HomeMy WebLinkAboutBuilding Permit 12. 0409, Mech 14. 0744 C) 0000 ❑❑ -1. o o E0
cn 0
13 o o -iz, p, co m m m no
p n o 7Y m 0 • C::7 g mr9Cmz,a z to co «^t'n
m r 0 0 a C Z -n o ° > � o 073
z0
01 1111 -4
��
�A
7. _a - O z 01,-- r 7
m z ° C .� mm
tli o rVv
?<''
fih
c•3 -� v v O
m �. o 0 000000
Z -j 0 n
I
-o cn '0
m m m m mr amr
Hu"h
mx 1 xi mx x73 c:9 'um 8 r c°0 .
o • ? 13
0 n zm=�> 00 -zi
NI
• o zSDCDncc z0 _ m
0 " 11 I tar r)
.. 0
* ro rt.. --7H •,
P < �. ,�""' ❑ 00000 N •
i
� m rn
g. > ill
0 / r-o-o �o
z ` ' Cti ammz- '\`1
). vi **`4%.< . , �
Z m
a
r 0
of Pitic CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
t: 44
; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5' /' d
,. AND UTILITY CONNECTION PERMIT
U �
�'�Hxesot°
I. white File PERMIT NO. A
z Pink City f
2 4,7
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/lo073 73,qy/dEe— PAtSS
LEGAL DESCRIPTION(office use only) //� (�
LOT BLOCK ADDITION PID 6 ,,Y. V O, O 17.0
OWNER
(Name) d6i8/C'1�' //L(.f�IEi/�S''� (Phone) Z3 • Q
(Address) 54//6
//
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction !t'.i ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish 0 Fireplace
❑Addition ❑Alter. ion ■Utility Connection
CODE: ❑I.R.C. ❑I.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 SU (excluding land)
Division: 1 2 3 4 5
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- e ed property and that a 1 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 ca rev e[Vomit fo ust au e. �urrthher�mo`ree,,.I hereby agree that the city official or a designee may enter upon the property to perform needed in ections
X �_ V�� (. ' 'LLVC a1. cli 7---�L0.>I Z._
Signature Contractor's License No. Date
Permit Valuation 31 0 cif _ C; 0 Park Support Fee # $
Permit Fee $ '71/ 7r- SAC # $
Plan Check Fee $ /._ Water Meter Size 5/8"; 1"; $
State Surcharge $ r-, ,) Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5 —b Water Tower Fee # $
Mechanical Permit Fee $ � Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ .__•••___, TOTAL DUE $ /3 0 75-
•
This Application Becomes Your Building Permit When Approved Paid 4..<0, 7 J c pt No.6 G70*-
Date e , a.,{ /Z,...
Building Official Date
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
I PRI() CITY OF PRIOR LAKE Date Rec'
°
HEATING/AIR CONDITIONING/FIREPLACE PERMIT `` .,r
x
t.1 tr � / -44!"
1.pink File
2.Green City PERMIT NO. `� ?
'llINNESO"P
3.Yellow Applicant
Plea int and sign at bottom)
DRESS , ZONING(office use)
fL loksNJ
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
P M., . f L
- 11)-6(/Y.(- l/am- LT(�i',e_v-g- "'l ,' one '%--(2.-2 3g--o t 2 3
(Address)
APPLICANT
(Name) (Phone)
(Address)
(Contact Person) r ; il/ (Phone)
SIGNATURE f',." " DATE Mir
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 0 Hot Water into Required Side Yard Setbacks.
❑Mechanical 0 Radiation Fireplaces with Box Additions or
❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $
STATE SURCHARGE $ 5.00
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved Paid.6,----4/5z) Rec t No.qa0 75—
Building Official Date Date--zZr'jc 7I By •
24 hour notice for all inspections(952)447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Rip Date Ree'd
Et.)01 CITY OF PRIOR LAKE PLUMBING PERMIT •.
I.Cole Fir PERMIT NO.
2.Cold City
3.Yellow Applicant (♦
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
,Ly, Q.. Lr P-s.ss
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER S2--- a-s-\ -
(Name) )c_� �-�-:, w-�r,.TS o..--� (Phone) d> 1 as-
(Address)(Address) �-
APPLICANT
(Name) P r e m c_� p 1�,,r-�4� 1 ,n c. (Phone) q L t(Lf 7 ,S` 1 6 f
(Address) 1O W U o ,4 Tr._ , pr t c r 1.s-i=L S S31 ..
(Aess) (City) (Zip Code)
(Contact Person) (Phone) 1 - S L1
APPLICANT SIGNATURE - — DATE ct I i
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
I Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(I or 2 compartment sinkSewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
Tile Minnesota Statutes IEE SCHEDULE
§376B 148 i job Cost with a 549.50 minimum Residential,New One&'I No-Family $149.50
"SURCHARGE"has been extended Residential,Additions&.alterations $49.50
The iniflimum surchai ge fol•a
"fixed fee Building Permit#
permit is$5.00
PLUMBING PERMIT FEE $
STATE SURCHARGE $ XXX 5.00
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date
wrp.,
Y3uitdine MOM Date
�
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 '�� A
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 7.11 `
DEPARTMENT OF
PRI R LA K E BUILDING AND INSPECTION
INSPECTION CO RERD
SITE ADDRESS f( 473m
NATURE OF WORK ha Zw
USE OF BUILDING .' _— 44
PERMIT NO. 411111Etroli DATE I SUED
CONTRACTOR Y At * ` PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIO S BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
11101.1110
1111111011111110111111111111.111.1.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING terb 1-4-41 ri° q ��I
e
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
asaINNINIIIIIIN
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
ommmamer
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