HomeMy WebLinkAboutBuilding 08-0058
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CITY Of PRIOR LAKE RUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Dat~ Rec' d
2-.2A,0}/
(Please
ADDRESS
J-9/il t~CQ+
Tr~) I
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 6 8 ,0 0 re
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER 'j)
(Name) f\. ya.,
YeI f!{
(Address)
(Phone)
BUILDER LJ _ - 1""7) C' ,
(Company NameL_----L!f)U.:5 c.. Il/r J~vJC<Y
(Contact Name) KC(,AJ.. ,/ l-u'I t1..
(Address) 5731 'B'lrc~lNo':)cd AV(o 'fJr\or
L-t. C
~
4/((
M0
(Phone)
(Phone)
5"5372.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAdditlOn OAlteration OUtiJity ConnectIon
ower Level Finish
z.~.
CODE: DI.R.C. DI.B.C. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrnished mformation on this application which IS to the best of my knowledge true and correct. I also entity that I <1~ the owner Of auth Jrlzcd agent for the
above-mentlOncd property and that all construction will conform to all existlllg state and local laws and will proceed in accordance with submItted plans. 1 am aWl ft.' that the buildmg
~rlcial can rev "11m ~!.Sause Furthermore, I hereby agree that the City official oJ03egmjY 77' 90n the propeny to pertl)rm needed F;;ZtI~mjV I.~
Signature Contractor's License No. JX\te
Permit Valuation "2.., 000.00
Permit Fee $ (,2.25
Plan Check Fee $
State Surcharge $ J.OO
I Penalty $
I Plumbing Permit Fee $ 4-0 . 0 0
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ ,
This Application Becomes Your Building Permit When Approved
lluildl11g Uftieial
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 $
TillS ,s to ccrtIty that the request III the above applIcatIon and accompanYlllg documents IS III accordance wIth the City Zoning Ordinance and may pmceed as requested. TIllS document
when signed by the CIty Planner constItutes a temporary CertIficate of Zonlllg complIance and allows constructIOn to commence Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
TANYA JONES
S51-772-222S
p.2
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3.llOg
~. ~1~:1 ~:; I PERMIT NO. 08. o/') t::;"'Q1
J. YCJh,W .-\pphuJ)t . ~,
ZONlNG (office u,e)
ADDRESS
~ g'-l J" ''3 0 bc..a... +-
7( 1'0(- L~t-e
LEGAL DESCRIPTION (otlice use only)
LOT
BLOCK
ADDITION
PlD
OWNER 'K d i)
(Name) . (l n.C~ L f i\tz.. - V)U~ I OC+OJrS
(Address) 57 .?I .1) :'>LC 1tl ..l A.}ncx'i ~/.f i7 tAe , /1/'/1'.'/'
(Phone) (0/;;1- jtl3 -;37/.;; <:~
4/? il
APPLICANT ,
(Name) L- e <, Z ..e II - Z (' / / P/u mhdl ~t,f- l-/-ea -h"1~b- (Phone) LQ 57- 7') 7 - 7 .3 '3 ~
.1 II 3
(Address) 8'1:;:J. 0 ~,'f-l:'....::;-J. 1\.[ O'L-7h. L eviL ~ J rv1 (,
(Address) (City)
(Contact Person) -4rn ~1../tCi't~
APPUCANT SJGNATU
MN ')~;'-04 ~
(Zip Code)
u~-77/-?53 .~
DATE .:3
D,'8
Quantit,,"
APPLICANT PLE~SE C
T' e of Fixture
Bath Tub \Vial or without shower
Dishwasher
Floor Drain
Lavatory Bathroom Sink)
Laundry Tray 1 or 2 com arUllcnl sink
Shower Stall
Sinks
Bar Sink
Water Closet
PLETE BELOW
Quantity
c of Fi:xture
FEE SCHEDULE
Industrial, Commercial &. Multi-family 1% of job cosl wilh a :')49.50 minimum
Re~idctltiaL New One & Two-Family $149.50
RC!iidential. Additions & Allcrations $49.50
Estimated Cost $ ;J ( () 00 . DO
Building l\:nmt #
PA1D WITH
BUtt-DiNG PERMIT
,)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Omce Use On I)')
Date
Dnt:s' _ / ( OB
This Application Becomes Your Building Permit When Appro\'cd
Building Omcial
24 hour n"tlel' for :111 ins(ltetions (952) 44i-9li50, rOlX (')52) 447~245
4646 Dakota Stl'eet S.E., Prior Lal(c, l"linm-sota 55372
PRIOR L ,AKE
INSPE( :TION flECC'RD
SITE ADDRESS 2&4-1;. l O'4A7 ::_. 7?'~ .
NATURE OF WORK L,1J;-VEli ~ev&, ,_ __
USE OF BUILDIN<i ~ _ rl--t, ~;,!- _ _
PERMIT NO. ...-LJl . DA -?ISSUED
CONTRACTOFi -' ~f __'_ FiO; IE
NOTE: THIS IS NOl A PERMIT I,:OR Af'.Y OF THE 'NS PECTIONS BEL
THE PERMIl IS BY SEPP.RATE r)OCUMEN~
DlPARTMENr OF
BC1LDING ANO INSPECTION
,w,
I
~ -- --------,
~'-'C-
'~.__1
PLACE NO CIlNCRETE UNTIL I SOVE HA : B2EN SIGNED
ROUGH INS
-..
INSPECTOR
DATE
---=-
~.--'- .
I-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
.~-
--- _....".~
,
COVER NO WORK UNTIL AS "lVE
-C.'
FINALS
HAS PEEN SIGNED
:.~
BU~LDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTil ASllVE HAS 'lEEN SIGNED
NOTICl-
This card must be posted near an electrical sep'ice cabinet prior (0 rough-in inspections
and maintained until all inspections have been1ppro,ved. On ;wildings and additions
where no service cabinet is available, card shall I'" placed near main entrance.
FOR ALL INSPECTION' ~ (9!i2) 447-9850