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HomeMy WebLinkAboutBuilding Permit 11. 0084 S 0 0 0 C? 0000 ❑❑ 13 0 > zC) v t7 n 0 v, rz-I�noo -nii p a �4 n O m 0 0 D 3 = ZND CO m m m m0 to r • m m y m m SZDZ O cn O� -Oi -Oi D Z ° -1 a > o Z � f0 D /� Cn 0 z 7.-, vI Z 21 t:§4 ' `-'..,..- 0 +� 0 X7 0 n t� Z U.1 n X D a 0O mm r V, Z73 0 —( O CD 000000 in m m m 3 'oen * 3 - iR) X m m mrRDm � Z Z "V v • •� ia. miM m o co z to m m _:vM77 _ O y 0 m m - z00 0 G) 3 -z-� m .. n 0 • r I; O O z =1 ?0 0 0 Z rn v zcc z ► r z :i m `_ 12 P 0 A ni 0 m m < „"". I "....• 000000 IV\ >Di )24 z �_ › mmOC ^� "' o CS. 4 rn %!< x •n 2 r cn D r O� PRI.6CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 4 ,; ' .1 :11;:: TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 ,7 / i AND UTILITY CONNECTION PERMIT M,NNES��P I. White File 2pink City PERMIT NO. f/ D Q U . 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 5056 - ?:),iveiyi-b---- l.....A/.. ,g. t LEGAL DESCRIPTION(office use only) LOT 6 BLOCK Z ADDITION D 41, EL6) 8 R` PID 25-. 3 99: 0/7 6 OWNER (Name) l��✓"��j Q)6d (Phone) (Address) cpc3 AA-)I-y -,l g '� (....A-) , BUILDER �� (Company Name) OkgEg-113 '' ..A-.4-1.8`e_J (Phone) 23 z 9 YL)- .. (3 (Contact Name) at. � � v ) A . 1 (Phone) (Address) I 07c76 ,-''yl't -`�cf (ku L l/"`)DOgv u TYPE OF WORK ❑New Construction ['Deck Porch DRe-Roofing ❑Re-Siding )4 ower Level Finish ❑Fireplace DAddition DAlteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑Misc. Type of Construction: 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 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 to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official .• ke .s pe mit for cause. Furthermore,I hereby agree that the city official or a desii nee may enter upon the property to perform need•It1 (spect ins. x j - 2C)S CJ'I c9 9 Signature Contractor's License No. Date Permit Valuation 2 I 0 U 0. 0 0 Park Support Fee # $ Permit Fee $ (o Z. 2-5- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / (j 0 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 54-. 5Z) Water Tower Fee # $, Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 53Z- Se) TOTAL DUE $ /7Z . 2....5- This Application Becomes Your Building Permit When Approved Paid riZ_ ZS— R eipt No. G 2.47 Date Z, LS,ft 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 �., PR%%� CITY OF PRIOR LAKE Date Rec'd IN HEATING/AIR CONDITIONING/FIREPLACE PERMIT NNESo,Se. 2.1. Finkn Filty U e PERMIT NO. ' „, ' GreeCi 3.Yellow Applicant /r I (Please type or print and sign at bottom) ADDRESS ` b ')o/�� j, ZONING(office ti J )5 0 )6 f`-� `� pJ use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER e,'t bi3 (Phone) (Name) t� (Address) ,v /1.3 i---)5 ())1JL$ &' APPLICANT l j i o -3 3 `i (Name) Fio.,0 � H (Phone) �� (Address) 00 r A l41-v(.0:W /N-05,- 1.), ()-, 'S .\k, ` - V'` 1:J , (Address) (City) (Zip Code) \ (Contact Person) �J 0 CA 1 _ ''4 (Phone) - APPLICANT SIGNATURE � DATE 0011 AP' ICANT PLE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: ❑Gravity ❑Hot Water Air Conditioner Units ❑Mechanical ❑Radiation Cannot Encroach into ❑Air Conditioning ❑Special Devices Required Side Yard [Went.System ❑Other Devices Setbacks FIREPLACE MAKE AND MODEL _14,?/r)-'A)--G-� (SL -5�I —!Y l FEE SCHEDULE Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $9910 $39.50 minimum Residential,Heating&A/C(New Construction) $99.50 Residential,Additions&Alterations $39.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $39.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ 5.. .1 AILD PMD PERMIT FEE $ NG PFRM�T' (Office Use Only) 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,fax(952)447-4245 .UO.ZU11 U3...ift ZW1 r/C101.C.U1 .C/JJVID/VO,V YJ.E.G.C.V.A.Jft,./ .