HomeMy WebLinkAboutBuilding (Lawn Irrig.) 02-0881
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
o -dL/-{)A
I. White
2. Pink
3. Yellow
I PERMIT NO. O~ /00flll
(f'()I"1MQ A-I ZONING (office use)
/l1ZErI R- Z-
ADDRESS
3701 FoX '77//1.- ~/t.-
NrV
LEGAL DESCRIPTION (office use only)
Lo13~BLOCK I ADDITION 11!; ;VSn rt
A/ SeUJNO
PID ;?5-3
OWNER
(Name)
W6/VSI"1I9NN 1101'165
(Phone)
(Address)
~~~~R G6/11~ teyl9N
(Contact Name) ,,\ "',riAL..,\( 0 \SO \.. )
(Address)
(Phone)
(Phone)
~51 -4-23 - //4--1-
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
t.--I'1 w A/ DLower Level Finish
',e I 'rION ~
D Fireplace
OAddition
DAlteration
DUtiIity 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 offi' or a d signee may
enter up n e pr e to perfor eede ns ctions.
PROJECT COST IV ALUE (excluding land) $
x
Contractor's License No,
7-(7-
Date
I Paid
Date
_5"~OD
- e rpL.-
# $
# $
2-" $ 4-85.00
$
# $
# $
$
$
$
I ~~"fJ1- 4-'/,5 35
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$ 4--0,0
$
$
$
Park Support Fee
SAC
Permit Valuation
Water Meter Size5/8";l";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
r Building Permit When Approved
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 constitutes a temporary Certificate 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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~"d?I-O)--
1. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO.
ADDRESS
'1-{)! ) Fa
ZONING (office use)
((~
LEGAL DESCRIPTION (office use only)
Loi91 BLOCK I ADDITION
pmaS- g5~o37
OWNER
(Name)
(Address)
V/l~
s- Pia lOt fJrL
-~
Sre ZuD
(Phone)
Fa
5~/Z L.
APPLICANT
(Name) Q( %) of -
(Address) ~ L{ 1 L1 s
~
~ ~~b< YlI
(Address)
(rLl-
(Phone) lo c;l- L/ Z ~ - / I L{ L-/
rW ~DLL1I r '5S-Dlo ~
(City) (Zip Code)
(Contact Person)
(Phone)
{o S-I ~ L( Z ~ - I I LI L/
Lo /11 /02-
DATE
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 j Backflow Assembly Test
Bar Sink 12..11 Lawn Sprinkler 111
Water Closet (Toilet) Other
PLEASE COMPLETE BELOW
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 $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The C't'ntt'r of (he Lake Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~'2- (f2...... M..
r
APPLICATION RECEIVED 1-( ?-o?:-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Slo~x~r.
Accepted ~
Accepted With Corrections
Denied ~
Reviewed Bye -
Comments: -
QcJQ ~~ L.~
Date:)-17 -02-
T~fec5L{-FV\. ,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-'-~ ~-.:~"
White - Building
Canary - Engineering
Pink - Planning
Tht Cenlt"r of the l..kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied
~~A
Date:
<7/U~/D7-
Reviewed By:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."