HomeMy WebLinkAboutBuilding Permit 14.707,880,1155,943 WZ Cl)
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of PRic CITY OF PRIOR.LAKE BUILDING PERMIT, Date Recd
F TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 t;( f
,. x AND UTILITY CONNECTION PERMIT
�&ESo I. White File
2. Pink City PERMIT NO./ '707
33 Yellow Applicant I
rint and sign at bottom)
ADDRESS ZONING(office use)
' Ji„
10 ( es e S4- (0 e i,
LEGAL DESCRIPTION(office use only)
LOT BLOCK VADDITION 1C/t Sr/&/J0.—.3P011 Cil/ PID 5-- .:„W6--,, 0:.P-
OWNER 9/Il
rst aL ) t�%1 i N e 'J I et ate ' TU)S s (Phone)
(Address) 6 C3(0 (Ites,e___ 45 J' 11)e
IB
_El9Inpany Name).--)6-le s+.ew 0 (Phon )G3 5qC f3 (3°'
kilt t Namebek0 t V 1/ - `t0Yel Cf le (Phone) 4. (2 7® 3 86 l T<Octe,
irress "3'S' (61-4' kJ VC9
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding ['Lower Level Finish ❑Fireplace
['Addition ❑Alteration ❑Utility Connection
CODE:eConsR.C. ❑I.B.C. X Misc. �_l�--- ,S �(' 7 �G
Type of truction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR 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 certify that I am the owner or authorizcc agent for the
ahoy'-mentioned property and that all construction will conform o all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ca yoke this permi for u,cau•- Furthermore,I her agree that the city official or a designee may enter upon the property to perform needed in•,sections.
X U! _ .. ....
Signature , Contractor's License No. Date
Permit Valuation Z-�i 0 CO y-- Park Support Fee # $
`
Permit Fee $ SAC # $
i £331 _9—)
Plan Check Fee $ (Cq C,OS Water Meter Size 5/8"; 1"; $
State Surcharge $ C -� Pressure Reducer $
( 15Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 4.i;"C? Water Tower Fee # $
Mechanical Permit Fee $ ¢,G-6 Builder's Deposit $
Sewer&Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ j' 2.'' / "1
�//
( ..
This App atio 'ecomes YotriBuilding Permit n Appro ed a J + �' Receipt No. '( 0
am§
I .. n r Date (f'' By k
u u g. ate
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
A., ///:/‘,4(4
Planning.firector 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
. VRIO Date Rec'd
tiO
CITY OF PRIOR LAKE PLUMBING PERMIT
(Lt-1°1 F 2S: iv
kftivEs....0..) .Biue File L�
.bold city PERMIT NO. / / . •41 /1
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESSZONING vous
ice e)
64io eevcerc. s/ s�_ Ris ?)
LEG• DESC' I' ION(office only)
L4" 0 ' Air •N P ;6--93r-C
OWNER
(Name) (Phone)
(Address)
APPLICANT -
(Name) v4Cc-c r j llvylh ..rlG (Phone) TS-2e-/ e,--- 3 Z_
(Address) fO € ,7& /2 S7 /k'rtor Lcri-rt 771—
(Address)
-(Address) (City) (Zip Code)
(Contact Person) T0�' '�,.''`-- (Phone) 6lZ - Z 7o- 6 6'7 Z
APPLICANT SIGNATUREc "' DATE �^�� /e/G'
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough-ins
/ Dishwasher Water Heater
Floor Drain Water Softener
,3 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
• I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of joh cost with a$49.50 minimum Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
Estimated Cost $ Building Permit# i ne Iv!lnnesota Jratutes g sL0.15.11r0
.�- "SURCHARGE"has been extended
PLUMBING PERMIT FEE $ J0 The minimum surcharge for a
STATE SURCHARGE $ J "fixed fee"permit is$5.00
TOTAL PERMIT FEE $ -
(Office Use Only) TA,
This Application Becomes Your Building Permit When Approved ,, sv Receipt No. 7 ) 'f g
Date By 7 L2
Building Official Date ,'2, 1
if
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRI() CITY OF PRIOR LAKE Dale Rec'd
01 A. c HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U /, M
- 1N
I.Pink File PERMIT I.
