HomeMy WebLinkAboutBuilding Permit 05-0293
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silm at bottom)
ADDRESS
50/3 t?L,,(/P~
/tT...s-
Date Rec' d
1-./8.05
White
Pink
Yellow
I PERMIT NO. Os. () 293 I
,
File
City
Applicant
772fi / L-
ZONING (office use)
Pll.o
LEGAL DESCRIPTION (office use only)
LOT 2 BLOCK 0 ADDITION T//"lC'c;x.. &eST r/f~
PID 26: .tf!-fJZ. () (p8. 0
OWNER J 1\
(Name) Iv I L l1D ta. S
-1 Y 'vI,' \A-"--
(Address)
(Phone)
1.<;2.. - 44D ~ 3f il
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
~ower Level Finish
3~.s.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
DAddition DAlteration DUtility Connection D Misc.
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
I
III IV V A
HIM R
2 3 4 5
I
E
o Fireplace
B
S U
PROJECT COST/VALUE $
(excluding land)
I hereby certifY that I have furnished mt()rmatlOn on this applicatlOn 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-mentlo ed pro erty an 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 buildmg
official l .... t IS per fOl Just cause Fmthermore, I hereby agree that the CIty offiCIal or a deSignee may enter upon the plOpelty to perform need~'d I spectlons
/~ ; (/ - . II~
X '.. _~'D~
Signature Contractor's License No ate
Permit Valuation 3,()OO.OO
Permit Fee $ 71- .-
/~
Plan Check Fee $
State Surcharge $ 1.5"V
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee #()$ 0 ~3
This Application Becomes Your Building Permit When Approved
~'Of~ '1/rypS
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ae-r;T7U ~ $ I- Of)
TOTAL DUE $ //7. ZS
Paid
Date
/ ~7. -vs-
/!3i,os-
I ~~_ -HI/]
ThiS IS to certifY that the request 10 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 constltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
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
., . J~. oj"
~. ~~n ~!~ I PERMIT NO. /l.r () '7A_? I
3. Yellow Applicaot . (./c..;...> - ~.
I T~';;;s~prin' oM ~ "bottom)
,5' 13
f] 1&1 {f' If (J( j 11 ,t(TY(;f //
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
/
PID z.r:: 40 2-- ()( ,. (I
OWNER
(Name)
IV l ' r .l(
5
(Address)
(Address)
(Contact Person)
(Phone)
. PPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent. System
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Permit # (; { ..~ ,; z. 1- "]
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
77- } 7,1
.50
th;J....A:..)
ice llse Only)
This Application Becomes Your Building Permit When Approved
Paid 4--v .. "iV
Dat~ _ .r:" s-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
$39.50
$39.50
$39.50
Receipt No.
By
!
,.
..
..
Residential Building Permit Checklist
Basement Fmish or Interior Alteration to Single Family Homes
BY:~ 1~
Date: 1((~f~
Buildin<7 Permit # Pill:
1:1
Site Address
Zoning:
L~~: L B
Subdivision:
EDsting Structure: (i) or NO
CONFORlv!S TO ZONLNG YKS I NO
ORDINAJ.'iCE
YES NO
Is this an e.~on of the e:risring footprint or Refer to Planning
bm1ding height'? ,JO
Is the prope:'t'f lec:lted within the fleod plain? I Refer to Planning I fJO
Does the alt~tion include any additional kitcl1o.s? I Rete:' to Planning I ;)0 I
Does the proposed alteration indude any outside Refe:' to Planning
enmmc:s other than patio doors? NO
Is the proposed use of the finished spac: or Ref!::' to Plar.n:ing
alteration for anything orne: than a nor.nal single pi
family home (ace:. group hor;::e. 6y C:U-:. e~c.)?
Tms Cr....l!.CKLlST )11:ST BE COiH1'LETED .~'fD Ii'fCLlTDED IN ThL BlllD[;"iG PSR..'YIIT FIlE TO
.'Y[A..INTA1~ A RECORD OF THE R,EVIT\V.
..
..
..
..
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .50/3 tJc.., u# /ffX 77L,
NATURE OF WORK /_tJW f"~ tAi1/t:.-7.--
USE OF BUILDING /Ze:I cl/~
PERMIT NO. ao, 0 29:3 DATE ISSUED 4-. /8 , OS
CONTRACTOR r,eV/N6' PHONE 440 31C; ./
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING If re uired)
FIREPLACE
GAS LINE AIR TES't ;(to 5. 02..+3
COVER 0 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 ALL INSPECTIONS (952) 447-9850