HomeMy WebLinkAboutBuilding 05-0325
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-. Z(r,ob'
7r -/(.,9
at bottom)
(Please
ADDRESS
u ttE((rJ Ut- Ci t2.-tlf-
3l2l
White
Pink
Yellow
I PERMIT NO. 05.03Zsr
File
City
Applicant
ZONING (office use)
,€/SO
LEGAL DESCRIPTION (office use only)
LOTIO BLOCK
/V (J K/f)lWb1J P
ADDITION
pm 2';-' /41. () 07. ()
(Phone)
(6(1,) {C;O -31./0/
OWNER
(N ame)
aYLI"-Cofle4L.- S VfJ
'3/2-/ g{/tft-IZA/I/-I- t) ~
(Address)
I BUILDER
I (Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
Lower Level Finish 0 Fireplace
/ 1t:-P1.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
application which IS to the best of my knowledge true and conect. 1 also certify that I am the owner or authonzed agent for the
co m to all eXlstrng state and local laws and will proceed in accordance with submllted plans I am aware that the buildrng
by agree that the City official or a deSignee may enter upon the propel1y to perform need17~s~~
Contractor's License No. I Date
x
Permit Valuation J. 000.00
Permit Fee $ . 31{-.7S-
Plan Check Fee $ .--
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $ 1-0. 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
4-J-b U.5-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '15 zS'
Paid
Date
-;5. Zr
. 2-iL"ur
I ~;'~ 4f/~
ThiS IS to certify that the request m the above applicallon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constJlutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
tjl(Ul
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0..5- O:? z5T
(Please
ADDRESS
ZONING (office usc)
3/2-/
jfu~j\/(//
(!//It: c~6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm 2-5". /1-/. U07- 0
OWNER
(Name)
Ct-f/24 .s
OU/-"oJT
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
CODE: DI.R.c. DI.B.c. o Misc.
Type of Construction: 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
frlJO/l/
ower Level Finish 0 Fireplace
c./:-e ~7. IN
L-"l- .
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtiJity Connectton
ORe-Siding
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have furmshcd mformation on this application which 15 to the best of my knowledge trut.' and correct. I aIst) certify that I am the owner or <luthof!zed agent for the
JbovC-mcotlOncd property and that all Clmstrllction wlll co m to all ex '(I 'tate local laws and will proceed m accordance with submItted plans. I am aware that the buildmg
':licial can revnkc thiS pcrmil for lust cause Furthcr orc rc 0 IClal or a dcslgnee may enter upon the plOpel1Y to peIlorm necded In?c:tl</I - 01
Contractor's License No Date
Huildlllg Ofticlal
Datc
Park Support Fee
SAC
#
#
Permit Valuation
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
$
Water Meter Size5/8"; I";
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Sewer/Water Connection Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
ThiS IS to certify tint the request Jl1 the above applicatllm and accompanymg documents is m accordance with the City Zoning Ordinance and may procced ,lS requested Tlus document
\\!hcn signed hy the City Planncr constitutes a temporary Certificate of Zonmg compliance and allllws construction to commence. Before l)Ccupancy, a Certlflcatc Dr Occupancy must be
Isslled
Special Conditions. if any
Planning Director
Date
24 hOllr notice for all inspections (')52) 447-91150. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
..-
{, _ ! O!;;
ADDRESS
f5u7/EKAJU'/ C,I K-
31'Z I
~. ~~ ~~~y I PERMIT NO. (j G: 03Zst
3 Yellow Applicant ::::J
Nit!
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs:-. I-F-I. U&70
DATE
APP.( ANT PLEASE COMPLETE BELOW
I OWNER
(Name)
(Address)
APPLICANt") r \ f) .\ .,
(Name) . ;'L--\-L(f,l..,( r v,..'\b,~
(Address) ':) 6' fc, ( ,..] . \\ ~..-J ,-v ("'.u( 5 t-
(Address)
(Contact Person) \),,,~
.lY\.C,
<'
APPLICANT SIGNATURE
(Phone)
(Phone)
ti ,'0;--
(City)
CiS-).. -- q Li7 ~ 5 7 b I
L.-,J<~ 5'5371
(Zip Code)
(Phone) '=.:- \ 1... LId' :3 . ('Il "l. "\
".. \ ~ as-'-
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 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
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office IJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Residential. New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
Building Permit #
fl{
vJff'l iJ ()rU
{' Il>"
$ ./
$ """""""-50
$ ~
/
Paid~
Dat(y,. f. (S.....,
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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
?/~e uj()S~ d]ZS-
; ~e:n ~~:y I PERMIT NO. OSo.<"S~
3. Yellow Applicant , - ~\, ~
Date Rec'd
ZONING (office use)
ADDRESS
31'2-1
t5{/rn;~Nvr CIIU-l6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.s-.. 1+1. 007, ()
OWNER
(Name)
(Address)
C.h t \.s.1-u phe.\
\
1)"" p 0,.<1-
e.~.v","\
t'
(Phone)
<- \ e..
APPLICANT.
(Name)
(Address)} bS'8 4
L
~ rot) K
(Phone) 9S:)-1../i/7--8) JD
~+ fr-.\D\ kke WVV S,~~"7
(City) (Zip Code)
(Phone) q~).-1/ '17- ~ II 0
(Contact Person)
DATE
DNEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL (Y\,^ ~Ch..K ~ ~ f3>O\\C\ \40 h'\ FUEL ).J /I T
FLUE SIZE ?::,ll fV C- RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity ~ot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Estimated Cost $
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Building Permit # <1 ~ O~..rr--
('
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
0"
C-
c
r V'"\.
.~ C3,
...s=- V
C
1/',
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
y er 1"11
.50
'f'O .~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
~
Date t "' J_ I J --
Receipt No. /f9 I70
By
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3/2-/ t3tJ~c/1 CU/L.
NATURE OF WORK kOlA/EJL ~
USE OF BUILDING /?.-e;} ~
PERMIT NO. OL. 03 Z.s- - - ATE ISSUED 1-, 2k .~ .
CONTRACTOR DtJPO~ PHONE (PIZ. 4412. :UO)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ \ \
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-
- - -
\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
] J
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.
FOR ALL INSPECTIONS (952) 447-9850