HomeMy WebLinkAboutBuilding Permit 05-0122
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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I ~~~~ew ~l~lican, I PERMIT NO. t/ 5' I J-J-f
(Please
at bottom)
ZONING (office use)
ADDRESS
/'-I5C;0
11/1 II) ~
PI{ IA/Y
{JuS'D
LEGAL DESCRIPTION (office use only)
LOT I () BLOCK -3 ADDITION
PID
'1- G) -3 ;;2-
(Address)
7/~ i ~
/4,;s(:J
PI[lJ('{~
/, tcl<:,.
(Phone)
OWNER
(Name)
P/~ (,J
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
ower Level Finish 0 Fireplace
CODE: ~I.R.C. DI.B.c. PROJECT COST IV ALUE $
Type of onstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
Contractor's License No.
Gas Fireplace Permit Fee
()~oo
Park SuppeJffFee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $ I" O()
TOTAL DUE $ /7tl, t,.~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee/] 'v.
Mechanical Permit Fee
r--
2.60
Sewer & Water Permit Fee
This Application Becomes Your Building Pennit When Approved
~?jf
lluildlll!! Official
dl/ {(plOY
r Date
ThIS IS to certify that the request m the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constautes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
I issued
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
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink File
2 Green City
3_ Yellow Applicant
cJ. () C. (; ( V L.-
NO. 05- 07
I ~gs~Prin7~;;~
ZONING (office use)
(j)r' II) <;. Qack tilt) :J
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
7;;~ ~~t;QP~r~ ULC1~
APPLIC~ a 11 th cd g
(Name) \ fe ~ 1'(, (2 to~(' ,om e,
I/HfDj7 3950 Wlfwy /3
(Address)
S
(Phone)
Gi~-~3~""B9~~
APPLICA
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS
(Phone) Cf ,d,- cPrlt'.- O?sg
EtA Yflsv,'J/(!- J 117 tIJ...5S331
(City) I (Zip Code)
(Phone) C{s) - 090 --I'J75lf
DATE ~
(Address)
(Contact Person)
,
APPLICANT SIGNATURE
PLEASE COMPLETE BELOW
D REPLACEMENT D AL TERA TIONS
FUEL
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 & AIC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39,)0
.50
qO,() 0
(Office Use Only)
pplication Becomes Y p.ur Building Permit When Approved
B.nd;., :ffid., (),J WI LOS
24 hour notice for all inspections (952) 447-9850, fax ( 52) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
By
Paid
Receipt No.
19f:Ll?
Residential Building Permit Checklist
Basemen! Finish or Interior }Jteration to Single Family Homes
cI5-1J-:J.-
Bv.
~ .
~~
Date:
:;)-/s-s
Zoning: ..
1(/5'~O j/J-dJLt0 /l4if,
Subdivision: ~ JJJL ~
Building Permir #:
Site Address
Pill:
Legal: L 10
B
:5
E.risting 5trucrure@or NO
CONFORLvIS TO ZONlliG Y~S NO
ORDINAJ.'fCE
YES
NO
Is chis ~"l ex:panslon of the exi~c.ng foorprill[ or R~fe: ~o Pl2.Iil~"1.g
building height? j}tJ
Is w.1e proPer:-f located within the t100d plain? I Refer to Pl3.I1J."ling I NO
Does t.he alteration inciude any additional ~<:itchens? I Refer m Planning I ~IJ
Does the pro-posed alteration include any oetslde Refer [Q Plar.w.JJng
entr-illces orne:- than patio doors? Jl()
Is ,he proposed. use of the rmishd space or R-::fe, [Q Planrili"lg
al~eration for anythi."lg otb.e:- c.han a nOGlal single tJe I
f'1~'I~' T . g ( F .;a a-rr"l I. T .0:. d~~ "'''''':r,:::il~r \'/
_~"..lL! nom,- o__.C_, d-uUP nom,-, ~/ \.:___,__G.).
Tms CH:ECG..1ST M1:ST BE COMPLETED _.l....'fD 11'lCLTJDED 11'1 Tm.: BtnLDING PER-yIlT FILE TO
~L-\lNTA1N A RECORD Of THE REVrrW.
~";"/i--:T .'.. --:-' ~ ~ ....................;(--,... -'Cl~
PRIOR LAKE
INSPECTION RECORD
/lJ/~iJS ~ AHf'
~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /1/5So
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ()5 .~ Il7. DATE ISSUED
CONTRACTOR C'H~J. PI-IiJlA" PHO E
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1imIiImT1i7~_
I
. .
E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
{A~ I I~ I 3, (s-Uf
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electric:a~ service cabinet prior to rough-in inspections
and maintained until all Inspectlons~ 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