HomeMy WebLinkAboutBuilding 08-0111
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date ltec ~ d
~/ 2-D / of
n at bottom)
] White
Pink
Yellow
File
Cily
Applicant
I PERMIT NO. 109 - Dill
ADDRESS
ZONING (office use)
2
7
Lv,')
$
~".-e.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
l,u.:; / k:.~r
Lv,' ~S
(Phone)
(Address)
Nw.
BUILDER
(Company Name)
(Contact Name)
(Address)
~ftO ~d.
C I 2 - 7~O-'I5TJS-
TYPE OF WORK 0 New Constr~on ODeek OPorch ORe-Roofing
OAdditlOn l"Alteration OUtility Connection
CODE: ~.R.C. OLB.C. 0 Mise.
Type of&struction: I II III IV V A B
Occupancy Group: A B E HIM R S U
Division: I . 2 3 4 5
ORe-Siding OLower Level FinIsh 0 Fireplace
PROJECT COST IV ALUE $ S (/C4' '" u
(excluding land)
I hereby certity that I have hlrnlshed Information on this applicattlln which IS to the best of my knowledge true and colTect. I also certify that I am the owner or authOrized agent tor the
JbnvC-mcntHmcd property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
~fictal c revoke~ t ti,r Just cause Furthermore, I hereby agree that the City OffiC;~?~ne;are;r;pon the pro petty to perfcllm neede~':e;~,... 0lJ'
Signature Contractor's License No. Date
$
$
$
$
$
$
I $
$
O,ot!)
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $~ Iff;, 79
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
MechanIcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
BUlldll1g UfIiclal
3/ Z-lJ/c,&
r Date
I Paid fJ,"UJ ~o i"
Date ~, ,
~;'ei~, S S"S" /8'
This Application Becomes Your Building Permit When Approved
~~
-
ThIS IS to certlty that the request in the above applicatHHl and accompanYlIlg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constitutes a temporary Certificate of Zot1mg complIance and allows constructwn to commence. Befllre occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ~~7-91l50. fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
03/05/2008 WED 12:20
FAX 952 767 1900 GENZ-RYAN
[4! 001/001
&
Oi',.,
Date Rcc'd
l\
r;:~
f~i.
ty
CITY OF PRIOR LAKE PLUMBING PERMIT
I m", File
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ADDRESS
2837 WILDS LANE NW
ZONING (o(fjc~
us~)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) STU WALKER (CONTRACTOR IS JD CONTRACTING)
(Phone) 952.496.2270
(Address) SAME
APPLICANT
(Name) GENZ-RYAN
(Address) 2200 W HWY 13
(Address)
(Phone) 952-767-:JOOO
t
fi
BURNSVILLE
(City)
55337
"---
(Zip Code)
(Contact Person) KIM
(Phone)
952-767-1000
APPLICANT SIGNATURE
DATE 03.05.08
APPLICANT PLEASE COMPLETE BELOW
Quantitv Tvpe of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softncr
Lavatorv (Bathroom Sink) Stand Pipe (Washin\2: Machine)
Laundry Tray (lor 2 compmtment sink Sewage Eiector
1 Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water CloseL (Toilet) Other
FEE SCHEDULE
Industrial. Cmnlllcrcial & Multi-family 1% of job cost with a $39.50 minimum
Resit.lential. Nell" One & Two.l'amily $99.50 , . . .:J
Residential, Additions & Alterations $39.50 ,A/~-
Estimated Cost $ Building Permit # ~ ~
PLUMBING PERMIT FEE $ --l.- tJ d" Qt , I
STATE SURCHARGE $ .50 .~ b
TOTAL PERMIT FEE $ ~
(Ortier Use On I).)
This Ap lication Becomes Your Building Permit When Approved
gf"?a Jo .P
Date
Paid
Receipt No.
Dale
By
24 hour notice ror all ins[lections (952) 447-lJIl5U, rax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 2.~~l I....:> (LoS tA,A./e- N~.
TYPE OF WORK --a^T/t1l.d{J~ ~oV"'77~
USE OF BUILDING I~ F l),
PERMIT NO. or... ~III DATE ISSUED 3(z.,,/tJI
BUILDER 4", /) ~U?'Hs I J;Jc. PHONE # ~I ~ -7S""c:)-I,ISos-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~
INSPECTOR DATE
--- ~ (/25 ~-.?V/; el I :J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN
.
FRAMING 'n ~
~
FINAL
FOR ALL INSPECTIONS (952) 447-9850
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