HomeMy WebLinkAboutBuilding Permit 13. 0849 J
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PR1��
� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
`� AND UTILITY CONNECTION PERMIT
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.White File .�- 0
3 2. Pink City PERMIT NO.
3.Yellow Applicant /C✓//))
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
4 LI ( t ?vYL c v .v ' r& 1 S L'
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER/?
(Name) l ,iir S 19Z Ap 1.fl- /J (Phone) 95-0).- -49-04,3 j
(Address) 11 ?U ✓. -e w I r tz i I S 6
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Sidingwer Level Finish Fireplace
❑Addition ['Alteration ['Utility Connection ((`` ,
CODE: ❑I.R.C. ❑I.B.C. 0 Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
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-ma.dotted 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
offi:. Ay it evoke this just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X (G/lZ✓r1 -?/tfi 3 —
Signature Contractor's License No. Date ,
Permit Valuation .f 00 a _ 0 0 Park Support Fee # $
Permit Fee $ 74-/. •7 S- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ / S—J Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ S z/ 5-0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /e 5 Z 5
This Application Becomes Your Building Permit When Approved Paid f ,, , 2 3 R ipt No. (7 /-�v
Date L., ../_3
Building Official Date ,
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 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
. .PRIp Date Rec'd
'_.;L.,,,,A.,4 '°4' CITY OF PRIOR LAKE PLUMBING PERMIT
9.z-#. t '5 .
4r1NNt:SO°
I.Blue File
2. PERMIT NO. �(
3.Yellow
Applicant
v l
(Please type or print and sign at bottom)
ADDRESS ZONING office use)
LI .. (o
4 b l Parituve_lio mA I SE
LEGAL DESCRIPTION(office use only)
•
LOT BLOCK ADDITION PID
Nam Rex -< I"it _cl (Phone) "T ,C� 9 3 C)
(Address) 41-4-11 P6Y U\, /J Art.L.,I 1 ..
(Name) F� tl n Cly �vr`t� `!! �`�� J (Phone) ) �J� 9-v 7'
(Address) ) 4--D-o. '- I h t,-'7Z SCT-)9
(Address) (City) (Zip Code)
(Contact Person)Y_ `WGCO1 l Wb l / JY11? (Phone) qs `, VIM/1 _
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW '
Quantity Type of Fixture Quantity Type of Fixture _
Bath Tub with or without shower -a' Rough-ins ..,..-
Dishwasher
Dishwasher Water Heater
Floor Drain Water Softener
1f Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Trayjl or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
i 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
The Minnesota Statutes;}32611.148 est $ 3l0 D Building Permit#
"SURCHARGE"has been changed for one PAID WITH
year effective PLUMBING PERMIT FEE $ P1
July 1,2010,until June 30,2011. STATE SURCHARGE $ . in rtMt PERMIT
The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $
Is Vii,beginning July 1.,201 U
This Applic r 7 ecomes Your Building Permit When Approved Paid Receipt No. T
101 / 29i/$ Date By
B"-hut Oftkiai ' ' Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
.r P RI A CITY OF PRIOR LAKE Date Rec'd
. �1% HEATING/AIR CONDITIONING/FIREPLACE PERMIT
C y :
dirM'vEsoot' z:"o«, cut PERMIT NO. j3 e,i1
j 3.Ycaow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(offix nae)
+L? / 1 ` ort.d2- . -1-7-e1. 1 S E
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER / 1 : / �
; Q(Name) h (Phone) ),S-.:=.\-"L,L.y(.)- '/!3,
(Address) T'V'll gk. at,: ; / (se
APPLICANT //
(Name) ( pis i7�.L<<-tic,, k) (Phone) 93-
3 01- "t(740 --YAS
(Address) V Y``/ l'd //r.Lat....) j • ( CC .YnGt.-- 64.f�-e.. S-3-3 6' Z,-
(Address) (City) (Zip Code)
(Contact Person) AI'S- ' /tome_ /e (Phone) 95--)--0710 S/L 3/ • '
APPLICANT SIGNATURE /a--a-e ,.DATE -7//() /3
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS •
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑warm Air PlantsPLEASE NOTE: Air Conditioner
0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation
❑Air Conditioning ❑Special Devices Fireplaces with Boz Additions or
❑Vent.System ❑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 Permit #
The Minnesota Statutes C 32613.148
HEATING PERMIT FEE $ "SURCHARGE"has been changed for one
near effective
STATE SURCHARGE $ .50 July 1,2010,until June 30,:1011.
TOTAL PERMIT FEE $ The minimum surcharge for a"filed fee"permit
(Office Use Only) is S5,beginning.luty 1.2010
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date
Baildin2 Official Date
24 hour notice for all inspections(952)447-9850,fax(952)80E10
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION R
SITE ADDRESS 44-/f POND VIEW 7rdi/L.
NATURE OF WORK keMe G6YEZ..
USE OF BUILDIN � A
PERMIT NO. �/julr DA ISSUED 4 .
CONTRACTOR ✓ i rr3Il _ i PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL.OW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
411111.11
LL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMINGc f f,, : � Litz.
INSULATION
cup- 'r.�` +�� fr ��.
ELECTRICAL
PLUMBING Vse y
HEATING (if required)
FIREPLACE "ft4Y
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
11.11111111111111111111
BUILDING 4/ 7-4'I
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