Loading...
HomeMy WebLinkAboutBuilding Permit 14. 1021 • 5 DD n c 0000 0 > $n n n a 0 0 . mgmmm 0 2 0 ki m5 < k x E � Pc §22 m m k �� i1% 73 q , -1 m 0e- P z- IlIFU ` 0 z 0 '0 5 .x m hi X r § a1 4. m 0 k k 0 a000000 tir ' m Si Pi 1 ■ m ■ * ■ m E z Q Q mrm > mr i CI 13 f 2 113 mco „ z- o 0 m 0 0 > 0g0 0 § d m en - o z 0x c 0 2 $ § K §§ § m St m \m mo . 000000 N /mmmm N �§ % z W5 � � § m > mm , ■ m ■ F § -i § 0 O. PRip� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ci U TEMPORARY CERTIFICATE OF ZONING COMPLIANCE g,l� AND UTILITY CONNECTION PERMIT / 17/ �rf`�'NES�S I.White File PERMIT NO 2. Pink City 3.Yellow Applicant (Please type or print and sign at bottom) f t ' ADDRESS ZONING(office use) a ? Oa / 1 No" 41 LEGAL DESCRIPTION(office use only) ] �y /� LOT BLOCK ADDITION PID �'��l Z.4.5- OWNER 7-120/d T l 0/ti if t G t► (Phone) Z��33'Gfs�O r (Address) SGGyf2¢-- 415/rvi c ef—" BUILDER /O (Company Name) PP ff" Li-e- (Phone)(Contact Name) U/✓ ee 6 l(S5� (Phonne) fc2'6?)' r e (Address) ,il9 COM I?'lerC2 11`2..-/ 0 Pi(l u1 /'"/I' TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding `ower Level Finish 0 Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: DLR.C. I.B.C. 0 Misc: Type of Construction: I II HEW V AB fl 44:°°' � £d Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ T , Division: 1 2 3 4 5 (excluding land) I hereby certify that I ha„,- ed information on,.'applicati.•which is to the best of my knowledge true and correct. I also certify that I am the owner or authorised agent for the '': above-mentioned. .. an. that all costructio. : conf all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke n' . r just'Lause. F ,I • agree that the city official or a designee may enter upon the property to perform needed inspections. X C 323 Ng�9* Signature Contractor's License No. Date Permit Valuation 3000_ 00 Park Support Fee # $ Permit Fee $ / 1771I-C-- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / s 0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 54 -) Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5i--5-0 TOTAL DUFyril maz ,7.( .. 4 ' $ p. t tet... This Appli , . :ecomes Your Building Permit When Approvedi, qiCL‘ik Paid jf3S. fReceipt No. L Date 2 •( F111 ByJA-- t_, :0 tng Official Date This is to certify at 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 Oc:upancy 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 01!it,„ CITY OF PRIOR LAKE Date Reed a,z $ ' '� HEATING/AIR CONDITIONING/FIREPLACE PERMIT ', Z. ' iii �' '' '�� i orde PERMIT NO. lit 3.Yellow Aplieini14 (Please type or print and sits at bottom) ADDRESS29‘ ZONING(once use) 5 ?)DIOCCIA— -Weft \ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Name) N OWNER Copçt Cre e M `0 Y (Phone) 952. 29)—eiq C . (Address) I"1 ( 1 @ Co imck-ce, Q..NE .Leet) ?no /Mg€5 /2. , APPLICANT HEARTH &HOME TECHNOLOGIES (Name) dba FIRESIDE HEARTH-Lte HOME (Phone) (Address) LIC BC662656 2700 Fig ggyiyi AVENUF N_ ROSE a MN 55113 (City) (Zip Code) (Contact Person) 6eL (Phone) (QS(—(p`3y /3312"' • APPLICANT SIGNATURE -�" DATE _ f r `'7 ,.,,( APPLICANT PLEASE COMPLETE BELOW [ BW CONSTRUCTION REPLACEMENT ALTERATIONS , ❑ ❑ FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT _ TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑C+ by 0 Hot Water into Required Side Yard Setbacks. iat 0 Radiation Fireplaces wiRh Be:Addition or Air Conditioning 0 Special Devices Vent.System 0 Other Devices Cantilevers to the Outside of Buildings �j��j.''r�( 2J`�'�J/�� Require a Building Permit. FIREPLACE MAKE AND MODELIk"' (' Chula-7L / V�/t..�C/ — FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) S149.50 Residential,Additions&Alterations 649.