=-1-S/mr-,. // / ..------ .1 i PRia. bt.M7 al rit \ism) 41kfill Sew C Date Reed CITY OF PRIOR LAKE PLUMBING PERMIT . _ i Iti.le rat PERMIT NO. 1 I 64.4il 1 1 elti etty 1 YrIXI/kv AM$A0' 0 I (Pte 4be type or print and sign at bottom) I ADDRESS ZONING(ann.uci k-9C.)rt. .S C4:: ...— , LEGAL DESCRIPTION(orrice wearily) LOT BLOCK ADDITION PID OWNER (Name) — (Phone) (Address) ,------. APPLICANT l'%-4 f. , , (Name) 1 tilstcr C,r0 ‘erto (phone) 61) 90 - W.c ?' (Address) ...;3 I '4) 1 ' ,Jam r (Address) ( lY) (Zip Code) (Contact Person) _ , -feLIC 1,-"'a?046rd (phone) 6/ .) 76) —q6 -CV APPLICANT SIGNATURE ( ,t .'"*":7--- -.,:;,,..- 2_,,... DATE ____________ APPLICANT PLEASE COMPLETE BELOW QuantityType of FutureQuantity Type of Fixture —Bath Tab with or without shower Rough in Dishwasher ___ Water floater Floor Drain Water Softer I Lavatory(BathroonT.Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly ---- Sinks Backflow Assembly Test 1 ---T—Bar Sink Lawn Sprinkler L _ai Water Closet(Toilet) Other FEE SCHEDULE Intlisirial,Commercial&Multi-family 1%of job cost with a S39.50 minimum Residential,New One&Two-Family S9950 Residential,AtItlitiong&Alterations $39.50 Estimated Cost S Building Permit# PLUMBING PERMIT FEE $ PAID WITH STATE SURCHARGE S ;l:, JILDING PERMIT TOTAL PERMIT FEE (Office Ilse Only) _ This Application Becomes Your Building Permit When Approved Paid Receipt No, Date By Building otrivinl Date 24 hour notice for all Intpcctions(9M)4474850,fox(952)447-4245 16200 Eagle Creek Ave.,S.E,,Prior Lake,MN 55372-1714 Residential Building Permit Checklist B-a emeut-Finish or Interior Alteration to Single-Family-Homes BY: -,///// Date: 2- , 7, Building Permit# // op ND: Zoning: Site Address Legal: L B Subdivision: Existing Structure: YES r NO CONFORMS TO ZONING YES NO ORDINANCE YES ( NO Is this an expansion of the existing footprint or Refer to Planning building height? ✓ Is the property located within the flood plain? Refer to Planning ,- Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? ✓ Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single ✓ family home(office,group home,day care,etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. • • L:\TEMPLATE\ALTCHCK.DOC rn i Ti.w+,er..xi9.� PR DEPARMO �ui1A?�, K E BUILD INGTANDENT 01 NFINSPECTION INSPECTION RECORD SITE ADDRESS 5056 ookl sCI) i-N. NATURE OF WORK 0 Re, USE OF BUILDING Al if PERMIT NO. . 00 i ' DATE ISSUED Z . 7. / CONTRACTOR 77/'15&.�/n6 2c/iLdt;R„s PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS B THE PERMIT IS BY SEPARATE DOCUMENT ELOW INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING I I I II MEM FMION11111 INSULATION IIIIIIIOMIIIRIEMMIIIIIIIMII ELECTRICAL 111111.11111111111.11111.1111111 PLUMBING 1111111_■ 1111111111111111 HEATING (if required) — FIREPLACE 0 n � - GAS LINE AIR TESTAE) R. II1.111.1111111111 I ■ 1111111... COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 111111111111111111111111111111111111111111111111111111111111111 FINALS . 2 II I. I. I= NmmmlIllMIIIMMIMMIIIIMMMIII BUILDING guaiffikaimmim 1111.1111111111 ELECTRICAL 1111111111111111 PLUMBING 111.111111111111 HEATING111111111111111 . DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTIC This card must be posted near an electrical ervice cabinet prior to rou h-i and maintained until all inspections have been approved. On buildings entrance. 9 n Inadand adddctions where no service cabinet is available, card shall be placed near manent ance itions FOR ALL INSPECTIONS (952) 447-9850