HomeMy WebLinkAboutBuilding 07-0112
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3_b.07
~'~~. ~::y I PERMIT NO. o-?" 0 II 2-1
] Yellow Applia~ , t,
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK ADDITION
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PID2~) 114-. 004-" 0
OWNER
(Name)
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(Phone) r..!..: / ,.-; ,/"I 'S ( r' ':> --. C
(Address)
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BUILDER
(Company Name)
(Contact Name)
(Address)
(phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch o Re.Roofing ORe.Siding
OAddition .'i\Alteration OUtility Connection 0 Mise,
CODE: OI.R.C. ~.B.C. /..0\ A ~'B'
Type of Construction: E) I UJJ m IV V
Occupancy Group: A ~ E F HIM R U
Division: 1 2 1 t s......
OLower Level Fimsh
o Fireplace
PROJECT COST /V ALUE S
(excluding land)
}' {IOU
I hl'l'eby cenif'y that I have furnished information on this application which is to the best of my Icnowledge true and correct, 1 also certify that I am the owner or authonzed agent for the
above-mentIOned propeny and that aU construction will conform to aU existing state and local laws and will proceed in accordance with .ubmilled plans, I am aware that the building
official can rC'VOke this permit for just cause, Furthermore, I h~eby agree that the CIty pfficial or a designee may enter upon the propeny to perform needed mspcctions,
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Signature
Permit Valuation
Pennit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No,
Date
This Application Becomes Your Building Pmnit When Approved
~~
B' '.- ""
uddm" Of.lclol
3/12./0 7
Dale
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
4-0 _ 00
4-0.00
nus IS to certify thatlhe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This documenl
when signl'll by the City Planner constitute. a temporuy Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Cl't1ilicate of Occupancy mu.t be
w~~
Planning Director
3/12.(07
Date
tu1Il... ,
Conditions. if any
24 hour nolice for all Inspections (~2) 447-98~. rax (~2) 447-424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
'3 I~,c) I
i ~ir~:n ~!!;y I PERMIT NO. UJ. 0 I ( z..1
3. Yellow Applicant , "
ADDRESS
L~WlMfr(~ live
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 77
(Name) fS " (tA.n
(Address) 1t(/6"'tJ
0el11" ,~
UI14~Y'c.~
dv-e
(Phone)
61 ~ J-. f' 0 tJ.s~ tj
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APPLICANT
(Name)
(Phone)
(Address)
PPLICANT SIGNATURE
(Address)
~ -~71~
(City)
(Zip Code)
(Contact Person)
\
DNEW CONSTRUCTION o REPLACEMENT J81 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
DWarm Air Plants o Steam Units and Fireplaces Cannot Encroach
OGravity o Hot Water into Required Side Yard Setbacks.
o Mechanical o Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System o Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50
$64,50
$39,50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
Building Permit #
$39,50
$39,50
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(Office Use Only)
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
This Application Becomes Your Building Permit When Approved
Paid ____
....~.....-
Buildin!! Official
Date
Date3 /] ()
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 )i
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CWbite - B~~
Canary - t:ng eermg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
EltG t.6 C/!,c.~ )
NAME OF APPLICANT ' EN /C--;'l C-:';c 8.c't /j;J t!#-l,e,{.') /~:A en y
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/ ~ () CtJl1lvl ElL..eE' /11/& _ / SLJI7b /04-
Accepted
Accepted With Corrections /"
Denied
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Comments:
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Reviewed By:
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Date: .3 /J 2-/0 7
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'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections ~
Denied
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Date: 3flz;0 7
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Reviewed By:
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /4J%O .CLJ"'Mt::-n~E' AIIO. s,"r~ I~I./
NATURE OF WORK 1~n!1t.,/~1C. If I, r~"'t;1J1"
USE OF BUILDING 8~u~ ~-
PERMIT NO. 67.01/2- OAT ISSUED /17
CONTRACTOR ~ GENfl'C/L PHONElot~.. zaO-05Z&(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING(SEPc'"r2.ATG Pe::Il,....i,')
. - '-~
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COVER NO WORK UNTIL ABOVE HAS
f?-\ ~ ILLEJ2..-. (S'e:'Er2.I\~ P~M.h- I
FINALS
-----
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BUILQING
ELECTRICAL
t/
HEATING L-( ,. (G 'd
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
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