HomeMy WebLinkAboutBldg Permit 06-0885
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I PERMIT NO. tJ~-Dfrr j
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
30Y~
K~Jq'e.. R~
o l(./
l~o...iA/ K
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER ~~ v.... ____I ~ ,~ '"' '- "'-
(Name) - ~~(~~.J,:i._.k- ~ (Phone)
(Address) 3041- ~'V 6Z V~ ,'cPq~ ReD S le..J
pm
Date Rec' d
ZONING (office use)
4l.l'1 - 71 >-C-.
BUILDER
(Company Name)
(Contact Name)
~ 0.", So l-
e <:1. 5c:i r'\ <9 V <:-.
(Phone) <:0 I ,;). - "f4 v.- 710 'b
(Phone)
(Address)
t ~c...Y\& vt....-
--=s () l-\.,,- K.
:s <B 1 LI G ('-6;zr...
J..b.,,? h ~ s
It I.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish tA Fireplace
OAddition OAlteration OUtility ConnectIOn
I hereby ccrtify that I have turmshed Information on this application which is to the best of my knowledge true and COlTCCt. I also certIfy that I am the owner or illlthonzcd agent for the
above-mentioned property and that all CDnstrUCtlon willeontllfm to all eXistIng state and lllcallaws and will proceed In accordance with sllbmllted plans. I am aware that the tlllIldmg
~rleialD~IZ Jlc::.=r~ore, 1 hereby agree that the my official or a deSlg~ ~y ;,"Plln the propel1y to perform nl'e;e~ns~_ec;n~ c..:> '"
J Signature Contr-actor's License No Date
f' ~()tJ() I 00
$ ?7 I z..S-
$ -
$
CODE: ~I.R.C. DI.B.C. o Mise
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
Permit Valuation
Park Support Fee
#
Pcrmit Fee
SAC
#
Plan Chcck Fee
Water Meter
Size 5/8"; I";
State Surchargc
2..~o
Pressure Reducer
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$ (
$
$ #d. ()O
TOTAL DUE
Sewer/Water ConnectIOn Fee
#
#
~(/, 0 0
Water Tower Fee
Scwer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Paid J lo~. 'Z..5
Date - J ,,), /.."
, (
i Receipt No. ~1.?It.( 7
IBy ~,
~
~
/(J/z..lolo
, ()atc
HlIildlllg Ulfic;al
~
L/ () (")0
$
$
$
$
$
$
$
$
$ /1.0 9, 2..-5
ThIS IS to certIfy that the request 111 the above applicatIOn and accompanYll1g documents IS In accordance with the City Zoning Ordinance and may pmceed as requested Tim document
when signed by the City Planner constItutes a temporary Certificate uf Zonmg compliance and allows construction to commence Bcfnre occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/ 0. / Z, 0 (p
t ~i~onw ~~~icant I PERMIT NO. ()"~08 8~
(Please type or print and sil~n at bottom)
ADDRESS
ZONING (office use)
j#rW'/C U.o?C~.
.:J04-~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
~..r~~.:rnT ('liiiJ ~ <;t ~ \!,>a~ \ 'tV b
\c;O() \ (y\at-J\~ ~~
(Address)
LvJ-2- r-)
l~~~
. l ~-
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
qjJ-.yt{,'" 3tlp J-
~one)
De.
;}otaaress)
(City)
(Zip Code)
,(lztintact Person) iv'\ \ ~
(Phone)
,DATE ~, {"J-- 0 C-,
~PLICANT SIGNATURE
RETURN OPENINGS
INPUT
OUTPUT
FLUE SIZE
TYPE OF SYSTEM
HEATING OR POWER PLANT
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.
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Residential, Additions & Alterations
Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Building Permit #
Estimated Cost $
rfll 0 ~vOrz.,-.
~~
$ -------
$ _____ .50
$ ...............
/'
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
:~~~
P~
Date I () .. , l- I () Co
This Application Becomes Your Building Permit When Approved
Date
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
] 7>:1:/ ~ f2tt:L ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
{ (-{3~
G, - S~- z....
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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Y'ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~I ~A~R REINSPECTION BEFORE COVERING
Inspector: 'V11 r ' Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlVOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/