HomeMy WebLinkAboutBuilding 06-0587
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(p . ~, . 0 ~
White
Pink
Yellow
File
City
Applicant
PERMIT NO. O~. ose]
ZONING (office use)
15200
WooO
o () e1C-
Pi/O
~.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID 2S sz..3r 6 ;z..a. 0
(Phone) ti 171 - zoo.- '2- f '4-
VI /
I
OWNER
(Name)
~~-H- t'v\ (:LV +1 V\ l
(Address)
~
Vfior ~
'0Qoo \,tv1l?if~r
BUILDER
(Company Name) ~.e. ().h a..h~
(Contact Name)
(Address)
(Phone)
(Phone)
/
//
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection
CODE: ~.R.C. DI.B.C.
Type o~truction: I II III IV V A B
Occupancy Group: A B E F HIM ~ S U
Division: 1 2 (3) 4 5
ORe-Siding
~ower Level Finish
o Fireplace
~MiSC tfitJ;J SPMNK,.
\bID ~
1
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that 11 e furmshed mformation on this applicatlOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent fClf the
above-mentIoned p' . erry and th all construction will conform to all existIng state and local laws and will proceed in accordance with sub}"\itted plans I r aware that the buildmg
official can revok this perm for 1St. . hermore, I hereby agree that the Clry official or a deSignee may enter upon the propet1y to perform needed I\E( ~)1)\.
X - ~
Contractor's License No. ~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
# $ , ~
# $
$
$
# $
# $
-------- $
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
0.00
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~~
I Buddll1g Ofticial
'(3d (0 fp
Date
ThIS IS to certlfy that the request 10 !:he above applicatlon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constltutes a temporary CertifIcate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlflcate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2, Gold City
3 Yellow Applicant
I PERMITNO.X~OJ'Y11
,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
= ~\k Vi '\ VII ,U",
,ry '1)
(Address)
(Address)
(Contact Person)
(Address)
C
(City)
APPLICANT SIGNATURE
(Phone)
v
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
r Dishwasher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector l
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test --------
Bar Sink t Lawn Sprinkler ~
4" Water Closet (Toilet) Other ./'"
,;1 1\1 1/
APPLICANT PLEASE COMPLETE BELOW
( 'b) uULV V {, \r Gl0'h 'j
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Ii / 1l 00
Estimated Cost $ / U / I
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39,50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
?Y;J 6D
-d: .50
~ 1.J.,'..Ju
$
$
$
yV '
\
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I :~ei~ No
Building Official
Date
I ~id
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E.. Prior Lakl'_ MN ~"'l"'U"H
.
..
BY:
Residential Building Permit Chedilist
Basement Fmish or Interior Altention to Single Family Homes
~~
Building Permit #
Site Address /:S" Z-O 0
Date: ~ /so /0 ~
PID~ Zoning:
~~w.,
L~:L
B
Subdivision:
E.xistiD.g StI"Uctur@r NO
CONFORlyIS TO ZONlNG
ORDIN.Al~CE
NO
YES NO I
Is this an ~ansion of the ~...sring footprint or Refer to Plamring
building height'? fJo
Is the prope:'t'J loc:lted within the flood plain? I Refer to Plamring I ,JO
Does the al~rion indude my additional kitches? I Refer to PlaI:Iring I fJa I
Does the orrn=ose:i alte:"ltion mc:ude mv outside Refer to Planning
. . .
entrmc:S othe:- than patio doors? fJo
Is the proposed '.!Se of the furisb.ed spac: or R::::-e: to Pl:1T"1"~g
a1t~tion far anything othe:- 7f.:rn a nor.nal single pJO
family home (oce:. g:ro~ hc.::e. 6y e:ll"e. e~c.)'?
Tms ChLC1G..1S'7 :'Yn:S'7 BE COMPLETED ...I,,;,'fD ll'lCLUDED IN T'h"I Bl'1LD[:'iG PSR.'Y!I'7 FTJ..E TO
:YL.lJN'7All'f A RECORD OF TIi"I R;:vtE\V.
..
..
..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
/52-00 VVOO(J OuUc-
t.OW~1C t..-a/EL / Dt/~
,
USE OF BUILDING I2eJ /1/ /<...
PERMIT NO. O(P.0587 ; DATE ISSUED ~.30,O Co
CONTRACTOR /'J/1K-T/N / PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING Ot:2IC-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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