HomeMy WebLinkAboutBuilding 03-0170
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Qtl-011(l5
14-/&,9 HtJnnINc,l3/eQ
Date Rec' d
White File I PERMIT NO
Pink City . /13-1"7 r.
Yellow Applicant U f LJ
(!OUK-I
NE
ZONING (office use)
lei
LEGAL DESCRIPTION (office use only)
LOT /7BLOCK Z ADDITION /,,//JPt-6 fI/LL 2/,/0 /lODN.
OWNER
(Name)
T:Jo-r-~c "'- ,,;... K \ ,Q
L Q ~ CJ..- r'Y"'-..
,
(Phone) ,?S'L- Y9 t, -.3 627
(Address) I ~I I
1-1 uW'1l1'W'\ n
PID25--34-.s-0~ -0
,-=-
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
ORe-Siding
o Misc.
o New Construction
?ower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OPorch
ORe-Roofing
DAddition
o Alteration
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 above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the rope to perfor eeded inspections.
x
Permit Valuation 2tx:Jo, 0 0
Permit Fee $ h z... 1-5
Plan Check Fee $ -
State Surcharge $ '.00
Penalty $
Plumbing Permit Fee $ Lfo, 0 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ -
This Application Becomes Your Building Permit When Approved
~~p
Building Official
.?'-fi/d' Y
Date
2-/2-03
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other t5t...-e er;e1 &c1 L- $ I, 00
TOTAL DUE $
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;:pnstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 1~1-J .,-,/;:r/o7 J~ ~~
Planning Director I , 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
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
March 30, 2007
Darren or Rita Laham or Current Resident
14169 Hummingbird Tr.
Prior Lake MN 55372
RE: Building Permit Number 3-170
Second Notice
In review of the building permit files it was discovered there is an open building permit for lower level finish.
The City would like you cooperation to provide access for a final inspection. Please call for an inspection by
April 10, 2007.
To Schedule an inspection time, call 952) 447-9850. If you have any questions feel free to call between 8:00
and 8:45 AM Monday through Friday at (952) 447-9853
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I, Blue File [ PERMIT NO I
2 Gold City . /'J..~..3 -I '70
3 Yellow Applicant , ~'"
ADDRESS ZONING (office use)
,~~ (]l:{
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIu...?5 -31./3 -0 A-t - 0
OWNER
(Name)
(I )~ V vejJ
--
ufruJ
(Phone)
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
2- I '3-t::? Y
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) 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 J
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 #
,,1{,'J
rA/'V
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Building Official
Date
Receipt No.
'cl r
<3'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
BY:
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
,-9-/3- :3
Date:
Building Permit #
Site Address
Pill:
/~/&q
J/u~1i~d rl;!-
S ubdivisioD:
Legal: L
B
Existing structur~or NO
I CONFORlVIS TO ZONING
ORDlliAJ.'{CE
y~S
NO
YES NO
Is this an expansion of the existing footprwt or Refer to Planning
building height? fJo
Is the property located within the flood plain? I Refer to Planning I ,JO
Does the alteration include any additional kitchens? Refer to Planning I f'J()
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? tJO
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single t-JO
family home (office, group home, day care, e~c.)?
Tms CHECKLIST MUST BE COMPLETED ..Iu'fD Il'!CLUDED IN THE BU1LDING PERl'tIlT Fll..E TO
l'fWi'lTA1N A RECORD OF THE REVIEW.
T\[":'-:vrnT .I, TF\A LTrHCZ.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14-/(P If f-It.//1rVJ I Nqt5//C-O CT
NATURE OF WORK L - L-_
USE OF BUILDING IZ6J H//2--
PERMIT NO. (J3 - 0 17 () . DATE ISSUED Z - /3-' 0.3
CONTRACTOR ~nJl~/~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I - - - ... · I
I. __n"'~. ._.U~~",""," I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.L'P"'.'r"R.' ....[f.R.' ~P"""-1.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~.- __n._ r"
E
:?-- t c-z ; t? ~
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.
FOR ALL INSPECTIONS (952) 447-9850