HomeMy WebLinkAboutBuilding Permit 14. 1002 J
W z _ 1iN. -.
J a' CC W
0 c
�� WicWia z
�,
� z
W --+• V OZW � y < 41
Z
•
-�, 1 O ❑ ❑ ❑ O
W
4 � LL N OO
0w a. CO 0 W z Col
O izC
0 H Cii 0 Y LL J 0 0 0 4
v.
x r O W z = izzz ,z4 W c N °
m � Wm sX co 04
gswtfl =
pJ
O v
x0 z v o
go z o N p o a
tz O z w H V F, < - w
Z = c� < o° �, Z co 0 J/ w
u.5O. _ � z � gJ µZµII W re ce occ o -- e
OW Z W = OO1eNzC 2 O O t5 0 V
d 0 O eau. = y 3 V V E.
0z a 0 a 00001.0 C) Ni0 0
EstPRION CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'.White File PERMIT NO.
z. Peak city / - /C90
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
2195 165 ST NW, Shakopee, MN 55379
LEGAL DESCRIPTION(office use only)
LOT 27 BLOCK 03 ADDITION STEMMER RIDGE PID 254400310
(Name)OR James Horwitz (Phone) 612 .2 0 7 .3 921
(Address) 2195 165 ST NW, Shakopee, MN 55379
BUILDER
(CompanyName) Villamil Construction Co. (Phone) 612 .221.7511
(Contact Name) Ian Villamil (Phone) 612 .2 21. 7 511
(Address) 5535 County Road 151, Minnetrista, MN 55364
TYPE OF WORK 0 New Construction ❑Deck ❑Porch :Me-Roofing ❑Re-Siding ®Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ®I.R.C. DI.B.C. 0 Misc:
Type of Construction: I II Ill IV V A B
Occupancy Group: A B E F II I M R SU PROJECT COST/VALUE $ 25, 000 . 00
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. 1?urt.t pre,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x _ i"i�J✓c' % BC633780 09/15/14
Signature Contractor's License No. Date
Permit Valuation 3000, — Park Support Fee # $
Permit Fee $ 1 .-7 S✓ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ / . ° Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 4•
50
Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ S 4. Co TOTAL DUE $ /$5,25
This Applicati• ;:oro Your Building Permit When Ared Paid 15,5-, 2- Receipt No. I'Z'L.5 Z
if / f
Date /tie. 4 By
.far l6 /;u
Building Official Date
This is to certify that the est in the above application and acco ' '': ,. ments is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by th . 'ty ' :..- constitutes a temporary Certifica, of ., ..compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
40 1c6
P1,-; 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
c 1 '
0 yRr\ CITY OF PRIOR LAKE Date Ret'd
A,L e ;ti HEATING/AIR CONDITIONING/EMPLACE PERMIT
G.� C���Jl1
l ost' �."'"k Fa° PERMIT NO 14/
it 00Z.......--
V .�
a.c,« cin .
(Please type or print and sign at bottom) 3.Yaw Appllcas
ADDRESS U^ ' ZONING(office use)
2513S4— \r4
LEGAL DESCRIPTION(office use only) i �-, �
LOT BLOCK ADDITION 571--e-- /c: Cite. PID t-7 ' `7 1 r-03/-e)
(NaNi \'t�a \ C��� ��.'f l��co+ (Phone) l 12 r 22-4"' /91 •
•
(Address) t3 1 ")c3 C* (Z (51 M 1 h h (c=<(-a. 1 ryI N •�� t
APPLICANT
HEARTH hi�MEE TECHNOLOGIES
(Name) Elba FIRESd HEARTH HOME (Phone) •
(Address) Lic BC662656
2700fAIRYIEW AVENUE N
ROSEVIL rM! 551.13 (City) (Zip Code)
(Contact Person) 651.633.2561 (Phone) Lea lf\+[-Scej-1. -- `312
APPLICANT SIGNATURE C/� i! OK 11 i_= DATE
APPLICANT PLEASE COMPLETE BELOW •
❑NEW CONSTRUCTION 0 REPLACEMENTALTERATIONS
FURNACE MAKE AND MODEL FUEL _
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
['Wenn Air Plants PLEASE NOTE: Air Conditioner
❑Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water
eohanical ❑Radiation into Required Side Yard Setbacks.
:kir Conditioning 0 Special Devices Fireplaces with Box Additions or
:Went.System 0 Other Devices Cantilevers to the Outside of Buildings
{{,yak--y.-91& Require a Building Permit.
FIREPLACE MAKE AND MODEL 4,1;c3 DTI&-IRR-C ._ �.__ ____
FEE SCHEDULE
Industrial,Commercial&Multi-Family I%of Job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(Now 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§32613.148
HEATING PERMIT FEE $ "SURCHARGE"has been changed I'or one
year effective
STATE SURCHARGE $ .50 July I,2010.until June 30.201
TOTAL PERMIT FEE $ The minimmn surcharge for a"fixed fee"perrnil
(Office Use Only) Is y„�,beginning July 1,201 0
This Application Becomes Your Building Permit When Approved Paid Receipt No.
ly( 10
''� �1 L' C N1
Building Official Date 1 p
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 "-
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
(rsOR*� Date Rec'd
'3"
CITY OF PRIOR LAKE PLUMBING PERMIT Cr/7
y
kNEs°
1. Blue File PERMIT NO. IL
2. Yel
3. Yellow p Applicant [f'
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
2195 165t"STREET N.W. r C
LEGAL DESCRIPTION(office use only)
LOT W1 BLOCK 3 ADDITION 't ClY1 VYl - , ' e PID 14/ /�
OWNER
(Name)_Mr. HORWITZ (Phone)
(Address)2195 165TH STREET N.W.
APPLICANT
(Name) WESTONKA MECHANICAL CON TRACTORS,INC. 952-472-
4959 (Phone)
(Address) _6501 COUNTY ROAD
15 MOUND 55364
(Address) (City) (Zip Code)
(Contact Person) JANICE CLARK (Phone) 952-472-
4959
APPLICANT SIGNATURE _RICHARD J.MORRISON DATE _09-16-
2014
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
1 Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
1 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
1 Bar Sink Lawn Sprinkler
1 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
Estimated Cost $ 2,995.00 Building Permit#
PLUMBING PERMIT FEE $
STATE SURCHARGE $ Pte)WITH
TOTAL PERMIT FEE $ BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Tlo♦o R..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS zior4 (6911- —
NATURE OF WORK Lott, £4' F ' "t'
USE OF BUILDING iS
PERMIT NO. 4- root DATE ISSUED 67A /4
CONTRACTOR V, „,,taPHONE 0/7- • zzr -?S/( _
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
OUTATTON (Prior To Backfill) _
.14400WRETARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEVIMMUTER/SEPTIC _
FRAMING / 2.,
INSULATION _
ELECTRICAL
17/PLUMBING / -' ° 7
HEATING
FIREPLACE
GAS LINE AIR TEST
ETARDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
lietKONNIF - f
FINALS
PRIOR TO SODDING)
BUILDING J7457191 _
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 neo
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850