HomeMy WebLinkAboutBuilding 04-0516
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-d1-()1
White File
Pink City
Yellow Applicant
PERMIT NO. 04-.05/h
;V, W,
LEGAL DESCRIPTION (office use only)
LOT IS" BLOCK
PID
OWNER
(N ame)
Z~ING (office use)
y'[tfJ
"IYO
(Phone) ~~ ~ '-!4D L ~/') Lj
(Address)
"
BUILDEUJ~
(Name) '..I
(Contact Name) ~~
(Address) ILi-311 r · ~/5f/).z;t:J ~
~:::~) i{~~s;,~:ifo
I1JrU ~53Z)~
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $..3
ORe-Siding
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.prop to perform n eded ins tion,'>. I /
X I ~~11 ~/a7/12Y
Contractor's License No. Date (
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee 'i
Mechanical Permit ee
Sewer & Water Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
--
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$
..,."_......~,
~6'~~ ,
- I -oLJ
TOTAL DUE
Paid
Date
This is to certify that the -re he above application an accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitute ficate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
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
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
March 13,2008
Final Notice
Don Brooks or Current Resident
15245 Wilds Parkway.
Prior Lake MN 55372
RE: Building Permit Number 04-5 16
In review of the building permit files it was discovered there is an open building permit for a basement finish at
this property. The City would like your cooperation to provide access for a final inspection. Please call for an
inspection by March 25,2008.
To schedule an inspection time, call (952) 447-9850. If you have any questions feel free to call between 8:00
a.m. and 4:30 p.m. Monday through Friday at (952) 447-9852
7{Rf! .
Building Inspector
www.cityofpriorlake.com
Phone 952.4479800 / Fax 952.447.4245
Residential Building PerInit Checklist
B,tviSh or Interior Alteration to Single Family Home'
BY (2{) 11-\ _ Date 9- c9- '7-0/
~~~~~~:'::miI5V1 :;:tJ~~5 ~dl( Szo;dc& flk'W0.
Legal: L B Snb&;vision: ,'7'
Ensring StTUcruC00
CONFORi'rIS TO ZONING "Y-:[S NO
o RD :11'f AJ.'{ C1:
YES I NO /
Is chis :lJ.""1 ~:~:pansion of me exi.~..ng footprwt or Rcfe:- ~o Pl211ill..lg Jv
build.i:c.g height?
Is w.1e property located within the flood plain? \ Refer to Plarring \ II:
/
Does w.1e altention include any additional k.itchens? \ Refe: to Planning \ ~
Does the proposed alte:-ation include any outside R~fer to Planning t
entrillCes orne: than patio doors?
Is lfJ.e proposed. tlSe or the wished space or Rde: to Planmng L
alte:-J.D.on for anytbing orb.e: CJ.1an a normal single I
,.. ~i"'.... '... ~ ( --~ .o:a O"'i I ~ ~ ri"1' -., ~ ~~("" \'7
[luL.l:, ,.o,-,...e or:.c~, =--oU? aom~, '-"-/ ,-_T_, ,--~.).
THIS cm:CG..lST :r[1JST BE COMPLETED A..'ffi r::'lCL1..JTIED Ii'{ Th"I BL'lLD[i'{G PER:.'Y[IT F1LE TO
~L-\li:H.-\lN A RECORD OF THE REVIE'iV.
. '~-;""'I-::T _ --:" .:. - --"-'"1""';(-.;"" -:(~C
MATTHEW DANIELS, INC.
423 3017 P.01
uate t<.ec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~~ ~:~ I PERL'\UT NO. ~ 1... ~ 111
l. y.llo" ApQli<1W . ~ <=f' ~
at bottOm)
ZONING (officeu::e)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) ~. ~ r~
'1
(Address)
APPLICANT... I . ~
(Name) ""~1 OJ7) ~ 1 J d,(jJ ) '-4Jl (J , .
(Address) J Ii:2... -vJ {J.n kJ. .A .J JJr-dl ~ % } h
(Address) V
(Phone) bSl- "2-
~V) J f{ L/l J. r. \..tJ.. 7)
(City)
.J7.~()
APPLICAm SIGNATURE
(Phone)" 65"/.
DATE
...s:sb68
(Zip Code)
~~ . 3'J.30
It& B.DD~
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower , Rough~ins
Dishwasher Water Heater
I Floor Draifl Water Softner
J 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
APPLICANT PLEASE COMPLETE BELOW
FEESCBEDULE
Industrial, Commercial & Multi.family 1% of job cost with a S39.50 minimum
Estimated CoSt $
Residential, New One &. Two-Family S99.S0
Residential, Additions &. Alt~~io..ns ...$39.50
'2~ ,(~' ~:,
Building Permit # ~}I(/;
'~1:\ (.
"i"(- /.... ~_~.:
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
(Office U~e Only)
This Application Becomes Your Building Permit When Approved
Building Ol'licial
Date
1~ hour notice for .11 illspediollJ (952) 447-9
TOTAL P.01
PRIOR LAKE
INSPECTION R
~.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
<0 "
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