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HomeMy WebLinkAboutBuilding Permit 15. 0515 0 ❑ n ❑ ❑ ❑ ❑❑ = 0 G Eo n Q o 0 0 0 N _ mmm p g' v N9 D r o m m 7 3 m c7°co m m mo m O QM y zr - DE Z y �m -, ; Z v 5g�. p Cl) oI IQ cz ,; 00D � R Z Z w zx 'g o " . t all 0 °5 L 0 D Z 2, fry mm ,i r v � 221 V' 4. m o o S `i ,� m m m m 'Ilk 0000 ❑ ❑ q P m m 0 -4 y ° v mry>mr c c 1 p y F m = 3 mx3 A n �-- co 0 o r� 000 �G) 3 54 WI" m o A 0 r o ► 0 0 c o y << ) 4 i 0000 ❑ ❑ (� c0i > 7273occ I\/ 1 C ymm3p "1 m r � � .v 0 m555o 4 m > mm � xmm r N Z m .., r 0 OF PR/04. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd it t TEMPORARY CERTIFICATE OF ZONING COMPLIANCE C 2.0, `5 AND UTILITY CONNECTION PERMIT ' U m 4jNNEsot�' I. White File PERMIT NO. y� �j�� 3 Pink City /f•� 3 Yellow Applicant 1/ .../ ��// (Please type or print and sign at bottom) ADDRESS rl I ZONING(office use) _ LEGAL DESCRIPTION(office use only) LOT 3 BLOCK 3 ADDITION cr4> r P3 4 4A 41/4PID OWNER (Name) (Phone) (Address) BUILDER �� ) / • Z%9/(�// (Company Name) -- 0 l''-. 'u �. 'Ii. I' (Phone) (Contact Name) _,..:A44,11 i (Phone) r 2 e - 2b (Address) 22/33 !//"CM I'd _ 1-4114-44/ 4YN!-�i TYPE OF WORK ❑New Construction ['Deck ❑Porch DRe-Roofing ❑Re-Siding , `Lower Level Finish ❑Fireplace ['Addition Alteration DUtility Connection f¢,v-� CODE: DI.R.C. DI.B.C. ❑Misc. q Type of Construction: I II III IV V A B PROJECT COST/VALUE $ o a/d Occupancy Group: A B E F HI MR SU (excluding land) Division: 1 2 3 4 5 I hereby certify that I have furnished info .1:tion 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 ahove-mentio • • •••rry and that all Rstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offici. -. revoke this p -mit for ju ' se. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed in pectin s. X 7 .. /?CooL?e z /s Signature Contractor's License No. Date Permit Valuation ,t` 0 0 a.. 6 0 Park Support Fee # $ Permit Fee $ Q 1. 2S' SAC # $ Plan Check Fee $ �J^�._ Water Meter Size 5/8"; 1"; $ State Surcharge $ Z,0 0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5-4f. S() Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 54sz TOTAL DUE ,. ,.D„✓G $ /9 g �,S This Application Becomes Your Building Permit When Approved Paid /9k,ZS-- Re pt No. Date 5., f er /y Building Official Date Li 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 Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850 4646 Dakota Street Prior Lake,MN 55372 VR/04 CITY OF PRIOR LAKE Date Recd 4, .k .e, HEATING/AIR CONDITIONING/FIREPLACE PERMIT (e, 7 I S-- is .Pipit File PERMIT NO. /2( ©V ` yrNNEso�� 2,Green City 2` < 3.Yellow Applicant (Please type or print and sign at bottom) ADDn, ZONING(office use) eV-1 5 Ott Pdss 11).�� LEGAL DESCRIPTION(office use only) LOT BLOCKS ADDITIONTe 0 PID ��—!�P7y 06/.70 OWNER (Name) C tf , # At t sit C (Phone) " 1 i?\J_ I AU ! . k—d (Address) U i J a vl 4Vt Liti1 M V t I , (N P e)F+t[,JOt)Ioi V 'j , [,� (Phone q . (Address) WO Q 47ci-,1 1(4A . - orlon r r • I (Contact Person)) f I• (Ai d 1 (Phone) / `r / APPLICANT SIGNATU' ,01),e1 DATE JY ` ("V APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ❑REPLACEMENT 7ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner OWarm Air Plants OSteam Units and Fireplaces Cannot Encroach OGravity OHot Water into Required Side Yard Setbacks. ,Mechanical ❑Radiation Fireplaces with Box Additions or O Air Conditioning O Special Devices Cantilevers to the Outside of Buildings 0 Vent. System Other Devicesr Require a Building Permit. FIREPLACE MAKE AND MODEL !P�,' ""�Et 00 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 $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid Date quit f`I! a.d ?Orr r Building Official Date ),7:1!;\ . 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 04 vitt% Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT -. H o ar4/NEse G 2.1.Blue Fiile y PERMIT NO.! s J�.7 Ct 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3728 Pointe Pass NW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID R (N me) Frank & Becky Dosch (Phone) (Address)3728 Pointe Pass NW Prior Lake APPLICANT 952-440-3779 (Name)Alta Htg & Plg dba Clearwater Plg & Htg (Phone) (Address) 19260 Mushtown Road Prior Lake 55372 (Address) (City) (Zip Code) (Contact Person) Susan Schlink (Phone) 952-440-3779 APPLICANT SIGNATURE a DATE 6/18/15 _ 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 StallBackflow Assembly Sinks Backflow Assembly Test 1 Bar Sink Lawn Sprinkler 1 Water Closet(Toilet) Other . . -._ ..___-.-- _ FEE SCHEDULE The Minnesota Statutes§32613.1.48 poi::cost with a$49.50 minimum Residential,New One&Two-Family $149.50 "SURCHARGE"has been extendeda Residential,Additions&Alterations $49.50 The Inininunn surcharge for • $ Building Permit# "fixed fee"permit is$5,00 -PLUMBING PERMIT FEE $ STATE SURCHARGE $ X$ TOTAL PERMIT FEE $ "4 (Office Use Only) 6/0 This Application Becomes Your Building Permit When Approved Paid Receipt No.40:, Date By ffi Butldine Official Date 24 hour notice for ail inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 I CITY OF PRIOR LAKE Date Rec'd fil!ti,474 HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1.Pink File PERMIT NO. ��— 3-�S �I�NNEs��r 2.Green City • 3.1 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3728 Pointe Pass NW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) Frank & Becky Dosch (Phone) (Address) 3728 Pointe Pass NW Prior Lake MN 55372 APPLICANT (Name)Alta Htg & Plg dba Clearwater Plg & Htg (Phone) 852_440-3779 (Address) 19260 Mushtown Road Prior Lake 55372 (Contact Person) Susan Schlink _ (Phone) 952-440-3779 APPLICANT SIGNATURE %f M_,(� DATE 6/1 8/1 5 i APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS 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 ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL Bath fan vent, supplies and returns for basem MIEDULE Industrial,Commercial&Multi Family 1%of job cost Residential, gs Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,A.?0' a i Iterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC 6 i , $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 4',� This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR 'DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2.0 Po. "r �•'�• NATURE OF WORK USE OF BUILDIN _;7:, PERMIT NO. DATE ISSUED ]M'�W f- CONTRACTORb./yr-7,-yr r ,7 PHONE Pt-AU INSTALL EROSIO CON -TOL ND MAINTAIN CLEAN STREE T ALL TIM INSPECTOR DATE F 101,1111.11111. 41.1111111111111111 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING I z9 INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED 1011111.011111 FINALS • BUILDING �� (3/2 v)f f.0 ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This cardmust be posted near an electrical service cabinet prior to rough-in inspections and maintained muntil 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