HomeMy WebLinkAboutMechanical Permit 14. 0855,Plbg 14.1030 o J
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PRI() CITY OF PRIOR LAKE Date Ree'd
,�°= LAA
HEATING/AIR CONDITIONING/FIREPLACE PERMIT F is , f
1.Pink File PERMIT NO. /i G L"
A'INNESoiP 2.Green City / U.-.2
1,31 / � 3 Yell"'
Applicant
(Please type or print and sign at bottom) �/ f/�J
ADDRESS tl 1 /3 ZONING(office use)
1-..UNDS ?Rmo& t__-As-wR
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID ,
OWNER L.V Mb FOCI 1-10 1 N CS TNC-. (Phone) (SS1 $4%— k 410b
(Address) IA BOO VQQ-Srk— SO4, SkTat-, SA-42.. ato
. .Uoo eKi., &in/ SWQ`I
I
APPLICANTr �—
(Name) �M 6 a R r�O��ro�.�t�vn (Phone) , 264 —��
(Address) 1 MS A ihe.Ct C.c4.n "Blvd moots*
(Contact Person) 544-V4— ?Off- (Phone) �6Q) 4%0-ciro14
APPLICANT SIGNATURE DATE ,$I 41 14
APPLICANT PLEASE COMPLETE BELOW
(be r"ra esew'krlW.. eAD, N..J♦.`
❑NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS
FURNACEMAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water into Required Side Yard Setbacks.
OMechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
0 Vent. System 0 Other Devices 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 $49.50
Cost$ 7 (moi 630'Ob Building Permit#
ReF`rZiar~ .10 ,
PERMIT FEE $ 30
STATE SURCHARGE $ 5 00
TOTAL PERMIT FEE $ `]'I1 ' IS°
This .`1 1i;.t�,t/�t, om• our Building Permit\ 'hen • pproved Paid `l 1 ( j 0 gre- t No. g"
na
/ . "Yg' - 14 Dater
Building Official Da �U (� - �,
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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�' CITY OF PRIOR LAKE B ING PERMI , Zvi In C Date Rec'd
/ti A NRTIFICA F ZONING COMPLIANCE
,,N
vs TEMPORARY CE C� —
AND UTILII.CONNECTION PERMI - i '
-jNNBS�� `ty l
1.2. 'k File
PERMIT NO. 4/ 0a ?
3.Yellow Applicant 1 v of -
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
I( 73i 14 �A, 13 Souo+ ._.. 1)ND
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
'SUMMER( y
(Company Name) (- i I'1+ Mee.6 n i C Ct. Co:1 -!"ctGi- )r S (Phone) 952 2 -S9S 3910
(Contact Name) (..- rQ.� ttP S (Phone)
(Address) 4 Li S 1 .
Cu 7,64'1 M M. Ed; flci 11/1,A1►.,Iv SS`f 35
TYPE OF WORK 0 New Construction ❑Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
DAddition ,Alteration ['Utility Connection //\\`` /
CODE: ❑I.R.C. ®I.B.C. I�Misc: / ()() / iös.k ii gift yr;nk1er
Type of Construction: I G III IV A 0
Occupancy Group: ABE F FIIR SU PROJECT COST/VALUE $ G,00.0 0
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 this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X C- .v ''0-0 ri/ttz., Co 0 9-3.•-l'1
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
,, 0
Permit Fee $ , SAC # $
Plan Check Fee $ ! i Water Meter Size 5/8"; 1"; $
State Surcharge $ 6i. ;�; . V
Pressure Reducer $
Penalty $ i j Sewer/Water Connection Fee # $
7,
Plumbing Permit Fee $ 5 . / Water Tower Fee # $
Mechanical Permit Fee $ e Builder's Deposit $ ii !I
Sewer&Water Permit Fee $ Other $ y
Gas Fireplace Permit Fee $ TOTAL DUE $ (((
T ' Apr'c.ti.. Becomes Your Building Perm' When Approved P ( . -- 0 Receipt No. / e
Dae [ By c
1 0.3,0i_ JOS, C Zr
ldin•��fficial Date çT (( f j^`(, ii‘ofetv( coreC
This is to certify that the request in the above application and accompanying documents is in accordance with e City oning 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 Occupant'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
C6R1 :41
Date Rev'dCITY OF PRIOR LAKE PLUMBING PERMIT -. 14-
�-
k1Ct WI/¢-- 6�-7
2..G6tatae d Fitz City PERMIT NO. /if �►� '
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS .P6 ZONING(office ase)
ICS 01,v •r
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWN /
(Nam) ( LI S Cr)CA �14'4 (Phone)
L. ,r.SS
(Address)
APPLICANT (
(Name) A !D(3 \Q.rNN, V 6'\ol u 1 C � (Phone) (0S I /'7
g9 Da-7 5
(Address) �(6. 50 gPV1l 2loeC 0.TiV? P.�� a...
