HomeMy WebLinkAboutBuilding Permit 11. 0361 n 000000 x 0 0 z §
- 0 0 O O ■ �£« tea \ k �/
k o0 U�2ik§ it g 9�
? rn
(D \ k \ I
9 a" Z>% 0® 2 0 §f
w 2 n 2
S, \ "I \ \ ill .. -i
'
1
@ 2 2.
• 0 > z 9 ►�. 2
r 0,/
• X
- 11 TI
0000000 {
A w. 073 2 0 - Apert§� |
? -1 zo § mak% �k m 0 !nil° = z ==ee -0 0% M e ? 7 7@oo ® s! ? m / - . �]kk 73 Z §, . \ \ k , �� 1 r\% P .
\ 3 \ 7 . .
C.
k X -t-
.
0 § `` 000000 1 o
/ % ' . I .sill ` Qm@o2 A
e § Mb , ammo
� mm■Q R.
5 2 = E�q �
2 i \\\\$
i � mm�/ 2
X22 E m
\ 0• -Iz z
m CA o
OF PRI°.? CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4", `q `/
X AND UTILITY CONNECTION PERMIT
c.) 1,,,_ m
41NNESO17. I. White File
2Pink City PERMIT NO. //f 36. /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 1ZONING(office use)
113' ) E;',,,,,,,n t y SSG 5� ?r; a{` L0v f"n,� 'k) , 6‘5-7•L 1 sp
LEGAL DESCRIPTION(office use only)
LOT t ( BLOCK ADDITION 5 U Kie N 5 I PID 25. 043 , 007 0
OWN(Name) QrL,2) 1,4:7 L..) <f (Phone) (9 p._ f3/0 6 7174&:'
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORKew Cons uc on ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ELower Level Finish E Fireplace
i• Addition i 1 Alteration ['Utility Connection
CODE: C. ❑I.B.C. ❑Misc.
Type of onstruction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
(excluding land)
Division: 1 2 3 4 5 I
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-mentioned property and that all construction will conform . existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just c Furthermore,h-• .y agree that the city official or a designee may enter upon the property to perform needed inspections.
x �� /1-ger'-�.rwl
Signatur Contractor's License No. Date
Permit Valuation y/_(((//17b/OlaPark Support Fee # $
Permit Fee $ SAC # $
10?-1:5-6CO �•5-6
Plan Check Fee $ 6.67,ee Water Meter Size 5/8"; 1"; $
State Surcharge $
e Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ _4 92 Water Tower Fee # $
Mechanical Permit Fee $ 5tS---� Builder's Deposit $
Sewer&Water Permit Fee $ .-- Other $
Gas Fireplace Permit Fee $ TOTAL DUE C 51/0.. // $ /5.5z,3
This Appli s n Bec' i r Building Permit When pp ved Paid /852.., .3b Re eipt No./' 0 /69 7
/jJ. 1 ' Date 4• a- . ( ( B
Buldin_Of Icial ate
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 J�- NU 41464. I
,C--5-.-1/
// /Wpe %oW3 JuYf�rrQ /,,,,it---re o x"00
-ri
Pl ng Director Date Special Conditions,if any Sar->ei/
/�//,.«
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 cweot.
4646 Dakota Street Prior Lake,MN 55372
} O� pRI
y
White -Building
Canary -Engineering
Pink -Planning
MINNESO�P
. . A •NI PAS K
I
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
q",„. �' �.. til' !` , .( ! t:—
Accepted �C Accepted With Corrections
Denied
Reviewed By: � �' Date:
T ` ;�, .+ar�ry ;..s. ea kr w
ervi�K -�µr(�c2 rn'fl`Xllnu
Comments: ®rln�f 1 /
G. ., aa�� ,yv, itAleface JovvejK Cr ei rYel
Orolis-&neg
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit ordinance oan fthe junsd ction'olPermits
ation of
any of the provisions of this code or of any other of this code or other
presuming to give authority to violate or cancel the provisions
ordinances of the jurisdiction shall not be valid."
