HomeMy WebLinkAboutBuilding Permit 07-0616
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
I S J~ l
~o~
-n I tT
Date Rec' d
1. (J. cr1
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()7 ~ 0 {,;, J I.i'
ZONING (office lIse)
rei
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER '
(Name) ll\0-f{ k
/ k< \~
I) () (\ I ; <:.., "-.) C"
(Address)
PID .2-5-. 3 7 '+' 6 to. 0
(Phone)
BUILDER
(CompanyName)6N\Q\\'I\.~''f\c:....I3c..~~y....\ y,'l"-\Sh. <J\.. <;
(Contact Name) \: ('V'\, i'-\ ~ \ 5o..~
(Address) I ' . d., \ " " p..,
(Phone) l" I d 3ltJ -3 -7 t./ S- 2-
(Phone) to IJ. 3W - ') LI S 2-
o Fireplace
ORe-Siding ~ower Level FinIsh
3 12/11 j
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing
OAdditlOn OAlteration OUtility Connection
CODE: OLR.C. OLB.C. o Mise
',oJ
Type of Constmction: I II III IV V A B $ -./C; It/th'. (.
PROJECT COST IV ALUE -
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have turnIshed mformation on this application which IS to the hest of my knowledge true and correct. I also certify that I am the owner or authorIzed agent f(n- the
Jhove-mentlllned pIn 'rty and that all eonstructlon Will cllntllfm to all eXIst1l1g state and Illcallaws and Will proceed 111 aCCDIdance with suhmltted plans I am aware that the huild1l1g
ntlicial can revoke th s ('rmlt for Just cause Furthermore, I hereby agree that the City official Of a deSignee may entef upon the propelty to perf(Jrm needed lIlSpcctHlns
x
Signature
"...'"
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
4-() . D
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I. }7)
4-0 00
Approved
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /S&.2.~
I ~~c1bNO. 5llU?
Paid
Date
J/'-316}
, ,
ThLS IS to certIfy thar the request III the above application and accompanYlllg documents is in accordance with the City Zoning Ordinance and may pr()(ccd ,lS requested ThiS document
when signed by the City Planner constitutes J temporalY Certificate of ZOnIng compliance and allo\vs construction to commence Before nccupancy, a Certificate of Occupancy mllst he
isslled
Planning Direetor
Special Conditions. if any
Date
2-t hour notice for all inspections (952) 447.9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
7_ /7. 0]
~~~~~rinl~d,:_m:
lis 7 ",T. /I
I. Blue File I PERMIT NO I
2. Gold City . 07. 0,",1 W
3 Yellow Applicant ,
C~
P.LI
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
APPLICAN/T) '\ r\\ r ~
(Name) '-,~ \ r-y \-llU~'OL'\5 2\.0..:]
(Address) x: I-/J ql' JA \L'e~ /c./1<-.
(Address)
(Contact Person) _I \ ~ LS~ 5S""'-Z
APPLICANT SIGNATURE
(Phone)
(Phone) q~ ~ 4C1 2- 21 2- ,
'-I
\o/d~ .s3'3S"?
(City) (Zip Code)
(Phone) ~ \ '2 - ]L3 - b~ /9
DATE - 0
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
/ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% ofjoh cost with a $39,50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations {J$3:.}
Building Permit # '1 J
PfllO O~
~ tJl &
$
$
$
.50
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
BY:
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
-? 11.''''
.
Date:
Building Permit # () l () C:' 10 PID: '2-~-:37 (;:,010. C Zoning: Ie /
Site Address /5'24- 7 Ft;x .-;m L-- c:r.
Legal: L (0 B 2- Subdivision:
Existing strnctnr@ NO
I CONFORMS TO WNING YES I NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning V
building height?
Is the property located within the flood plain? Refer to Planning /
Does the alteration include any additional kitchens? Refer to Planning /
Does the proposed alteration include any outside Refer to Planning /
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning //
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
n~t@ K@('u
.-7 1&.tI '7
~. ~~~n ~::;y I PERMIT NO. 0 7. 0 CRt ft; I
3. Yellow Applicant
ZONING (office use)
/~;l
/7-c ('/
c~.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
(Address)
/~(
L~:-e f?/~
~..-.Jck(e ,(5{ Vk?
(Address)
APPLICANT /J
(Name) U~ ~
APP ICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL 116 T- FUEL
FLUE SIZE RETURN OPENINGS 10 - ~ - ( INPUT OUTPUT
~---L--'
(Phone) C (2 -0"V - 'f~ cr f
A/odt0(/ s-:s.'OS-l
(City) (Zip Code)
(Phone) ~(2 -YI'l'--Yi-~ :r
DATE 7-f'c;. '7/ 7
(Contact Person)
APPLICANT SIGNATURE
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
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.
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
Estimated Cost $
Building Permit #
VO~i0'50
IJ $39.50
$39,50
f9'\I 01-/
pffl 0 {)Ul ",0
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
Residential, Additions & Alterations
Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
~ FI IL 7ltA1L-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~TE ISSUED __
CONTRACTOR 8NrIUHHIfr!f PHONE' "II. 3"3. r45z.
NOTE: THIS IS NOT A PERMIT FOR NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
---- I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
--~ --
.oo""\.J I .
FRAMING rib 7/;U:;/t!:J/
INSULATION ,
ELECTRICAL J
PLUMBING I
HEATING (if required) /
FIREPLACE /
GAS LINE AIR TEST 1;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 ALL INSPECTIONS (952) 447-9850