HomeMy WebLinkAboutBuilding Permit 07-0875
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9 Iso7
I PERMIT NO. 01. 08751
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please
ADDRESS
/4-832-
eS7J41~ ~.
LEGAL DESCRIPTION (omce use only)
Date Rec' d
ZONING (office use)
lC/sD
LOT
BLOCK
ADDITION
PID 2s-. U( GO _ 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
9,S-c9 - '-I(;{- .s9%Q
YS-a .- 8 (~ - 9' 7k':J.
ower Level Finish 0 Fireplace
4- ~(
$ fi. g Sr 00 <..>
~LL ~~r\~T
T \ \Iu (l' \ r- '-5:,
5-7 <["':i JIVl C-q c!. 0 w
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility ConneCtlon
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
B
S
IV V
I M
3 4
A
R
5
III
H
2
I
E
II
F
I
U
PROJECT COST /V ALUE
(excluding land)
I hereby certity that I have hlrmshed rnfiJrmatIon on this applicatIOn which is to Ihe best of my knowledge true and correct I also certIfy that I am the owner or authOrized agent for the
dbovc-mentHlned property and that all constructIOn Will conform to all eXIstIng state and local laws and will proceed in accordance with submItted plans I am awale that the bUlldrng
~licial can revoke tlm permit tiJIZ4~ I hereby agree that the CIty official or a desrgnee IOnt7uz, the propetty to perflJrm ne(,ded;SJ:c;J~ _ 0 7
Signature Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
4-0 - UU
TOTAL DUE
Water Meter Size 5/8"; 1";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
_00
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Illllldlll~ Ufliclal
Date
$
$
$
$
$
$
$
$
$
ThiS is to certify that the request in the above applicatlOIl and accompanYlOg documents is 10 accordance with the City Zuning Ordinance and may procl'ed as requested ThiS dpcumcnt
when Signed by the City Planner cunstttutes a temporary Certificate of ZonIng compliance and allows constructlOn to commence Befme occupancy, a Certtticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9R50, fax (952) 447-.t245
4646 Dakota Street Prior Lake, MN 55372
Speeial Condilions. if any
18/82/2887 14:45
9524926885
GLOWING HEARTH:/HIGH
PAGE 81/01
CITY OFPRlOR LAKE
HEA rING/AIR CONDITIONING/FIREPLACE PERM:IT
Date Rec'd
:. ~~:n ~I!~ I PERMIT NO.~.
~. y,Il.,," ^pplltnnt , ~
[; s+a-l-e
~
ZONING (office use)
~
LOT
BLOCK
LEGAL DESCRJPTION (office 'Use only)
ADDITION
PID
~~;~~~ IOUl 31 /4ea v4J",j-- &1'7'1.0- (l'ho",) <15-;2 -09.;1 -9;) 7 Co
(Addl'ess) / Df) . ;""Q.c/o ])rt.-, ~da.Jl"l. YVlfJ 55;:!6~
(Ad ess) (City) , (lIp Code)
/{.jc~ (Phone) t15;}- Lftt d - 9d 7(.0
/0
(Address)
(Contact Person)
FURNACE MAKE A
FLUE SIZE
TYPE OF SYSTEM
DWmn Air Plat1ts
DGravity
o MCchll1ical
DAir Conditioning
OVent. Sy~tem
(phone) fjsd - ~J.- 31 fLf
EbO:;)O
mf\l
DATE
APPLICANT PLEASE COMPLETE BELOW
NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
o MODEL FUEL
RETURN OPENINGS INPUT OUTPUT
HEATING OR POVVER PLANT
o Stc~m
o Hot. WtllCr
o Rlldintion
o Speci!!.! Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and F~rcpJaccs Cannot EncroacJl
into R~quired Side yarel Sctb:lck~.
FirepJnce~ 'with Box Additions ar
Ca.ntilevers to the Oubidc ofBuildin~s
Require D nuilding Permit.
J-J:e;dJJ~c
FIREPLACE MAKE AND MODEL TSL -,'j'5oTR.-L,
FEE SCHEDULE
1 % of job cost Rcsidential, Gll.~ Fireplace
$39.50 rmnim'Um
$99.50 Re~idcnti.11, Additions & AlteratJom
$64.50 RellidentiaJ, AC Only
Industrial, Commcrcial & MultJ-Family
$39.50
Residelltial. He:lting &. AlC (New Const.ructiol1)
RC$identinJ. Henting Only (New Conlltruction)
(ornce l1~c Only)
$39.50
$39.50
Estimated Co!<t $
Bun:,". p;; ~ so BUI4!~9~~f,. _ , \
$ .50 \jVv ~ QW\
$---11/J. 12(:) /\ v \
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FRE
This Application Becomcll Your Building Permit When Appl'oved
Bulltllnl! omdnl
'On(c
24 bour notlce for alll"spl!etJon~ (952) 447-9
16200 Eagle Creek Avenue. Prior I.3k
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4-B3Z f:/J(fflE kvb.
NATURE OF WORK . t..OW~ ~6L-
USE OF BUILDING 126S /+ ;---L
PERMIT NO. () 7. 0 Yl~ ATE ISSUED 9.. I J'_ U 1
CONTRACTOR G {LEI PHONE 4(p (~9 g::I-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
....6 I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- .
-. -
)
((, t(,!
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