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HomeMy WebLinkAboutBuilding Permit 14. 0133 5 ❑ o C� 030000 = 0 Dv E0 n i0 0 0 3 m >cpco m m m OM-,9 C D ° X x X 3 z� 3o - Z cn 7.1- 13 ti r cm) cmi 0 Z z 73 gal t -c -I --1m z 7;WZ 0 s o 0 z m 7C m ° z o m tm 0 r Z _ m °z o o �. 000000 Z mm m 3 r-- 41 0 -i x v v c c z v8 co m .0 0 .s m x w m 0 co c) 0 co 0 lb ri00 xi _, -, o z zxx z o P. m rTo71 0 m c Z 0 II c 0N m ❑ ❑ ❑ ❑❑❑ , -� D - l 0 0 r � ME0 m a n mnn _ r� mmm Wiz — z m 4 r - 0 of PR/0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 v PC AND UTILITY CONNECTION PERMIT r� . ,� ;�HNBS��� I. White File PERMIT NO. / 3 pelf Cpl /4L3 Yellnw Applicant I (Please type or print and sign at bottom) ADDRESS ZONING(office use) 167/ 7 AkIII 644 ,ijf, i rasp LEGAL DESCRIPTION(office use only) LOT 7 BLOCK ADDITION e -rf P 4 / S [ �6Alin PID Z5, 4-37 /S?j. U OWNER (Name) (Phone) (Address) BUILDER J r (Company Name) C"..) cftd—Oevt g4let /IC- (Phone) (Contact Name) � � �/,,,�,a�t G4"1 / 7 /' � /� /�,� �(Pyh�—one) �1 Z'3L�' !8� (Address) 7 C.�S et,� t (j't��Ji l , 5 ) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ORe-Siding Lower Level Finish 0 Fireplace ❑Addition DAlteration 0 Utility Connection CODE: DLR.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE $ /4:4 16) Occupancy Group: ABE F HI MR SU (excluding land) / Division: 1 2 3 4 5 I hereby certify that I have furnished in ,.tion 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-mentioned property and that. struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official c s permit for) ise. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed ins echoX Signature 0®l��'9 /9 gn Contractor'sLicense No. ate Permit Valuation 'Z/ 6 O G . L 0 Park Support Fee # $ Permit Fee $ 6 Z 2-5- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ /_ Ci ci Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ -5I./.5-0 Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee I $ TOTAL DUE4m 6.19 3 / - 4 $ //7 7,5— ...-- This c;This Application Becomes Your Building Permit When Approved Paid /1 Li(' Re tpt No. 14)72.5 Date j . 7-2_ / B ,. Building Official Date This is to certify that the request in the above application 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 Certificate 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 notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 o� rnto? 64,,,, ,A HEATING/AIR CONDITIONING/FIRCITYOFPRIORLAEKEPLACE PERMIT Date Reed t.Piek +1� PERMIT NO I ��� anNcs�t' z.crn�, city 3.Yellow Appficam (Please type or print and sign at bottom) ZONING(office use) ADDRESS 3617 Wilds Ridge NW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION MD OWNER (Phone) (Name) Dallas Holm Address 3617 Wilds Ride NW APPLICANT (Phone) 952-440-3779 (Name) Clearwater PI & Ht (Address) 19260 Mushtown Road Prior Lake MN 55372 (Phone) 952-440-3779 (Contact Person) Susan Schlink i / la A DATE 4 9/14 APPLICANT SIGNATURE -�` APPLICANT PLEASE COMPLETE BELOW REPLACEMENT QALTj;RATtONS ONEW CONSTRUCTION � FUEL FURNACE MAKE AND MODEL INPUT________9_U__ _r_---- FLUE SIZE RETURN OPENINGS OI SYSTEM HEATING OR POWER PLANT PLEASE is l Fireplaces s Cannot on Encroach TYPE 0Steam ❑Gia vi Air Plants ❑Hot Water into Required Side Yard Setbacks. ❑Gravity. ❑Radiation Fireplaces with tiox Additions or ❑McchantCal [ISpcctal Devices Cantilevers to the Outside of Buildings °Air Conditioning 0 Other Devices„--__ Require a Building Permit. [�Vcnt.System I stall 2 s 1 r' •, : - t i FIREPLACE MAKE AND MODEL Residential,AC Only FEE SCHEDULEbasement finish Industrial,Comineroiat&Multi Family $49.50 I%of job cost Residential,Gas Fireplace $49.50 minimum Residential,Additions&Alterations $49.50 Residential,Heating&AIC(New Constntction) $149.50 4PerrnitN Cost$ Building Residential,Heating Only(Mery Construction) �^^ HEATING PERMIT FEE S � S_� STATE SURCHARGES TOTAL PERMIT FEE Application Becomes Your Building Permit When Approved Paid Receipt No. This pP Date P 1 a Date ��� ii���ll� Buitdiug plhcial 44'1-985t 24 hotota Street SE.Prior inspections 55372 j 4646 Dalt PRILA DEPARTMENT OF R E BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 11 1 DS Ito 4. NATURE OF WORK ry• air USE OF BUILDING ' PERMIT NO. DA E ISSUED CONTRACTOR CU 1 I ,t/J PHONE GI2 , 3284' p NOTE: THIS IS NOT A PERM FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 111.111111 I \\ I I 1110.0.111111.111.0 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION 4, ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING 7 c4( 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 (9521447-9850