HomeMy WebLinkAboutBuilding 08-0051
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CITY OF PIUOU LAJ(I: llUILDINC PI:UMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
wood ]) vlGk. 1(',
LEGAL DESCRIPTION (office use only)
LOT~~LOCK
Date I!ec J d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08 .sf
ZONING (office use)
~w
~
PID
OWNER
(Name) gr. c~("'\ ! SiA'Scc...., l4 c....~ S
(Address) 151 1.?5 T (I.
BUILDER
(Company Name) .At! C. ""Dr1k>t-l!.w-d f2p {h()d-f (; ^9
(ContactName) 1)',<:.k.. \D'\\\~~""S
(Address)
Iq~
(\ ..
rc~
1.tJ'53 -0
(Phone) q S;)- .;);;) (p - d 3-.5~
\'J ' l.0
t"-. ...
(Phone) "5 \ - d ( ~- L( ~ ll.c,
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
DAdditlOn ]j{JAlteratlOn DUtility ConnectIon
CODE: Mr..R.C. OLB.C. o Mise
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have turnIshed mformatlOn on tIllS applicatIOn which IS to the best of my knowledge true and correct I also certify that I am the owner or autllDflzed agent fnr the
above-mentIOned property and that all cllnstruction will conform to all eXistmg state and local laws and will proceed in accordance with submlttcd plans. I am aware that the bUIldmg
official can fevoke thiS permIt for Just calise Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to pcrf()rm needed lOspcctHms
X !?.e/';J ~ /J"JlJ.a~ CL ~Otl53i q<o d ,t:)- 0 ~
Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $ 4~. ()O
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7.C; . z..5'
1;i:yr8
I ~~ceiPt ~ tf-G; (b R
Paid
Date
ThiS IS to cl'rtlfy that the request 1lI the above application and accompanYll1g dOl'uments IS 1lI accordance with the City Zomng Ordinance and may pmceed as requested TIllS document
whcn signed by the CIty Planner constItutes a temporary Certificate of Zomng compliance and allows cn!1struction to commence Before occupancy, a Certificate Dr Occupancy must be
IsslIed
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
Z 7-L,03
I. Blue File I PERMIT NO
2. Gold City . Q, _ t..---. I
3. Yellow Applicant , U ~ .J
ADDRESS ZONING (office use)
15165 Wood Duck T:rai1 NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Brian & Susan Haas
(Phone) 952-226-2338
(Address) 15165 Wood Duck Trail Nw, Prior Lake
APPLICANTR C '1 b'
(Name) 1"' Ull ~ng
(Address) 5910 Chester Avenue
(Address)
(Phone)
Ii orthfi eId
:1.52-652-2933
(City)
55057
(Zip Code)
(Contact Person)
Rich Nybo
'~wfJ
(Phone) 952-652-2933
APPLICANT SIGNATURE
DATE
2/16/08
APPLICANT PLEASE 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) I 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% of job cost with a $39,50 minimum
.50
Residential. New One & Two-F 'y
Residential, Additions & Alter
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39.50
40.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
.~
Dati ~~, o~
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
SITE ADDRESS 1-21 ro S- L-Uov!J OJ c..~
NATURE OF WORK l. (.... ~,N ISH
USE OF BUILDING l2-€-~ A-lf2.- I
PERMIT NO. 0(3 .. C; , DATE ISSUED "2- /13 /01$
CONTRACTOR AiC p,~lMI'tt--G PHONE "51-2..1(, -1(0 I"
'NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
. (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
r ~
t ~ ~ '.l\
IC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
(if required)
- ---.J'
AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
_G (Prior to Sodding)
BUILDING
IS~ECTRICAL
PLUMBING
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