HomeMy WebLinkAboutBuilding 05-1195
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()5-- II qf
L..o n..t> <;' '"[ ,J .6:-
ADDITION
(Phone)
C\S',..-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID,
OWNER
(Name)
R \ t.\L A'TCA-M~ O,J
~^~a-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) \~ JOb
ZONING (office use)
}150
?~t; -
?-'35/o
~(Phone) ~\"''). - "f~I- iip d-~
(Phone) fJ, l,)- - d- 'l - '-1'-( ;}-'\
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
ower Level Finish 0 Fireplace
CODE: !.R.C. DI.B.c. o Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
tt J O() ~ ~
I hereby certify that I h ve fllfOlshed Information on Ihis applicauon which IS to the best of my knowledge true and correct. I also certify that I am the owner ,1I authorized agent for the
above-menuoned prop and that all construcuon will conform to all eXIstIng state and local laws and will proceed In accordance with submItted plans I am aware that the buildIng
of1lcial evoke thIS per It for Just cause Furthermore, I hereby agree that the CIty of1lcial or a deSignee may enter upon the propelty to perform needed mspectlllns
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~e.- 2..00'g(, ~~
Contractor's License No.
Park Support Fee
SAC
#
#
-
Water Meter Size 5/8"; I";
,50
Pressure Reducer
Sewer/Water Connection Fee #
~,Pd
Water Tower Fee #
Builder's Deposit
Other
--
TOTAL DUE f!./tU.ev 12.8.oS
Paid
Date
"75. 2--f
/Z.l3.oJ.
This Application Becomes Your Building Permit When Approved
~ r
..._~
Buddll1!! OftlClul
/~fS-
o~
$
$
$
$
$
$
$
$
$
ThIS IS to certIfy that the request in the above applicatlOn and accompanymg documents is m accordance W1lh the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner const1lutes a temporary Certificate of Zonmg compliance and allows constructlOn to commence. Bcfore occupancy, a Certlticate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec' d
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2 Gold City
J Yellow Applicant
I PERMIT NO. 05- l/qSf
I
ZONING (office use)
e or rint and sign at bottom)
ADDRE~S
'/5 <6('
L O~ f)
")T
Nf-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
;{~ 'v,
L/~ -60
A~ Ceu I'- ~c~
L C'2.0 ~r'
(Phone)
(Address)
N~~
APPLICANT _ ( (' I'),
(Name) jL I OlA-(~..\. n l('-'l t;I#'-
(Address) 12 (& <;- Kl \L l"}<.
(Address)
r;----
(Contact Person) . "
J AV>l
c -
(Phone) 7') l
<);, ~ v fi)'-
(City)
S-t)c - ;; (I L "7
<;S37 (J
(Zip Code)
~ L.I] - <); 7- "3l 0')-
/2 H Z i - C;'<!'
(Phone)
APPLICANT SIGNATURE
DATE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) , Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % ofjoh cost with a $39.50 minimum
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERl\IIT FEE $
.5~ \ f) /'
,(}Iv
(Office [se Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No_
Building Official
Date
Date (
I
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
4646 Dakota Street S.L
Prior Lake, MN 55372-171 I
February 4,2008
Rick Atchison or Current Resident
4580 Lords St.
Prior Lake MN 55372
RE: Bui]ding Pel111it Number 05- ] 195
Second Notice
In review of the building permit files it was discovered there is an open building pcrmit for basemcnt finish. The
City would like you cooperation to provide access for a status inspection. Please cal] for an inspection by
February 14,2008.
To Schedule an inspection time, call 952) 447-9850. If you h<lve any questio1ls Cel'l free to C<lll between 8:00
and 8:4S-AM Monday through Friday at (952) 447-9853
&zey
Paul Baumgartner
Bui]ding Inspector
www.cityofpriorLII\I'.u>1ll
Phone QI,2.447.9800 / 1 .IX ()r,2.447424S
..
Residential Building Permit Checklist
B:1seme.::rI Finish or Imerior A,.ltcr:J,tion to Single Family Homes
~ . -f_rn..
BY:~~
Dar,=:
1;24 /jA U:/
Building Permit: #
Site Address
Pill:
Zoning:
~~S.~
<<)td
Leg']I: L
B
Subdivision:
E.ri.sting S CTUc:ure: ~r NO
CONFORLvIS TO ZONING
ORDlliAl~CE
NO
Is :h1s an ~"("D2!lS~On c-' -l.,e ~~;~...n<J' "oon::;r:~. or Rei~:- ~o n 1 ~"l""'l""'~~ 0'
I ..........~'. i '..J... 1",.\",0, .:: .l. ~.u...... .I. l...............:
building heigb:t:? AltJ
Is ;:he pro-per:-j locatd w:IbiL che frood p lac? I Rde: m Pla.-:.'"ling I
/JtJ
Does c."~e al~ention i:c.clude any additional behe::s? I R.::re:- co Planning I ,00
Does me pro-posed alte:ac.on induci.:: any omsicie Re:re: ~a Plrtr-"'sg
emrane:=s othe:- than patio doors? tJO
Is me proposed. use of :he L!!!ished space or Re:e:- :0 PiaL"''''' g
altenc.cn for anyd:i::g ow.'l.e:' chan a r:or:::al single NO
~-nil~l horr:.e (ace::. grau~ haee, day C2.r~~ ~1""" \,';
....~.j .
YES
NO
THIS CH:ECX1.1ST ,,'ynJST BE COMPLETED A.i.'ffi INCU.rDED IN THE Bl:1LDfNG ?E:RJ.'dIT mE TO
MAlNTA1N A RECORD OF' THE RIVT.EW,
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~~ (, ~~ s~ HE.
NATURE OF WORK /.1100,.,... L. c... fifjl'll"l
USE OF BUILDING s: ~ .
PERMIT NO. - ~ DATE ISSUED /. r j.r
CONTRACTOR r~~~~ l:- .PH~E"&.Z"-fVT'
NOTE: THIS IS NOT A PERMIT FOR A OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
_I:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FRA
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
/w
) 1.-- t+ f.,"j
/!-/j,I- -
I t..-. J.-(-V)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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.
t
FOR ALL INSPECTIONS (952) 447-9850