HomeMy WebLinkAboutBldg Permit 08-507 LL
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7zloe
I. White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 08.0501 I
<-----
IIciu-U5>
/ rt:l.1
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER iC> I/'.
(CompanYName>-hV\.(-sLu.-l ~~ (J)T~
(Contact Name) PC'"\.J\--.,::z-k- Fe l+.p~~
(Address) IS go Vue-k-wc::J dr. '5 v-7k'Ji
(Phone)
(Phone)
a:5(- C{Cj4'7q/~
@(2- z1 g. C-f'SOL
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
L~L~~~inish
o Misc.
I
E
III IV V
HIM
234
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
I hereby certifY that I have fi.lmished mformation on this application which is to the best of my knowledge tme and correct. I also certifY that I am the owner or authoBzed agent for the
above-mentIOned prope 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 t . per 11 for Just cause. Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspecons.
20 YGo77 (
x
Signature
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
A
R
5
B
S U
II
F
I
~
J,
$
$
$
$
$
$
$
$
O()O_ d D
7 '.7 S-
#
#
SAC
-
Water Meter Size 5/8"; I";
/. JO
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
5V.,O()
Date
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Building Otlicial
<2:
$
$
$
$
$
$
$
$
$/2-&.
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 conSl1tutes a temporary Celtificate of Zoning 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
\'\Hr<;-.:;..L -.::."-'''-'-'
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
7. 3 0,08
~. ~~d ~:~y I PERMIT NO.~~. 0507 I
) Yall~w ApplJ,.m . V .
ZONING (office U&t:)
~~
1~~~
LEGAL DESCRIPTION (office use only)
LOr
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
APPLICAN'l1 0 t
(Name) haA.V' ~Cl.j t" \...\....L~. ~J' -:tNc:..... (Phone)
(Addtess) ~~'1 b L r.. 'd- tJ ~ 'f.J \0 l{J 'D.~~U-JIv--:~ ~
(Address) (City)
(Cootact Pe""o) G.l ~~, \\ d <:}t-., ':_ ~ _ _ ~hO,",) '1 (" 5
APPLICANT SIGNATURE DATE
~~4i
(Zip Code)
LJ ,,~ -'1 0:, ~o
1 ~ "30 ~ 0 S"
Quantity Type of Fixture Quantity Type of Fh:tnr~
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Somer
f Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 companment sink Sewage Ejector
I Shower Stall Backflow Assembly
t Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
1 Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
lndustril\l. Commercial & Multi-family 1% of job cost with a $39,50 minimum R~sidential. Now One & Two-family $99.50
R."dentiol. Add~i",' & AI_I'" $39,51
Es'llnated Co,, :;:B~G:l!~IT F::lldJ:g Perm I' # p ,4"1 P 606YL-.-
STATE SURCHARGE $ _50 11 Jill
TOTALPERNfiTFEE $ V
D:lte
(()1'1iee Use Only)
This Application Becomes Y O\l.T Building Permit Wilen Approved Paid
RulhJing Official
24 hOl.lr nfl[ice for aU impqetlons (952) 447-9850, fax (952) 441-4245
16200 Ellgle Creek Ave., S.E., Prior Lake, MN 55372-1714
TOTAL P.0
;.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
73/.OB
t ~";:w EiCanl I PERMIT NO.OS.. 050~
{AI/0Df7UJCJJ ]1VrI L-- I WNlNG(""",,~) I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(phone)
af:me~T2am~ A1"(J~~C-r/
....). 30(., jJntt-/?rr/~ ~~
(Address)
~~Wrso~) r ~ }..e Svt ^-to .I ~.s
- ~.50..s
S9'~
(Zip Code)
DNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
o Gravity o Hot Water into Required Side Yard Setbacks.
D Mechanical D Radiation
DAir Conditioning D Special Devices Fireplaces with Box Additions or
DVent. System D Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$49.50 minimum
$149.50
$64.50
$49.50
Estimated Cost $
Building Permit #
$49.50
$49.50
~~~
pfl'1 ~tJl ~
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Buildine: Official
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
{
PRIOR LAKE ~~~r:::rD~:SPEcnON
INSPECTION RECORD
SITE ADDRESS O(P4- I1!Il-06/bV6.ss ?leA/ C-
NATURE OF WORK L-OW
USE OF BUILDING /h /C-
PERMIT NO. 8 - ~ DATE ISSUED . Z _ 0
CONTRACTOR r/J/fNeO LfJII/jr. eo. PHONE 1012. 21&. -f30 Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
." 8 I ct!>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
-~- -->
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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 neaf main entrance.
FOR ALL INSPECTIONS (952) 447-9850