HomeMy WebLinkAboutBuilding 07-1153
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
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Drrte Rec' d
It- - ()? 07
] White
Pink
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File
City
Applicant
I PERMIT NO. 07~ 1153
fJ-((J)--
~h.1 <2-
ZONING (omce use)
/1~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER /y //
(Company Name) ~~p..r""/-1 /(fc'"\dV""" ~""'\
(Contact Name) ~~ ~ If-ei~
(Address) 6V"6~ /!/. ^ <;t'; ~ 'or. .-f~(/ ,,""
Lt!C
(Phone) Cfs.;;J-S/rY-lo D J
(Phone)
e.... /7 ~
ST7
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration o Utility Connectlon
ower Level Finish 0 Fireplace
CODE~.R.C. DI.B.C. o M isc.
Type 0 Co struction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E H I M R S U (excluding land)
Division: 2 3 4 5
I hereby certify that I have hlrnishcd Information on this application which is to the best of my knowledgc truc and correct. I also certIfy that I am the owner Ill' authonzed agent for the
,lbllve-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 agrct' that the CIty official or a deSignee may enter upon the propel1y to perform needed inSpectIOns
Q-]-o 7
x
~YlL-
Signature
Permit Valuation 2,000.0 0
Permit Fee $ fn2 2-("
Plan Check Fee $ -
State Surcharge $ I 0
~O
I Penalty $
Plumbing Permit Fee $ 10. UL>
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
~
~
/2/3/07
Date
lluildlllg Ufficial
Contractor's License No. Date
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 $ IO?, zS-
TIm IS toecrtlly that the request 1<1 the abuve appbcatIon and accompanY1<1g documents IS In accordance With the City loning Ordinance and may proceed as requested Tim document
when signed by the City Planner cunstltutcs a temporary Certificate uf Zonmg compliance and allows construction to commence Before occupancy, a Ccrtlficatc of Occupancy must be
i.'iSLled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-985ll, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~
~
Date: /21J'~ 7
Building Permit #
Site Address
PID:
Zoning:
~~
Subdivision:
/~~ cjS-
Legal: L
B
Existing Structur~r NO
I~ I
I CONFORMS TO ZONING
ORDINANCE
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? JJO
Is the property located within the flood plain? Refer to Planning ;.J(j
Does the alteration include any additional kitchens? Refer to Planning r-Jd
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? f0(j
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ;110
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
FROM :DH PLUMBING
DEC-31-2007 12:J0
FAX NO. :9524473327
C IT f U~. i-'f.-: llJ~ U~1<~_
Jan. 01 2008 12:49PM P1
9S24~74245 p.01/81
Dat, Rtcld
CITY OF PRIOR LAKE PLUMBING PERMIT
cPlcUt ~ /Y! print ud "'41~~__
[ADDnSS
~OC:; CARRI AGE L,J.
~ ~l. ~ fPlbfIT NO. ()f. liS)
==:J I ZONINGt,.....l]
r LSGAL DESCIUPTION to... -""'l
LOT BLOCK. ADDmON
Pm
~
(Phon<) ~5:;l..-LJ4-0-a.8~ j
'--
~=~~\\\DN
~ddrE3f) ~ ~OS c.M?ill AGE LtJ ,
~-,,-.._-
I ~:~~m~N~ HQf\~LJ,tJQ ~~;:_i(;'.-- _. (phone) ~t;d..-'-IL/""'-~~_
I (Addles) _~ \Dlo l ThA\ R\E ~'LL~ ~t-J. ta\OR Lp\.~ \ 5.5.~" ~
\ (Ad~s) (City) (Zip Code)
. (C"""",P",,,on) TI",o,.l ~~~ ~~~____ (Phone) "51- Z55 -b~
,~ANTSIGNATU.RE~~ DATE /~-<-~i-07
APPLICANT PLEASE COMPLETE BELOW
,dDtlty fyp. (ilJfmrre .---_ QUllntity
:eithTub .....ith. or without shower
Ill.iwasher -
oor Dram -
llvatory (Bathroom Sink) -
unclly Tray (I O( 2 compllrtmer;t )Ink
Shower Staif-
lO-ks
Ear Sink
! Wat<< ~ 0&Ct (Toilet)
i
1tD'
,
.______E
Type of Fixture
FEE SCHlDL'LE
!!IduuriaJ. Com mercial A MU!l,i,ClIJnily I % of j<.b caSl wt!n a 539..\0 rn;M il'/lUfl1 Residmtilll, l'<tew 0"1 a. TWCl-FlIIllil, S99.j()
Rc:sld<:ol!a1. NiditiOl18 a; AlrenLliODs $39.50
EstimarcQ CO'll S
Buildint Pmnit #
PAID vVrTH
,so H! Hi r'l1l.,'" ~-,-
U\Jl....;J,/..,'..-: ,~LD!\!f/T
... , ~.., t i j " e _ !
PLUMBING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE S
24 hoW' ull~ r.r all 'J\IJ*fi.", (95;2) 44' 9&50, fII.. ~952) ...7-4245
Hi20<l EIIII. eNtJ! AW., 5..1:., PI1.r ~'-N~) '7"
==.l
(0"'.., u.~ Onlyj
I TIlls A;;lIcatlon Beeomel Yoor BuildillC Permit Whm Approved
l= B.;141".O~ - 0.", -,-
The... p€F.~rr 1-::' PA\D foRby t-~€.. Iot.-ULDEQ.. .
TOT~ P .01
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND iNSPECTION
SITE ADDRESS /44- or.; (!/-!1(jU~) (~-E 1-/'- /
NATURE OF WORK L{){A/f:7c cbVE-(-----
USE OF BUILDING . ~---=r /-1 //<-
PERMIT NO. 07. /ISJ DATE ISSUED /2. J U 7
CONTRACTOR IjtJl'16~;J PHONE 45~.7fe.c/.s-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
TH-: PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
- .
,
.~ I -J
PLA:~IL ABOVE HAS B~EN SIGNED
OUGH - INS
._r.
l '_~ c'
,
. - t
'.
~~ '1,
-, .
FRAMING
INSULATI' N
ELECTRV\L
PLUMBIN(
HEATING' ;f required)
CUVER NO WORK UNTIL Ai OVE HAS BEEN SIGNED
C I
I N A _S
,
>'
~ ~~ --
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 ,'ough-in inspections
and maintained until all inspections have been approved. On buildil1Js and additions
where no service cabinet is available, card shall be placed near main entmnca.
I
FOR ALL INSPECTIONS (952) 447-9850