HomeMy WebLinkAboutBuilding Permit 14. 1084 J
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
AN
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I b , '1 _ ` 4-
AND UTILITY CONNECTION PERMIT
sr.'NESd
i.`Mite File
2. Pink City PERMIT NO./4. ., /6 4 -1
3.Yellow Applicant
r print and sign at bottom) ,
ADDRESS p p ZONING office use)
CQ 1 ) )-(1p�r- -- t ' -t IA _ -,,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 25. . 014-.6
OWNER �0 ' , IA ' 9� � q,J
(Name) ITS W (Phone) 7.�a- I `I o2 -41;t6_36
(Address)
Bc� �+
ompany Nam ''P-- P`�``-�`;-)1 O )INI hone) ) 1 - ! 6 `6 LJS; P
ontact Nam �t.)`�1-1 k T (Phone)
TYPE OF WORK 0 New Const u 'on ['Deck ❑Porch ❑Re-Roofing ORe-Siding ❑Lower Level Finish 0 Fireplace .
❑Addition teration ❑Utility Connection
CODE: R.C. ❑I.B.C. 0 Misc:
Type of onstruction: I II III IV V A B
C''
OCC,Group: ABE F HI MR SU PROJECT COST/VALUE $
Division: 1 2 3 4 5 • 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
a•.. e-mentioned Wit W:ss and that iu ..... .�.n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o'..,• ..-.. -_'rt.-this.....-t for jus •use. .--:.. ; .,_ • agree that the city official or a designee may enter upon the property to perform needed inspections.
X AA mac— 6> . P--33I o �.- !'l
--..enik 'gna e ` :.'actor's License No.
WIMP
Permit Valuation /4,040 Park Support Fee # $
Permit Fee $ 34a J7. SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ CO Pressure Reducer $
—
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5-4,7° Water Tower Fee # $
Mechanical Permit Fee $ -1 Co Builder's Deposit $
Sewer&Water Permit Fee $ � Other $
Gas Fireplace Permit Fee $ TOTAL DUE etIA V i 4 $ 4-4- .11.
i
This .lication omes •to !wilding Permit When 'p. . ed j . i S Receipt No. II Ot S �-J
/ i-� .1 ate 0By
Building Official D.to
This is to. .., i at the request'. the abo i-application and accompanying documents is in. u dance with the City Zoning Ordinance and may proceed as requested. 14.• ment
when signed.e,the Ci. P. .. '.ns,,.t..-a to..i orary Certificate of Zoning compliance...d..ows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. / .. ��
0
Planning Director Dat 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
o ritio� CITY OF PRIOR LAKE Date Rec'd
A G �i = HEATING/AIR CONDITIONING/FIREPLACE PERMIT fC ?Z /
1.1'ink Fite PERMIT NO.
'livpi so"S 2.Green City /4. //1)pt✓
)
(Please type or print and sign at bottom) 3.Yellow Applicant
ADDRESS ZONING(e f ce use)
b1 ( oA7C .
LEGAL DESCRIPTION(office use only)
LOT /176 BLOCK ADDITION he/0) I46 U
OWNER \ o .
(Name) ` )Q -- (Phone) --
(Address)
APPLICANT 0
(Name) ( ..'I• A to. _. L) (Phone)
(Address) t t A
(Contact Person)
(Phone) 12., —S1 95
APPLICANT SIGNATURE DATE 2 ) li
• APPLICANT PLEASE COMPLETE BELOW
ANEW CONSTRUCTION ['REPLACEMENT ['ALTERATIONS C MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner
❑Warm Air Plants ❑Steam P O Units and Fireplaces Cannot Encroach
❑Gravity ❑Hot Water1 into Required Side Yard Setbacks.
0 Mechanical 0 Radiation
G��'�� Fireplaces with Box Additions or
❑Air Conditionin ❑Special Dcvices +Va{1pS 10 Cantilevers to the Outside of Buildings
Vent. System Other Devices )\(Ai t"1 j Require a Building Permit.
FIREPLACE LACE 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,Healing Only(New Construction) $64.50 Residential,AC Only $49.50
Cost$ .— Building Permit!!
HEAPING PERMIT FEE $ _
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $ r
This Application Becomes Your Building Permit When Approved Paid �ic `i��lti
.
iil
BUii M a�1P'F - IT
Date
Building Official Date y
—
24 hour notice for all inspections(952)447-9850 j�
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
?Rio Date Rec'd
Eoil
CITY OF PRIOR LAKE PLUMBING PERMIT
v
mss° I.Blue File
2.Geld APERMIT NO. aa 11
City �/.
3.Yellow Applicant 11
(Please type or print and sign at bottom)
ADDRESS to . ZONING(office use)
(05 5
flr ! o �e, N1 r P05 //
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PIDas•(:9-0.3 'U/((-10
OWNER
(Name) yL( I�N N Cr
G (Phone)
(Address)
APPLICANT II r
(Name) M Ac�k2k e_ G �,,S C P L S�"'S (Phone) C7/- 57 2 — ?I I
(Address) 2-2-10 Lk aj ; c ix1, c ?1A‘4--t( 56J lo
(Address) V (City) (Zip Code)
441 C
(Contact Person)R k-`i (Phone) 661 692- ''71/7
APPLICANT SIGNATURE 4111ra ;/._ DATE To - 2.0 / y
11100
AP ANT 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) i Stand Pipe(Washing Machine)
I Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
1 Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
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
The Minnesota Statutes§326B.148 t $ Building Permit#
"SURCHARGE"has been extended
The minimum surcharge for a PLUMBING PERMIT FEE $
"fixed fee"permit is$5.00 STATE SURCHARGE $ jt
TOTAL PERMIT FEE $ ;. =�
This Application Becomes Your Building Permit When Approved Paid ` Receipt No.1
Date By
Bnildine Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-424
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PZ-43trV1
PRIOR LAKE RNT O
BUILDEPADINGTMEAND INF
SPECTION
INSPECTION RECORD
SITE ADDRESS 61/4”5- lfr of ,jRe'f
NATURE OF WORK /A/re -o ,/e
USE OF BUILDING _
PERMIT NO. if- ,t0 -- ! DATEISSUED
CONTRACTOR P/LOJ�Ess/o /t �'•, PHONE loci , 3q(o. c 5(,
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
RINNIMMERNIMMONOWN
II 111 I II I 1.111 1.186111111111111.1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING j oi Z-t 1�\ pI�_
INSULATION )`") ( 3L'(
ELECTRICAL
PLUMBING 101 z HEATING \i ,i
11111111111111111
GAS LINE AIR TEST 1 D 3
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
1111111111110.11 mom
FINALS
BUILDING•
ELECTRICAL
PLUMBING APJ 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