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HomeMy WebLinkAboutBuilding Permit 14.0929 5 ii; � n OOOO H k K . C �g0)kk§ Z m 71 § m � r %�k � §I � Z z 0 �C to II \ z \ z m x 0 % 2 r § Ott r o 3 -n -u - % m k a o 000000 "n x q mm c -ocns ® - E § 0 0 © I : M r . 7 2 g f 2 § ■ § � § m p , n C M -i q Z § X § § _3 Z m NI U z Id ■§ § § � o X7 k n �� \ 2 ] . ❑ 000O0 �g a. >0 xi o kkzio § �- o _ E -owTr � t.% � kk � _ -n xi tri 1 uiB z m -t r o o`'Pit_I0,P • CITY OF PRIOR LAKE BUILDING PERMIT Date Recd ti \y- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 4err ,SF' /1/..'''''N''''E I. white File 2. Pink City PERMIT NO. /4... 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1 9 bz S Pizi D6€ lel/06ec, cr.: le 1 s LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID i5. z-Vg . 054.6 OWNER ``,, fl L �/ (Name) CAlai 5 1' J 6/I, 6('- (Phone) `7 S 2 - ' , y ev- (Address) I4(,j 23(7 I Ot ill t261 CT.. BUILDER ^ (Company Name) Avl 0 au(t:.0, ices /.—i C. (Phone) 6/2- 7)Z-- 4010 (Contact Name) Tc,trzy I Ai 6ft S Ork.i (Phone) (9I ?- 7 I-7— -&i 0 (Address) 73 O S D Pil l.,5 (3uei.f Poppe* . L-4 -)A`e, YV110 �2 Like TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace ['Addition Xlteration ❑Utility Connection (� CODE: VI riy+-> P.- .-R.C. ❑I.B.C. ❑Misc: �. 4 L . Type of Construction: I II III IV V A Bc.4Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 6-5, 0 c. .) — Division: 1 2 3 4 5 (excluding land) I hereby certify that I ha rnished 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 erty 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 e 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 - /../17 6'ce,/, p.,_______-- 3�(3-7r 1-2(-2oiy- Signature Contractor's License No. Date Permit Valuation Park Support Fee # $ Permit Fee $ "•7 .7 5- SAC # $ Plan Check Fee $ 7 G5�- Water Meter Size 5/8"; 1"; $ Slate Surcharge $ Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ c cJ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ , Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ Z S/ ;!5; �y r This Ap icatj s Bee,mes Your Building Permit Win Ap roved 4 14 Paid`'/ r Receipt No. '/222- Date rA Date q. (I I L4 By J B ilding Officia Date ,<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 dacument 1,ii 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 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 j'11!° CITY OF PRIOR LAKE Date Rec'd H iti iP HEATING/AIR CONDITIONING/FIREPLACE PERMITi0 tc /� - --4-7 7 ,` /4-U° �, Alar•, 4ili,NEso0 t,Poink Fag PERMIT NO. / 91 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING office use) l5/ .Zi Si-fie 6 ci A. e LEGAL DESCRIPTION(office use only) LOT/1 BLOCK6°ZADDITION (4 4'2' -,cr. ////-f .2"s 44.1. PID Z$2.(40 35/13 OWNER /A (Name) eh`I S Amo t. !h/'1`.''74- (Phone) (Address) ` ZAs Z J3' /Sri.iLt £ 4/ Z �. a-.. ZIPkr55 372._._ APPLICANT 41 4 (Name) // t/ / 7--c.- (Phone) 9'$2- 7Y6- i Laa (Address) /Z e S 3 iii,Go/fe44 , S . 4e e•.►J"di/ia /l,oCJ S'S 3.3 7 (Address) (City) (Zip Code) (Contact Person) (Phone) 95-2- 7 Y6 ' .S'Z4i4) APPLICANT SIGNATURE /1.---- DATE 00-7 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT /.LTERATIONS 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 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation :kir Conditioning 0 Special Devices Fireplaces with Box Additions or OVent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. • . -- , - . : a a EL /< 6t 4teti.16 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§22613.148 "SURCHARGE"has been changed throne HEATING PERMIT FEE $ J_y year ef'f'ective STATE SURCHARGE $ 5() July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ ,S ty, co The minimum surcharge for a"(meed fee"permit (Office Use Only) is Sc,beginning July 1.2010 cvottir This Application Becomes Your Building Permit When Approved Paid II�VDate �`�l 1iy Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 V PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /46Z S' 8,--406.6" R-4065 Cr NATURE OF WORK Aij�A� E'/`�00e7-, USE OF BUILDING PERMIT NO. /#. 9z(o A E ISSUED f< Z-9. /4 CONTRACTOR ¢ CONTRACTOR ,qV/,/.� T3(f/(�� -�' PHONE 6/Z- . 750, 4 O!d INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING T C 9/zt(jfy INSULATION ELECTRICAL HEATING COVER NO ORK UNTIL THE ABOVE HAS BEEN SIGNED WPM FINALS BUILDING �� .i Z /, ELECTRICAL J 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