HomeMy WebLinkAboutBUILDING 08-0105
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23:29 9524313122 INRESO 1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\/,)\\ cMA If\QM
PAGE 02
Date Rec'd
3, /7. 08
i~e ~ I PERMIT NO. 08, %sl
l Yellow AppliC&llt . .
~~~
ZONING (office usr:)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Y(( f...\.t ~ L ~"'e.
~S '2. - L.1.Jo - ~'"Ll
(Address) \ i- '2...0 \ W ~ \d.oA.. ~ ~
s~~
c,~
(Phone)
BUlLDER,- ~
(Company Name) +--V"\t'\.R,ho ~C
(Contact Name) ~ P:l~e.A.
~ ~ 1.. - \..,\,~ \ - 3d "L"L
(Address)~ <L.o &~
(Phone) j~'l. - Y ~, - ~, 2.. L
(Phone)
---
.j-(,VWV\ I ~ ~
HAJ s~(l2. Lf
Co~
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding
OAddition OAltenlion OUtility Connection
Lower Level Finish 0 Fireplace
CODE: OI.R.C. OI.B.C. o Mise:
Type of Construction: I II 1II IV V A B
Oceupanc:y Group: A B E F H I M R S U
Division: 1 2 3 .. 5
PROJECTCOSTNALUE S , S" 000. OQ
(
(excluding I.nd)
I hereby certiJY that I have furmshed information on Ibis ion which is to the best of my knowledge \rUe md correct. I also certiJY that In the owner or .ulhorized agent for the abow-
mentioned property and ction' rm to all exIsting slate and local laws and will proceed in accordance with submilled plans. I am _Ire that the buildiDll official ClIII
~ke this permit for j agree that,IM city official or a dCSign;..,,; "ier 88~prop; ; perfonn needed inSpectioDSjd ( ,.. \ 08
Signature Contractor's License No. Date
Permit Valuation ..3, 000. 0"0
Permit Fee S "'7c.#-. .., S'
Plan Check Fee $ -
State Surcharee S J.Gb
Penaltv $
Plumbin2 Permit Fee S SO.OO
Mechanical Permit Fee S
Sewer & Water Pennit Fee S
Gas FireDlace Permit Fee $ -
omes Your Building Permit When Approved
S'/7-o~
Date
I
Paid
Date
Park Su ort Fee 1/
SAC #
Water Meter Size S/8'" I'"
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee 1/
Builder's De osit
Other
TOTAL DUE
This is to certiJY that lIIe request in tbe above application and accompaIl)'ing documents 15 U1 accordance with the City Zooing Ordinance and may pooecd as requested. Thil document when
signed by the City Planner COlIstitutes a temponuy CertifiClte of Zoning compliance and allows conStructiOl1 to commence. Bef= occupaocy, a Certificate of Occ:upancy must be issued.
Date Special Conditions, if any
14 hour Dotice for a\l insp<<tions (952) 447-9850, fa:a (952) ~47-4245
~ Dakota Street S.E.. Prior Lake. Miannota 55372
Planning Dilector
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1-. 9. ~6
I. Blue File
2. Gold City
3. Yellow Applicant
/'7L () /
W/L4J 67LN6JJ'
ct:
I PERMIT NO. 08. OIO:X
I
ZONING (office use)
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT;, j " ,~ 1 D Lt, D', '/' ' .' - J
(Name)~oM f5~(JlAA.'J~ . .\ IHltl}j1 U( (Phon~) {,)rz - y ?h - /sV2.
(Address) (p 0;5 A/I 5i;Y l/IIL~J~ ~!tR./ Flee/At ./1/0 () (1
v (Address) (City) (Zip Code)
(Contact Person) I-- err ~rr:/;u('",-,(JsiJ'f\. (Phone) bfd - cr f~'~ /5({ 2-
-(-0
APPLICANT SIGNATURE
~
DATE
Quanti e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $49,50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $
Building Permit #
t Y /}?
11ft/V O~,L/
r ~JIV
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ----
$ ~50
$ ~
J/
Paid
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /720/ {VILL)6ICiVESS ((;Ulc:(
NATURE OF WORK L 0 lit) E/c L.-6Ve ~
USE OF BUILDING IZ6J /-1 lie
PERMIT NO. 08.0/0.5 DAlE ISSUED -3 - /7.06
CONTRACTOR / ;vA/E.s~CJ PHONE 43/ _ -'.?I z-Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- -
1>.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
COVER NO WORK UNT'L ABOVE HAS BEEN SIGNED
] I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
vi (y 171
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 h.we 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