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit it the Minnesota Statutes#326111.148 HEATING PERMIT FEE $ ".St€RCI IARGI•"has been changed for one akar effective STATE SURCHARGE $ .50 July 1.2010,until June 30.1'.011. TOTAL PERMIT FEE $ I he minimum surcharge a"tiled fee"permit (Office Use Ory) is c . y 1.2011 This Application Becomes Your Building Permit When Approved Paid aka Date ,1 ' tr. di Sadism offal Date 24 hour notice for all inspections(952)447-9850,fax(9 44710 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 4 10/03/2014 16:01 9524926006 GLOWING HEARTH PAGE: 01/Dig YRi,,,, / CITY OF PRIOR LAKE Date Reed 6„,,,° r' �'� BEATING/AIR CONDGNINGIFIREPLACE PERMIT iiiiv,�� /0,, lv. /y I.Pi nkFeta PEST NO. ��ht* 2.Gym fiazi!jcia,../ 3.Yellow Applicant (Pleaseor print and sign at botto rl) -)ADDRESS60 cci.„+_. ZONING(office use) 105r);:i iv, ., LEGAL DESCRIPTION(office use only) LOT I BLOCK 3 ADDITION Me I.t/l CZ „ 7,,,,,-/4PID'27S'-3(M "a S—e) OWNER (Name) 0 R,• '_ 1,, L. (Phone) 757.4: — 9 (Address) i 4 O Cnyc CO Att t\E i 'S i k2 14 S 3 APPLICANT 1± 4-- :...� Phone) q5.2-149)--91)-7(e, (Name) t..► �rY.. �, _ (Address) .li S^��s �� _ a1 �,.� Y t SCJ 3� .,, (Contact Person) s . .d (Phone) �7<o , � , APPLICANT SIGNATURE DATE 101 — APPLICA T PLEASE COMPLETE BELOW DNEW CONSTRUCTION DREPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL .. FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner D Warn Air Plants D Steam Units and Fireplaces Cannot Ericroaeh D Gravity (JHot Water into Required Side Yard Setbacks, 0Mechanical Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ■Other Devic- - Require a Building Permit. FIREPLACE MAKE AND MODEL ►:: • ....v f. 7e!y,: : . FE SCHEDULE Industrial,Commercial&Multi Family 1%of job cost Residential,(las F' •1 ,� ( $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 9.50 u, ; ,tial. Nr l fini ffr trueticm) 864.50 Residential,AC Only e �nneso tu+E'es Cwt$ Building Penni* "SURCHARGE"has been extended — 1C:9\ The minimum surcharge fora SEATING PERMIT FEE t-7-410-113 >TATE SURCHARGE re.,-'.4r. "fixed fee"permit is.. , ' i'OTAL PERMIT FEE $ 611,5"0 k This Application Becomes Your Building Permit When Approved Paid Rtec '. No. Date - .1 , , Bui dittg O#ftcial Date • . a , ' I ”'SIT 24 hour notice for all Inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55392 PRfo Date Rec'd gfalCITY OF PRIOR LAKE PLUMBING PERMIT Gluea Fiiltye PERMIT NO. `L,1-, 1021 i.colc 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 21 © s 6A cam. 4— Tc( n LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name) Z-20 (/at.a,D f Lik hl (Phone) 672 --07o8 l�Z (Address) P,D• 62) (2.51) prr`D ( C.-at Pc ,1/47 5-922- (Address) -92Z(Address) (City) (Zip Code) (Contact Person) �v — (Phone) APPLICANT SIGNATURE DATE 7/re G/ 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 Water Softener Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector 1 Shower Stall Backflow Assembly Sinks Backflow Assembly Test 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 $ Building Permit# The Minnesota Statutes§326B.148 PLUMBING PERMIT FEE $ "SURCHARGE"has been extended STATE SURCHARGE $ The minimum surcharge for a TOTAL PERMIT FEE $ "finds f� it i5.00 (Office Use Only) ?NW �Pte * This Application Becomes Your Building Permit When Approved Paid ;.OV1L9 Melp51 No. Date By 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 • PRIOR LAKE 'DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ai905 :die#17.8 NATURE OF WORK `OW USE OF BUILDIN PERMIT NO. Pr it ATE ISSUED q. « r.-- CONTRACTOR Ir!,a['�wl�T?'r PHONE Ftre‘Pf INSTALL EROSION •NRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE 11.111111111.11.1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS IlWrililigli 10/,�fes_._-- INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE GAS LINE AIR TEST 1111111111.1111111110 COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 011111111111110 IMMO FINALS i BUILDING /2g 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 no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850