HomeMy WebLinkAboutBldg Permit 06-0217 & Mech 06-0234
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 Yellow Applicant
Date Rec' d
3- /,-tJb
PERMIT NO. Of4. 0 Z 17
.># kf) Y
1]4'rA 01
7Yl-A- f I _
.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
15llAo
(Address)
ZONING (office use)
R./ SD
It'A ((Ff? <;A'(
(phone) ~.' U-l. 'ioz-;;
UN.(1rlA/~1J dJ
~tf;i~~~'
BUILDER ~ d E
(G;:,......"ny Name)--1_ ' Ie. ~.--,
(C~ctName) t: E?v/~
(AclAkess) ~Z-)I 1fE.
(Phone)
(Phone)
1/11--- !U ~7(fl1
S-rA tL ( IV c...
U'I ..
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition ~lteration OUtility Connection
CODE: !in.R.C. DI.B.C.
Type of C~nstruction:
Occupancy Group: A B
Division:
o Misc.
I
E
llIIV
H I
2 3
A
R
5
PROJECT COST /V ALUE
(excluding land)
$~Ia
I hereby certity that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed agent for the
above-mentlO~ro 'rty and that a nst. tion will conform to all existIng state and local laws and will proceed in accordance with submittcd plans. I am aware that the building
'xJfficial can r. oke s p;::yfor jl urthermore, I hereby agree that the City official or ~ deosig;e ~: enyter ]upon7the property to perform necdcd Inspections.
- ~ I (\J" ~ > V~ J · I)', /) C.
"""' Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
B
S U
V
M
4
II
F
I
"~4{ 1)00, tJo
$ 3~1. DO
$ rl-~R'. 70
$ 1"2..00
$
$
$
$
$
I Park Support Fee #
I SAC #
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
I Builder's Deposit
I Other
I TOTALDUE I4ttut 3.30.0"
This Application Becomes Your Building Permit When Approved
~~
3(~%~
,
- ~
Paid (p~(~
Date
I -
Receipt No. ~
By ~-PAr
Building Otlicial
'Date
$
$
$
$
$
$
$
$
$ G," a, 70
ThiS IS to certity that the request in the above application and accompanying documents is in accordance with the <;:kY Zoning Ordinance and may proceed as requested. This document
~'""n ~'" C""",, of Zo,;" ~ph,~ ,,' ,'~ '""'~"""" rom~re. "~fore ~""". , Cen,""" """"""" m." '"
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
c-~~~~~i ~ng
Pink - Planning
BUILDING PERMIT APPLlC.ATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k.aA (~-z;r
,3-/~-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)L?)L/~ SAddL/ kaLh
/
Accepted With Corrections ~
Accepted
Denied
Reviewed By: ~~
-,
Comments: ~
~~
(Lli ~. ~ ~~
~ ~ ~.". ~,~:~~.
, ~ V P
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~ ~ ~~ ~~..~~.tP'
Date:
~/ JO /0 r.
liThe 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."
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1-.5".0 to
.H~b wi ~fo. tJZ '7
~. ~~:n ~:~ PERMIT NO. 0/- _ oZ3'~
3. Yellow Applicant fR
(Please type or 1Jrint and si2ll at bottom)
ADDRESS
/4'-/4.3 SHnaY
Lf t7ft)h 7/U..
ZONING (office use)
IGI S/f)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ~. II~. ()Oz.,S-
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)
Ge?Va/f
(Phone)
4-11-7. 37~-2-
(Address)
(Address) Q (City)
(Contact Person) I7r ~~ :/ (Phone) fr'.
APPLICANT SIGNA;;;;; ~ t-<J . _._ .. ___ ~~~ ,~_ ~ --~
\; APPLICAN;P~?A E COMPLETE BELOW
",------. -, DNEW CONSTRUCTION r. PLACEMENT 0 ALTERATIONS
( F~RNACE + AND MODEL /P,/rt ./ LJtJe::rW~I4C._ FUEL
trUE SIZE \00 RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
(Zip Code)
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39.SV
.50
40W
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Duildin!! Official
Date
Paid 4(), UU
Dat~..F 16
Receipt No. 51214-
By
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS /1.// '.! SHIIW ~tH !MAIl.
NATURE OF WORK
USE OF BUILDING . .
PERMIT NO. O~. 02 rz DATE ISSUED '11I.dJ."-.. _ ::zsI'J
CONTRACTOR ~. ~. p~~ -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDiNG AND INSPECTION
.J
INSPECTOR
DATE
I
) I I
PLACE NO CONCRE E UNTIL ABOVE HAS BEEN SIGNED
. ROUGH - INS
. .
I I
~I//~
~J.lff~
if /It/ol:,
if /11 /;~
FRAMING
INSULATION
ELECTRI
~!
JUlY
.-,", f .
O~)t.~ e ~ t//lt!O,b
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
/1
6/lt&t,
:g rl,,~
~ .
" ,,/
U~,
BEEN SIGNED
.
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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
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CONTR. / ,~ .;:) -j Lf
PERMIT NO. b - .2 / ;J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~TION
~NAL
o SITE INSPECTION
o PLUMBING RI
~HRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
/'; ~ORRECT ACTION AND PROCEED
o CORRECT ~~...:iWOR R~INSPECTION BEFORE COVERING
Inspector:. p~ Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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