HomeMy WebLinkAboutBuilding Permit 03-1543
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
at bottom)
26 74- 80d~/
LEGAL DESCRIPTION (office use only)
LOT IOBLOCK / ADDITION
Date Rec' d
? flOC
.?- ~ .
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 3 . 154-3
~/t-
ZONING (office use)
12/
IL-OS ..50(/771
PID 26.3 Z. OID.C
OWNER
(Name)
bAHL
(,' r2.eG -t T1J ,tJr
(Address)
(Phone)
'152--4D3 -~~os
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-R~g
OAddition OAlteration OUtility Connection >'\ Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
A
R
5
II
F
I
III IV
H I
2 3
V
M
4
ORe-Siding OLower Level Finish 0 Fireplace
/Vcri 0 W IV 6JC- 771 eol'1 r't..6 ~ Uw/
PROJECT COST/VALVE $ ("cv6t- PlAlIS
(excluding land)
B
S
V
I hereby certify that I have nlrmshed mformation 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
property and t all construction Will conform to all exisl1ng state and local laws and will proceed in accordance with submil1ed plans. I am aware that the buildmg
thiS permit fo JU t cause Fu' ermore, I hereby agree that the CIty official or a deSignee may enter upon the propelty to perform need cd mspeCl10ns
2-9-05
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildll1!! OfIicial
Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
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 temporaty Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
issucd
Planning Director
Special Conditions. if any
Date
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 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
C-,\::e,> (. A:T
~
(It''--
Date Rec' d
II, Z- I, 6..3
1. White File I PERMIT NO I
2. Pink City . 0) '2 . j' c- A:3.
3. Yellow Applicant ~ ~~ .
ZONING (office use)
121
LEGAL DESCRIPTION (office use only)
LOT / 0 BLOCK / ADDITION
W /vO.l f'IN1JrI
PID 2.5'. .3 ez-. 0 10. 0
OWNER
(Name)
Df';\f H~
8~...{s(;~
(Phone) ~)\ L-':; 7r- "2-2.-7.5
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
DPorch
o Misc.
o New Construction
M ower Level Finish
r~.$~f.
DDeck
ORe-Roofing
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Addition
oUtility Connection
oAlteration
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 r.l m 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 prope 0 perform needed inspections.
. \
x
Signature
Permit Valuation 3, 000.0-0
Permit Fee $ 7~75
Plan Check Fee $ -
State Surcharge $ /.SlJ
Penalty $
Plumbing Permit Fee $ +0. Od
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~~
Building Official
11/2-';(; 7
Date
2i M'1". 2(lc:'...3
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other ~~ $ I. 00
TOTAL DUE $ //7. ZS-
.......,
I ~;reJP- ~tJ"7
Paid
Date
1/~.ff;
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3. Yellow Applicant
Ii I L }.J W _ ZONING (office use)
MJJ 05372...
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~rZf G ~ TotJJ:
bf\r\L-
(Phone) 'fs 2-40::1-hE'OS
~) (Pll- -7~(-33f7
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone)
(Contact Person)
APPLICANT SIGNATURE
DATE
6-1( -0 '7
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS INPUT
HEATING OR POWER PLANT
OUTPUT
OWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent..Sy~tem
..- --...."".
FIREPLACE M E AND MODEL
o Steam
o Hot Water
o Radiation
o Special Devices
o 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.
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
:>~'. )0
.50
4tJ ,- vL/
(Office Use Only)
Date
1-0 (;0
S. Is-. 07
s- ..111' f
This Application Becomes Your Building Permit When Approved
Paid
Date
Buildin!! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake. MN 55372
Residential Building Permit Che~klist
Basement Finish or Interior Alteration to Single Family Homes
BY:~
c--
~?
Date: II 4/ ~ '5
Bui1din~ Permit # Pill:
~
Site Address c:Pe? r ~ 77Lf. '
Legal: L /0 B / Subdivision:
Zoning~
dc.li2- ~
Existing structur~or NO
I CONFORJ.\'IS TO ZONING
ORDlli.AL'{CE
YES
NO
YES NO I
Is this an e:cpansion of the existing footprint or Refer to Planning
building height? tJO
Is the propert'f located within the flood plain? I Refer to Planning I ,JeJ
Does the alte:':ltion include any additional kitchens? I Rere: to Planning I t-JO
Does the proposed alteration include any outside' Refer to Planning
enmmc:s other th2n patio doors? jJO
Is the proposed use of the finished spac: or Rder to Plar..n:ing
alteration for anything other than a nor.nal single NO
fazrjly home (ace:, group home, day C::lIe. e~c.)?
THIS CHLCKL1ST :'YIUST BE COMPLETED .-\;.'fD I~CLUDED IN THE BllLD[;"iG P~R.y!IT F1I.E TO
:'Y[Al~TA1N A RECORD OF THE REvrrW.
..
..
..
... \ _" .......... ..-' . - -_T-""""'l" ";""'\.,-.,r
PRIOR LAKE
INSPECTION RECORD
Z (JIJIMr
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE zn
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-------- ---
-----
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
S) 22- ?
<::5- 7'~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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 t.LL INspeCTIONS (952) 447-9850