HomeMy WebLinkAboutBuilding 02-1017
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
()I- I C) I,:>
Date Rec' d
8-?-O--O'2--
White File
Pink City
Yellow Applicant
PERMIT NO. 0 Z .' 10/7
tJ~/c;z"O L/t/l/t5 SE
ZONING (office use)
ej
LEGAL DESCRIPTION (office use only)
LOT 2-1 BLOCK / ADDITION oee~n;;;L-O 2- ~
PID z,5"- 372--02/- D
OWNER [\
(Name) <!) IG~
fh; DY2--So A1
(Address)
(Phone)
9SJ ,- tfVD ~ 33~1
BUILD~ I. \ J2
(Name) hA c W 0 ~K- l=1'\A Ol- fi b ~5
~ fu)~ b~JJ $T2:;fL
131J-9 G;;fn.t,tlltt W~ ( A ,I), .%1J.1
(Contact Name)
(Address)
(Phone)
(Phone)
yS',J. --Y31 ~ 7 gc /
TYPE OF WORK
ORe-Siding
o New Construction
'M:"ower Level Finish
/,3 Cfi'7.5 .
,11/0 r:: P.
o Misc.
Deck
o Porch
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtility Connection
I 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 ov -mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p s. am that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e p rm needed ins ections.
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
PROJECT COST IV ALUE (excluding land) $ 4
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ /.00
6~z. ~O Z-- $ ecj2-:-
;M?~-to- I ~;eiPtN1Z!';;?tJ~kl
J3~ cJ. 01 ;;'(ftf,,~
Contractor's License No.
Park Support Fee
#
g.-cJ.O ~O~
Date
SAC
#
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
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
Water Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Planning Director
Date Special Conditions, if any
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
3 , Yellow Applicant
I PERMIT NO.V;{" /0/11
d--O ~-
ZONING (office use)
1<,/
LEGAL DESCRIPTION (office use only)
LOT ~ I BLOCK
ADDITION
Jl/Cl PID J.- O~ -0
,~p,,1, ~f</fd:~y J I
OWNER~' J
(Name) 'I c)/{j (at
It tv1d cY' .s;..O,J
(Address)
, m€---
APPLICANT
(N ame)
5(JvnV./
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
AI ll;JIIf~'~'E
APPLICANT LEASE COMPLETE BELOW
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)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backtlow Assembly
Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job 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 $
TOTAL PERMIT FEE $
.50
Building Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
52_0(.1' OEcl2-r/~D L-/.:JN6 SE
LO~1/6e L.EVcSL AA/o OE~
/Z-F..--S H / L
/
PERMIT NO. 02 - / D /7 DATE ISSUED /3 . '21- cJ 2-
CONTRACTOR /fOr-;6hJO;e~c R-E//ooELQ.s' PHONE 95-2.4-3/. 76~ /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
INSPECTOR DATE
,~o E <?.<:::- .. I frJ>, I C\ ~ i':7,{fL
bv'tlq L,t'tf i (0 - "-<1 ~C/L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
FRAMING ~ h
INSULATION r I
ELECTRICAL
PLUMBING I,
HEATING (if required) /,
( I
c... "
I..
e.. Co. '
l ~
.. ....(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
/
o ,. J-I
I'
'O~L
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