HomeMy WebLinkAboutBuilding Permit 03-0553
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5.... g ./() ~
; VZ~ ~:~ I PERMIT NO.a, '? -0 C~ e
3, Yellow Applicant ~ v.:J....;)
q?lease!VD~ or orint and si5m at bottom)
ADDRESS ZONING (office use)
173~:)" bfr-JJ /)riV~ (.~
1Zz.
LEGAL DESCRIPTION (office use only)
It) 3 bevhC Ii 9~4
LOT BLOCK ADDITION
PID Z5 -4-07) - orl-n
OWNER
(Name)
(Phone)
(Address)
BUILDER~
(Name) U, U-Jv..
(Contact Name) 'J?S9~.. 12.~ A b/
(Address)
(phone)
(Phone) 9s~~ fJ'S-7.1(}~
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
.3 /V'1 J' .
oDeck
oPorch
o Fireplace
oAddition
oRe.Roofing
oAlteration
oRe.Siding
oUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ J1. ~</O
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 r'-.....~..:J and that all constIUction will confonn to all existing state and 10ca1laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enx ler upon:;;:::2l1rm ;;j~~~ons
'f" ~: ~~~7 J'.plJ(
Signature Contractor's License No. Date
I Permit Valuation 3,000.00 I Park Support Fee # $ I
I Pennil Fee $ 7-r. 75 I SAC # $ I
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $ I
I Slale Surcharge $ /.510 I Pressure Reducer $ I
I Penalty $ I City SAC and WAC # $ I
I Plumbing Permit Fee $ 4-0.00 I Water Tower Fee # $ I
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ I TOTAL DUE $ /1t,.?5 I
This Application Becomes Your Building Pemrit When Approved I Paid '!fJ i; k,.d'$"" I~~' II/Ie: J.7 I
~~J~ 5&,,03 I Date .I'( ..q -?, / - I
......,
Building Official I 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 _v......:...._"- a temporary Certificate of Zoning compliance and allows construction to __......_.__. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notiee for all Inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
;;;;.".. ~::, I PERMIT NO. .J - 5 c-:JI
J. Yellow Applicant ~ J '-..J
q>1~ase ~ or vrint and siJm at bottom\
ADDRESS ZONING (office use)
17382 DEERFIELD DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) n ~ HO~TON
(Phone)
(Address)
APPLICANT
(Name) AT J .lRD FTRRSTJ:!1U'2BA FTRESTDR REA R'fH & HOME
(Phone)
"51-"33-25" 1
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA I-IUSTON
DATE
PID
55I13_
(Zip Code)
ti/ll /03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
~TI'i!E- @ ~ 0 ill ~T;I~eceiPtNo.
JtJUN 1 6.1DD< J4Y If
24 hour notice for all inspections (952) 447-\ lfO. fax (952) 447-4245
Y -
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEATN GLO SL.750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HuUdine Official
Date
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
PA $39.50
8U1l.D ID w".. _
1NG -;; , If
~~A4,.,
PRIOR LAKE
INSPECTION RECORD
l>L
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPE
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
I HEATING (!f required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
J} ~
BUILDING <:'0 11'-" /]//
ELECTRICAL ^ f'\" V
I . t^. ^
PLUMBING _0\ nS
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 approvad. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850