HomeMy WebLinkAboutBuilding Permit 14. 0109 ❑ ❑
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o* PRto� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t.r., TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z. Z.,e. /4—
.t
x AND UTILITY CONNECTION PERMIT
v
y,t lyrygg0�P t" 1. White CityFiie
/' /2 Pink PERMIT NO. /C
7
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
g 'S Lr--oss -ic" S g /
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 25: z95.. 0/7
OWNER
(Name) (Phone)
(Address)
B(Companyy Name) 1"'% .( v.4..G. ta-�`LorDER - alt,°•- t`N (Phone) £/c-—tk st -- / . t ^
(Contact Name) 7-2*c C� t t" .. (Phone)
(Address) ` . '7 J Lc.u( 2 ,t.cc"e__ 'J>,.._..s .., :.11 1 z 7
TYPE OF WORK 0 New Construction DDeck ❑Porch Erne-Roofing ORe-Siding DLower Level Finish 0 Fireplace
❑Addition ❑Alteration DUtility Connection
CODE: DLR.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Divisi i . 1 2 3 4 5
I here.y certify th t I have fur.' -• 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
abov-mentione. property d that i 11 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offic"a can revr,iia his pe it for jus s urthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
H �`� igna ` Contractor's License No. Date
/yi ��' Park Support Fee # $
Permit Valuation �"/"(�
Permit Fee $ 7472. *go SAC # $
Plan Check Fee $ Meter Size 5/8"; I"; $
State Surcharge $
�l�f /3Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing $ Water Tower Fee # $
Permit Fee ���`�o Builder's Deposit $
Mechanical Permit Fee $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE -Y1 3 ,4,-_j4.... $ /6,61/2
7
%� BRe � ! I
This A . ic. ''on B,• t ou :u►tding Permit When fir ed Paid
_l t`L' �" p /
_ ` t No. O�
Building Official Aiii■Sate
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,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
21.�PRlp
1414- M6 CITY OF PRIOR LAKE Date Rec'd
"r , ' HEATING/AIR CONDITIONING/FIREPLACE PE T 3 ,1,),, IL-
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1..4 ••::. ' '-'.'d RitZ W I 4. 0 at of
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Pin
Omken FCititey Hi PERMIT NO. I Z7
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
3898 CROSS ST SW 0
LEGAL DESCRIPTION(office use only) +�
LOT BLOCK ADDITION PID ✓- `Sa -tic(-C
(Name)
OWNER MILAND RESIDENCE (Phone)
(Address) SAME AS ABOVE
APPLICANT
GENZ RYAN (Phone) 9 5 2-767-1000
(Name)
2200 W HWY 13 BURNSVILLE 55337
(Address) (Zip Code)
(Address) / (City)
LONI PETE SON / (Phone) 952-767-1000
(Contact Person) .
APPLICANT SIGNATURE ,• .014-(*1 tt /ALJ DATE 3/11/14
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ytEPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL REZNOR UDAP45 POWERVENTED UNIT HTR FUEL NAT GAS
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 H
Hot Wrinto Required Side Yard Setbacks.
Mechanical GARAGE HEATER Radiation Fireplaces with Box Additions or
[(Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings
Went.System 3 BATH FANS ❑Other Devices Require a Building Permit.
DRYER VENT
FIREPLACE 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,Heating Only(New Construction) $64.50 Residential,AC Only $49.50
Estimated Cost$ Building Permit #
Tile Minnesota Statutes§32613.148
4 9 . 5 0 "Sl)RCI IARGE”has been changed Int one
HEATING PERMIT FEE $ year effective
STATE SURCHARGE $ - 0 O July 1,2010,until June 30.2011.
TOTAL PERMIT FEE $ Sif.,co The minimum surcharge for a"fixed fee"permit
is:154 beginning July 1.2010
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Q Receipt No.n0CII 9
Date 2. ( 1 �C j, By C
Building Official Date J O —1 D
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
.
r� Date teed
CITY OF pRIQR LAKE PLUMBING PERIYIITgO
•• •. ' xFil* 1 PERMIT NU
_.Vary Appy
(Please type or ptiat and sp=a at bottom) 1 20NIPI_(attGm use)
I ADDRESS
381$ C ro ss Sly'
LEGAL DESCRIPTION(otece vac Daly) •
LOT BLOCK ADDITION PD)
(WNER
Na IL c. b c_e-'I' r1. k..,-.cl (Phone)
(Address) 3$ P Cross 5'' Std Pr,or t....—
APPLICAN q Sa-UN 7~ s"?b i
Nom) re.' e.(^r e_c Q 1.,Mb• "C _ _ (Phone)
Pr L--ix.c_ SS3"I �-
(Address) G,`�oo s h, (3O.7—� Tr—s 1 P (Zip Code)
(,dress) (City)
0,---Th C�0,7,31-- (Phone) (o t Z--418 3-'17-N C
(Contact Person) Za
APPLICANT SIGNATURE 1 - DATE
APPLICANT PLEASE COMPLETE BELOW Type olFixtuirts
Quantity Type of Fixture QuantityRough-ins
I Bath Tub with or without shower . Water Heater
I Dishwasher Water SoftenerPloor Drain , Stand Pipe(Washin Machine
3 Lavatory(Bathroom Sink) Sewage Ejector
Laundry Tray SI or 2 compartment sink Backflow Assembly
Sinks Stall . Backflow Assembly Test
Bar Lawn Sprinkler
Bar Sink -
3 Water Closet(Toilet) Other
FEE SCHEDULE Residential,New One at Two-Family $149.50
The Minnesota Statutes§extended'
yob.cost with a$49.50 mtnimum Residential,Additions Oona&Alterations 549.
"SURCHARGE"has been extended'
The mininittttt surcharge for a Building Permit#
"fixed fees $
permit is$5.00 PAID WITH •
.PLUMBING PERMIT FEE iLD PERMIT
STATE SURCHARGE $ 5' I
TOTAL PERMIT FEE $
(Office the Only) Receipt No.
This Application Becomes Your Building Permit When Approved Paid
Date By i
Building pttietal Due
24 hour notice reran -4245 I
444 Dakota Street S.R.,Prior ections Lake,Mlnneset,fax a�55372
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ROF
PRIORLAKEDB
ING TMENT AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3598T
NATURE OF WORK fl/ O#f
USE OF BUILDING �l 33+
PERMIT NO. 1 . DATE ISSUED
CONTRACTOR ONE Ira • I. 17
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
11111111011
I 411111111111111111.1ftto Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION wC Pi, J•26/L.
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
• BUILDING c-51.\741‘-•
• ELECTRICAL
• PLUMBING ..'%NC(
(---/--
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