,�4
NNESO t+ 2.Green City —
c-
(Please type or print and sign at bottom) 3.Yellow Applicant
ADDRESS ZONING(office use}
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 2s- 150,, oqi, Di
OWNER 1 °IS 2-- 3 3'4 .7A-41
(Name) IA I Yl'e `✓I a ne 5 tYr' ( ss- (Phone)
(Address) C \ G 0—CO—e H V1, , O N 31-Z
APPLICANT -12 ,
(Name) rJ curt -- cbmetin712 (Phone) S 2-" 3 Li-2_,'-{c) j
(Address) Ce 10 O'e4r4% Cel PL--
(Contact
'-(Contact Person) W l IA,02_, S1YGIAA 8'S (Phone) Gl C2- -3314 2(4'1 I
APPLICANT SIGNATURE 0 (L"\--- DATE
• APPLICANT PLEASE COMPLETE BELOW
['NEW CONSTRUCTION ❑REPLACEMENT IALTERATIONS� S
FURNACE-MAKEE AND MODEL i-IEAsT t-,` (,1 fl,,,i C.S CAPE 3 S `aSCn-' FUEL
FLUE SIZE 3 " RETURN OPENINGS 3 " INPUT LAI ,J EPry OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
DWarm Air Plants DSteam Units and Fireplaces Cannot Encroach
DGravity DHot Water s' p`\rt C A. V Ct.,1- into Required Side Yard Setbacks.
0 Mechanical 0 Radiation Fireplaces with Box Additions or
DAir Conditioning DSpecial Devices Cantilevers to the Outside of Buildings
D Vent. System DOther Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL 0 E AX N V l clt.S c t E 1S
..,S w\...
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 Construction) $64.50 Residential,AC Only $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved411
Paid ( Recei t N .
—
DateByM�G.�
Building Official Date , /0–i45-� _
24 hour notice for all inspections(952)447-9850 \
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372' 1
,
PRr04. CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
U tx
*NNEsoecP 1.Pink File PERMIT NO. ,
2.Green /
3.Yellow Applicant
Applicant 1
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
51 o tpeeke se__ S8—
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT
(Name) 4,, e _ +`r« irr c_ (Phone)
(Address) /5-14'1 S /✓e.?rd S SSfi (Ai �r�alaLIP✓ 1.4 r'as,t_ 5S30'�
(Contact Person) 81/-u c fc,t ( P S (Phone) 743 — Liz/— z' ?
APPLICANT SIGNATURE DATE 9/3//`f
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION [REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODELter Kox L%L294 It H-0 ) FUEL
FLUE SIZE 02"P✓t- RETURN OPENINGS INPUT 0 w,) OUTPUT 4,2 ewe.
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
tigWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach
❑Gravity 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
►-;Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
Vent. System ❑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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ 49.50
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $5LI. 50
This Application Becomes Your Building Permit When Approved Paid Receipt Ni�/g5
`�
Date 5 l" By
Building Official Date
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS
NATURE OF WORK `,
Ir/r'?7D
ers
USE OF BUILDII _
PERMIT NO. /T �� ATE ISSUED •�
CONTRACTOR PHONE G 0 I!S
INSTALL EROSIO CONRTOL A D MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
all.111.11111111MS
FRAMING WG
INSULATION t (tt"(
ELECTRICAL _
PLUMBING 3 � - l O-`�( I L1 _
HEATING 9
t
FIREPLACE �'�-- �
GAS LINE AIR TEST _
OVER WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP LATH
FINALS- 111.1111111011111.011111.1
_
BUILDING
ELECTRICAL _
' PLUMBING DO t i( j3L5 . - -
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 not
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850