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HomeMy WebLinkAboutBuilding Permit 11.1020 _ 0 1§ ■ — t § U WW< 0 m 2 0. §\ § k k a aa� o w — W0Li� ■ / ° (\ — 000000 § 2 - i § 0 ■ z ■ § C a. a. \ CO 0 P B • IL oo -I 0 0 0 w 1� w 0 w 11. / 0 $ Ca 0 LL ■ �� 5 : § ■ a.� � � InUJ - ul ■ 000000 �an, cZ§§ � .( IIIP a a IL e 0 z w & z �� i § isrs U to X0 z wz 0 R o % oo o 0 0 w 3 z • e� 2 « ae a. R $ Z k2 § � z W 2 re « % k k E 0 Lu CC ° ILI / K 0 § 0 tU.�§ 0 U o 2 0 1000O1k0 U "0 0 3 o O Pill CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd O,, a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT en 4, I. White File PERMIT NO . 3 Pink City 1 + 1 - 16 3 Yellow Applicant (Please type or print and sign at bottom) , ADDRESS 1 ZONING (office use) ZS t Mti i . g.) 2r:› 1ZA - LEGAL DESCRIPTION (office use only 6 2_ KNV4j only) 3 LOT BLOCK ADDITION PID OWNER (Name) ` C SZ►. 49(0- 3 L11i "ke.--e �-, 4—� �"�.� -� (Phone) (Address) 45 2.3 44,..\4.4.6,10.A" 42 ra . I Pi-', 0.1- LL 1 'M 05312, BUILDER f' (Company Name) �CE\I Lat-la -�-} oMES (Phone) 95 440 - 940 (Contact Name) 1'•1 S . (Phone) c152 -440- 940(3 (Address) I F - 1 � 4-1 - P n i IA-r - R D . . P 2 i012- LA4 E t M g. • 5 5 3"7 2 - TYPE OF WORK ❑ New Construction ['Deck OPorch ['Re-Roofing ❑Re- Siding NLower Level Finish ❑ Fireplace ['Addition ['Alteration ['Utility Connection CODE: , I.R.C. ❑I.B.C. ❑ Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ . 24 ! Si _ Occupancy Group: A B E F H I M S U (excluding land) Division: 2 3 4 5 1 hereby certify that I have furnished information on this application 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- mennoged pr. and 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 building official ca. r ke t. it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. I X t-l x(0 - 76068 c1- 2 cD -1 Signature Contractor's License No. Date Permit Valuation 0 0_ _ Park Support Fee # $ Permit Fee $ . SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; 1"; $ State Surcharge $ > ' O O Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ 5 it".-S---° Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE -// Q /(1-3,1/ $ 134._ 2-5--- ��l�rr Thi . i. 1 1 li i ; on Becomes Yogi Building Permit Wh Ap oved Paid /34/, 2. - r - 1 : . pt No. „ J Date / /d Ci . /7 Bu . ate This is to / i , that a request in the above application and accompanying docu s in accordance with the City Zoning Ordinance and may proceed as requested. This document when si, i r he /ty P . • - a ututes a temporary Certificate of Zoning co . ce and allows constriction to commence. Before occupancy, a Certificate of Occupancy must be issued. f f a It Planning Dire .r Date Special Conditions, if any 24 hour notice for a I inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Sin le Family Homes BY: - Date: (6 3 (r ( Building Permit # PID: Zoning: Site Address A (- v & -r\ (, e - Legal: L B Subdivision: Existing Structur S NO CONFORMS TO ZONING YES NO ORDINANCE I YES NO I Is this an expansion of the existing footprint or Refer to Planning 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 L- 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. 3 ( 9-641-41'.\ 5 L: \TEMPLATE\ALTCHCK.DOC OCT. 19.2011 9:10AM METRO AIR 952 447 - 8126 NO. 908 P. 1 CITY OF PRIOR LAKE Date Rec'd ° p °� HEATING /AIR, COND1T1ONE G/flREPLACI PERMIT 4,,A e , . __I._ i rwt ss. 3. Wow Aami L L i._. -..LL!.L. ADDRESS 1 ZONINO (umR uar) A\ h _ LEGAL DESCRIPTION (dike use only) LOT .., BLOC e. ADDITION . _ F ( N ct j \d 'y 0 f k S (Phone) ° \S), - vivi _... Address "1 \ c.,‘-A , L..v`` 0. r ! ‘ v, S„, -e �. a 4 _._.__.._......_MIN..... C I '):�, &�. __ (Phone) . a - M , _ __ (Address) Vi) S14. \ L6 4 Q Q' - l.. L (t .31 __ -- `` (we ) cG am (Zip Code) (Contact Person) fV ti��- `� it CL. (Plionc) 1 ~\1U1""►^ �._..___.._.... APPLICANT SIGNATURE A DATE 1.1 1 APPLICANT PLEASE COMPLETED __,!: �,, _____ _ __ ..... . . gNEW CONSTRUCTION ■ REPLACEMENT 4 111V4 ALTERATION, FURNACE MAKE AND MODEL PUII ' PLUE SIZE trIPZCZ RETURN OPENINGS INPUT OUTPUT _ ............ TYPE OF SYSTEM HEATING OR POWER PLANT ""'°" 6 , E TE: Air Conditioner h' ann Air Plants n � ' p] Steam replaces Camelot gnawed Gravity ® Hot Wator IF Mechanical -` Radiation d Side Y bcthtsck>s. Conditioning c, I I Spacvuxs _ th Addition s ter Vent. System ' t Otb De to deo Ou tside of iluddings 's uilding Penult. FIREPLACE MAKE AND MODEL " FEII SCHEDTJLE Industrial, Commercial dt Multi - Family 1% of job oust Residential, Gas Fireplace $49.50 & .A/C $49.50 minimum Residential, Herding (Now Construction) $144.30 Residential, Additions 6c Alterations $44.50 Residential, Beating Only (New Construction) 564.50 , Resideadaf, AC Only 549.50 / D ` dmated Cost S Building Permit ( 1 4 i ` HEATING STATE $ PAID WITH gt' TOTAL PERMIT FEE $ � UILDI G cv O PERMIT This Application Becomes Your Building Penult When Approved Pai Receipt Na. Date By - - .._.._.r lliditlini0Meisi Dale 24 hour notko for all hi:poet (952) 441-95O , ra* (952) 447.4$45 4546 Dakota Street S.L., Prior Lake, Minnesota 55372 I .0* It ,f1 2 tv, -11) s • $ P R I R LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 7-3 40" en. ,,. a vt NATURE OF WORK A c� USE OF BUILDING t s h c�— PERMIT NO. " ( o DATE ISSU D I© 3 CONTRACTOR I , s PHONE4.40- ,4-e NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE r 1 1 (Prior to Backfill) 1 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ATER / SEPTIC FRAMING J i4/i / INSULATION ELECTRICAL PLUMBING HEATING (if required) MEM AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1 1 FIN ALS 41111111111/111(Erior to Sodding) BUILDING f\R ( r- r\ ELECTRICAL l 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