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HomeMy WebLinkAboutBuilding Permit 15.1188 n O 000 I 0 > $Q £ O o 0 ■ _ ■M -n -n 0 $ o 9a5 � ac1JJ m § rn �§ 737 2 • tn \ �� xi u)-4 \ z z 0) k �R 0 0 k § ele 111 \ s 4OP % a © 7 73 r § k0 k k �& ('000000 � ■ o \ % 00 b xEa§m m O IIP x % '8 u) / m I& > 0 0 0 3 z m © r ,§ o m c \ 0 / 0Z it -, § c c § % 0 , � . r Z\ 73 ( ul- 4 $ c 0 000000 } m Q@fin § § whims Q / z 2 .0 •0 �© a. 2 X00 a » mmq _ _ % q 3 2 a z � r o o* "44CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd : > TEMPORARY CERTIFICATE OF ZONING COMPLIANCE g 2 A /5' "t."; cv AND UTILITY CONNECTION PERMIT 'yiNlresot* 1.White File 2. Pink City PERMIT NO. /3-- //65. 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) (c33c Bra .O1r tO Pai#:). Pvc r -QYe. . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ��-' / � (Name) (J Al +M .V l�W UQ L/ CSU 6+664 (Phone) (Address) f 3 g i 0)(A"'" r IU 4c a 6 P\1.0 v �a )<: f`" 'V 3-5:3 77 BUILDERf� i • (Company Name) l l,t 6\IA (a - IôL {J tce,.5 LAI, (Phone) 6 (,1--q C I E` 2-77 (Contact Name) da i----6,,b �-'iJ . �' /'6 (Phone), �,� ` ,� �Z-7 7 (Address) � q Pt V K.l )0 e y 6 . fit( Z o y 1,,,jr( „. P _c5-377 TYPE OF WORK 0 New Construction ['Deck ❑Porch DRe-Roofing ❑Re-Siding ower Level Finish ❑Fireplace DAddition DAlteration ❑Utility Connection 3 ie-mf CODE: DI.R.C. ❑LB.C. 0 Misc. ivj r,P, ff OvJ6l ' Type of Construction: I II III IV V AB PROJECT COST/VALUE $ 3;©Oe) Ce, 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 can revoke this permit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. -.A. - di,. t:?& 62-4 .go,z-._ 6/(?--Iy( 117 attire Contractor's License No. Permit Valuation 3f 000 _ 00 Park Support Fee # $ Permit Fee $ 14-.. 7S-- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / St Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ -, 0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee I $ e y O(,t/A/' , TOTAL DUE $ /2.4' -7� This Application Becomes Your Building Permit When Approved Paid l3Receipt No. �/ Date '/ By ✓�LJ` 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 4646 Dakota Street Prior Lake,MN 55372 #3417438 - 0009 o�n111o4 CITY OF PRIOR LAKE Date Rec'd ti s} HEATING/AIR CONDITIONING/FIREPLACE PERMIT `0. 13.15 I 4f. l' .Pink File PERMIT NO. �'NEso .Green City15 I I 601 3_Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 15335 BIG HORN PASS NW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER JON & MARIANNA GONSTEAD (Name) (Phone) 952-797-4253 (Address) 15335 BIG HORN PASS NW PRIOR LAKE APPLICANT (Name) Fireside Hearth & Home (Phone) #651-633-2561 (Address) 2700 Faireview Ave N Roseville, MN 55113 (Contact Person) Leah Lodermei_er( (Phone) #651-638-3312 APPLICANT SIGNATURE 1Lade-tWtl4zet' DATE 10/13/15 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 ❑Hot Water into Required Side Yard Setbacks. El Mechanical ❑Radiation Fireplaces with Box Additions or ID Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL NOVUS - NNXT4236IF 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 $49.50 Cost$ Buildin Permit# HEATING PERMIT FEE STATE SURCHARGE I IA 1117.. ,. p i TOTAL PERMIT FEE $ � 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 LAKE RI NT O BUILDEPADINGTMEAND INF SPECTION INSPECTION RECORD SITE ADDRESS 1533s c3l4 P4�S NATURE OF WORK LOWAW USE OF BUILDING PERMIT NO. 0 i ATE ISSUED Z. 30 . 15 CONTRACTOR �f OHti1A L E SV S , PHONE f ¢ g 22. t��1 � z_ � 77 INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE ralitiONNINWINisimikek raitiamommar PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING FIREPLACE C eV OWA/Efe GAS LINE AIR TEST' COVER NO WORK UNTIL THEABOV€-HAS BEEN SIGNED MININNiniar NM* FINALS affitarPerailerismagagym BUILDING ELECTRICAL iq7j,-3/46 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