Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 7 c-, / ----E) Water Tower Fee # $ Mechanical Permit Fee $ ` Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ s--z) TOTAL DUE $/9C/ Z5-- This Applica ecomes Your Building Permit When Approved Paid C def', .2 Receipt No. r7,� /. S. / Date 1. 3. BY 3t1-{i..-L) tj'tiding • ictal / � t Date This is to certify that the request in the above application and accompanying documents is in accoidance with the City Zoning Ordinance and may pioceed 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 Ceitilicate 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 Prior Lake,MN 55372 1 1 i ritto�A CITY OF PRIOR LAKE Date Rec'd > '` T HEATING/MR. CONDITIONING/FIREPLACE PERMIT 411rraso'tt' z:It cuY PERMIT NO. 0 . 3.Yellow Applicant l • (Pleasea and sign at bottom) or print ADDRESS ZONING(office we) Z--- \ S 4 .),6 monv P.N'-e LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID _ OWNE1 r ��N. (Name) W,�P_,C! fit. tori I�c , _ (Phone)l5L Z2 3 4 ' 7 (Address) 7CA\C) l `" OKV • APPLICANT HEARTH & HOME TECHNOLOGIES (Name) dba FIRESIDE HEARTH &HOME__ (Phone) (Address) Lic 8C662656 270 iRVIEW AVENUE N R i_LE, MN 55113 (City) (Zip Code) . (Contact Person) 651.633,2561 (Phone) l APPLICANT SIGNATURE C~ .- DATE t/ z / APPLICANT PLEASE COMPLETE BELOW tJ2 EW CONSTRUCTION 0 REPLACEMENT 0 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 ID Steam Units and Fireplaces Cannot Encroach ❑Gravity El Hot Water p ISA4echanical 0 Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL C CIC-. . A — FEE SCHEDULE Industrial,Commercial&Multi-Family I%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 Construc)ion) $64.50 Residential,AC Only $49.50 Estimated Cost$ 2-0_000 Building Permit # 'file Minnesota Statutes§32613.148 IDEATING PERMIT FEE $ "SURCIIARCiI-i"has been changed for•one • year effective STATE SURCHARGE $ .50 July 1,2010,until June 30.2011. TOTAL PERMIT FEE $ The 111111iln1nn surcharge for a"fixed fee"permit (Office Use Only) Is M,beginning July 1,21110 This Applies , l ecomes Your Building Permit hen Alp oved Paid Receipt No. I. a 1 Date � � By ., •(ficial Date { 1—/`e,®p^.Y}f 1 x'1.1 24 hour notice for all inspections(952)447-9850,fax(952)447.4245 ��G � � � 4646 Dakota Street S.E,,Prior Lake,Minnesota 55372 DEPARTMENT OF PRIORLAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2194 a NATURE OF WORK - USE OF BUILDING /AP.; PERMIT NO. ATE ISSUED •CONTRACTOR PHONE INSTALL EROSION CONRTOL AN AINTAI CLEAN STREETS AT ALL TIMES INSPECTOR DATE filliliiilliallialliligim MOM PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 4011101110111011111111.11111111 FRAMING 04) 211/ fq INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED NOMMIEIMB LATH 1 I I FINALS BUILDING 6'61 ELECTRICAL 6/47L PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE Thisections and card must be posted near an electrical been appvroved On bice cabinet uildings anrior to d additions h-in where no maintained until all inspections havePP service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850