OF PRIp4
y
t")
tx
White -Building
'�'INNESO�P Canary Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT DltN/EL_ 5 HO I'l/ER
APPLICATION RECEIVED 4- • / q, I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
43 97 QUIlel 772-E-Ei —5E-. .
Accepted ✓ Accepted With Corrections
Denied
Reviewed By: 0ALDate: -4( ./Z/
�
Comments: L( r Joy MO 1r - S(c›. J MA-7/U f-( "-
teS-7)-r, -s hoe, 7, .
7-- 5-(i -• Os`r 5- i t z Lrv5r-fAre. 642-A6.4- nA)
A9€40- c�-4&& . PA0✓GOtf 44``E 7-- (4,72.04(_,3-
"The
4,"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CR
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
fit,c4il. 0.3Col
1.Pink FilePERMIT NO. // �//�{NESO�P 2.Green City I ,L (/7 U
1
3.Yellow Applicant ll
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS f 1 S4,c-f3g \cJ� uel SL
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER �,� (:6-i
c (Phone /d— 44(Name) \\��1 �'„`�S t�
(Address) 1/00
614" ger Pt Lil / 1YOCLV ( Kri" 5-5-35.2„
APPLICANT �"�/� J4ea4 /—/7)rPl hone) 6-d-4' -91g7(.0
(Name) 6 L/�W
,.9Ar.Q0rn_eQ0 r rrc t VN �5 5a.
(Address) !��/ (Address) I (Ci (Zip Code)
pi-dc.„_s (Phone) �/(Contact Person) (,,/�
APPLICANT SIGNATURE
DATE T/ a'
LICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ❑REPLACEMENT [v LTERATIONS
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 0 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 Special D vices 1., G� Cantilevers to the Outside of Buildings
OVent.System s Require
/a Building Permit.
FIREPLACE MAKE AND MODEL _W/C-rf 07E844 PrL 1 ltr-AP `3fI
$49.50
1%of'ob FEE S
c esidential,Gas Fireplace
Industrial,Commercial&Multi-Family J
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50Residential,AC Only $49.50
Residential,Heating Only(New Construction) $64.50
' ' ' Cost$ Building Permit #
The Minnesota Statutes§326B.148
"SURCHARGE"has been changed for one HEATING PERMIT FEE $ A -Ni
year effective STATE SURCHARGE $ _ „AL
July 1,2010,until June 30,2011. TOTAL PERMIT FEE $ Iim _
The minimum surcharge for a"fixed fee"permit
is S5,beginning July 1,2010 ��
This Application Becomes Your Building Permit When Approved Paid .4 .�,--V girptNo. 0 9s-,1
Dat-, rl
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
LAKE
DEPARTMENT OF
PRIOR
BUILDING AND INSPECTION
RECORD
INSPECTION
i 311 Qv rN c
SITE ADDRESS /
NATURE OF WORK
USE OF BUILDING S " ►z
PERMIT NO. /1. 344 DATE ISSU D zt/(
CONTRACTOR D J ' 1 PHONE 6,I2-S/0. 6700
NOTE: THIS IS NOT A PERMIT FOR Y OF THE INSPECTIONS BELOW
THE PERT IS
BY SEPARATEC ME NT /� A,.�,�Trvlec
(NSQA�-1, 20s 146".$ Com`+,"S'," V�4I/VTr -(eJ Earo.R 3T5'l� DATE
FOOTING P, ect. !'9u.�..r �s� 1 / 6 f0-- 77' ( V I
LFOUNDATION (Prior to Backfill) I i *firI
PLACE NO CONCRETE UNTIL Ap VE HAS BEENID
�- ICC fluPROUGH - I S 7 Zi rl_
FRAMING 'fit'_, 44/i/
INSULATION Pael 1,470
ELECTRICAL
PLUMBING - 6/4/
HEATING (if required)
.GAS LINE AIR TESTI, P ° ( z►-�
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ikoh 1,0 ���
FINALS
GRADING (Prior to Sodding)
BUILDING
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