SSI2a
(Address) \ (Ci (Zip Code)
(Contact Person) ,P.C'.['p A � e (Phone) (2 5 I q SS 73 c o? If
APPLICANT SIGNATURE :::---2..."'" ./...,/:- --------ZDATE7-,-) 5f--19 .
_ APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
_Floor Drain a- Water Softener
Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink , . ; Sewage Ejector
Shower Stall Backflow Assembly
-
3 SinksBackflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
Tile Minnesota Statutes§32b14.148'_ f jFEE SCHEDULE Y
o!i cost with a$49.50 minimum Residential,New One&Two-Pamil $149.50
"SURCHARGE"has been extended - ` Residential,Additions&Alterations $49.50
The minimum surcharge for a . ii
"fixed fee"permit is 5.00 $ ` C.9 .) Building Permit#
PLUMBING PERMIT FEE $ A z- '
STATE SURCHARGE $ XXX 5.00
TOTAL PERMIT FEE $
(Office Use Only, ' GAA-C.A3PEt/I9 .
/
This Ap�, at',t n,/:i%'t es ' i ullding Perm' WWil• Approved Paid 430 , 0-6 Roo ' t No. 71 l l 55
♦ f ' Z Date Z1, BY
undidinn e Of eta D+to i
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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cCITY OF PRIOR LAKE BUILDING PERMIT, I Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANO
_
AND UTILITY CONNECTION PERMIT
�`�'NE� ' •la
1. White File
Pink
2. Pink City PERMIT NO. //f 0 6 /
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
ILo I ` h -1 13 ?--14C,0.-- 1.----Aril-- ---- C
LEGAL DESCRIPTION(office use onlly)
LOT BLOCK ` ADDIT ON/ � PID
OWNER i
(Name) ✓45 ry p7 (Phone)
(Address)
tflitelitER Con-- c c cw__
(Company Name) C. GA.'F 1 i iz (Phone) \ /05(_77/ 5
(Contact Name) D---0C-N--1 A M (Phone) I
, ' 7
(Address) 30(471 1 o $c / f Le_
r.e_ _ �1�i r e /Lli 6-S `r� 7
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
❑Addition Alteration ❑Utility Connection c
CODE: ❑I.R.C. ❑I.B.C. Misc: ' ' rc Spf`i E1eS
Type of Construction: I 67 III IV V A B J_�y-��
Occupancy Group: A B E F HI O R SU PROJECT COST/VALUE $ 2 (tie)
Division: 1 2 3 4 5 (excluding land)
I hereby certify th,t 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 .roperty and that all construction will conform to all exis. t state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r1:,,,,. e this permit for just cause. Furthermore,I here. `, e city official or a designee may enter upon the property to perform needed inspections.
ature Contractor's License No. Date
Permit Valuation I
2 to tx2oc, Park Support Fee # $
Permit Fe( - $ 0 0• SAC # $
Plan Check Fee $ /5'7 v?( Water Meter Size 5/8"; 1"; $
State Surcharge $ /. PO Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ `4-7, / /
Appl' ; 4 iielBecom*s .'ding Permit When Approved Paid /47, f 1 eipt No. 7i -IC4
B ilding• icial Date Li 1
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
Then 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
ued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)44715 9%,..6
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTIION
INSPECTION (RECORD
SITE ADDRESS (VAS hcGth,-)Ati 13
NATURE OF WORK G owwWlet. vv- e- 9.-. ...^-N- ( eJ _
USE OF BUILDING (c.,PERMIT NO. � C,D c 12-� ATE ISSUED -I '-1 /f/4
CONTRACTOR Z(fr1 Gi45`,2.)c>r PHONE 143- 9Vz 3
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
IIIIIIIPI
(Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH INS
IIIIIMIOIIIIIIOIMIIP
FRAMING
INSULATION
ELECTRICAL
PLUMBING ----: tA of
HEATING n p y ,,p
11.11.1111111 Fi 1`C-S�i,1 1?� ice` `P " 1"1 �{
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20111111111111111111.1*
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
111111111111111111P itilli
FINALS
BUILDING ,t "',--c II
ELECTRICAL
,PLUMBING 1-A--- 'ill\ 'ki i
HEATING t--v �� n I 11
DO NOT OCCUPY UNTIL- ABOVE HAS BEEN SIGNE
1
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