HomeMy WebLinkAboutBuilding Permit 09-0561
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
Date Rec' d
7. Z.8. OJ
~~~:~w I~~licanl I PERMIT NO'69~ oSb II
ZONING (office use)
S. f::. .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ---- J: /1 I
(Name) I~,/ I >>1!-1361[.: lIt.rvl-u'/S,)/V
I
(Phone)
'11.17-Z~330
(Address)
5o~S
!-kP/;; 5'rRE:i:?r S . €.. .
BUILDER
(Company Name)
(Contact Name)
(Address)
J11/flT fkc-,-,y,rJ,w 7- H550 C ,
Ihm-Iken-y flj/I?J
c.. . 7 -#-
7/ ~OO .57":
95'2- (,.:07 - 872- 0
TYPE OF WORK 0 New Constr~~ ODeck OPorch ORe-Roofing
OAddition ~Jteration OUtility Connection
CODE: -4I.R.C. DI.B.C. 0 Misc.
Type of ~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have filrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or Juthonzed agent for the
above-mentIOned pro rry and at all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can rev perml or cause Fl11thermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
,;:J~b3/311
Contractor's License No.
7- ZB --07
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /'~~. 25
Paid
Date
Receipt No.
By
ThiS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Celtificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notiee for all inspeetions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
l. Pink File
2. Green City
3. Yellow Applicant
PERMIT NO.
ADDRESS
$Z)5 S-
d
~
sJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
IOWNER
(Name)
(Address)
(Phone)
(Address)
(Phone) 4,/ l- (,/ 't,- 93Z2
~ L . S3S7;2
(City)
(Zip Code)
(Phone)
DATE
??'-c..o ,..~?
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
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
o Gravity o Hot Water into Required Side Yard Setbacks.
D Mechanical o Radiation
DAir Conditioning o Special Devices Fireplaces with Box Additions or
DVent. System D Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
I :ceiPt No
Buildin2 Official
Date
I Paid
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
I. Pink
2. Green
3. Yellow
File
City
Applicant
Ir:;a~OJ
I PERMIT NO{Jq. 0 5'(0 ~
I
ZONING (office use)
I ~';:fs~:i'~eSJ.SE
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)
(Address)
(Phone) ~{2""C:,/f"" ?.JZ L
~72-.
(Zip Code)
(Contact Person)
.....
(Phone)
DATE
LICANT PL
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
COMPLETE BELOW
PLACEMENT 0 AL TERA TIONS
FUEL
FLUE SIZE
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
RETURN OPENINGS INPUT
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
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.
MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$49.50
$49.50
Estimated Cost $ Building Permit #
'fAlD 'B Y
EU(GD~
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I :~eiPt No
Buildin!! Official
Date
I Pmd
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
l
INSPECTION RECORD
DEPARTMENT OF
BUILDING ,AND INSPECTION
..
SITE ADDRESS ~ ~C t~.
NATURE OF WORK /.:t L- ~ OM /eAfiJM J
USE OF BUILDING I2&I ~/ It- ...-
PERMIT NO. 09, 05b / DATE ISSUED 7- z,6, () 1
CONTRACTOR ?/l.C 1iH~/J PHONE r~-l.. "n nz..()
NOTE: THIS IS NOT A PE IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;;
BUILDING
ELECTRICAL
PLOMBING
HEATING
DO NOT
J
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