HomeMy WebLinkAboutBUILDING 08-0401
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
CO(6~ f oE
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. D8'- OLfe!
ZONING (office use)
B lAAe 6\ ~
'1Y2- /'/e
e. I SD
LEGAL DESCRIPTION (office use only)
LOT 8' BLOCK.J ADDITION
"
(LL
PID 2-<;;. 3/0. D2.8"O
OWNER
(Name)
ILe-V IIv' f ~VlJ ,~
'r~/~~~
.><(Phone) C7:)L - 2,9) - q ~~
I
(Address)
.If BUILDER ^ 5'. 1/ ~ I
I (Company Name) V t::(~ 1- 13'/1J e rnc.:.n ~
Y1 (Contact Name) /l~Iet),v <;~.dO&Lj
x.. (Address) l:J -TH ~
LLC-.
!-fphone) ~ j L - 2-7 "}--/ ( Li?
(Phone)
"7- TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding i)tLower Level Finish 0 Fireplace (0)
OAddition OAlteration OUtility ConnectIOn
CODE: ~R.C. DI.B.c.
Type of (o~tmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II III
F H
02
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
'22-, ou.J
I hereby certify that I have hlrmshed Information on this application which is to the best of my knuwledge true and correct. 1 also certify that I am the owner or authOrIzed agent for the
ahove-mentlllned proper and that all construction will confllfm to all eXlstmg state and local laws and WIll procecd in accordance with suhmltted plans I am aware that the hUlldmg
oftiCl,ll can revoke tl mlt fc st cause FUIthelmOle, I heIehy aglee that the CIty offiCIal or a deSIgnee may enter upon the plOpeIty to peItOlm needed mS),1ectHlns
2. b '18 V I J ~ /2.. ) lor?
Signature Contra's LIcense No . D!te
I This Application Becomes Your Building Permit When Approved
I~~t-
I Butlcllllg Ol1ieial
~ ( 2.:7 (oR
Date
SAC
at:JIf),O D
Permit Fee $ ~/S:
Plan Check Fee $
State Surcharge $ / - -fl)
Penalty $
Plumbing Permit Fee $ fJ)'a. 0 0
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee
#
#
Water Meter Size 5/8", I",
Pressure Reducer
Sewer/Water ConnectIOn Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
ThiS IS to (('[tlfy that the Iequest m tht, ahove applrcatlon and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when Signed by the City Planner constitutes a temporaIY Cerl1ticate of Zonmg compliance and allows construction to commence. Bcfme occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
:Basement Finish or Interior Alteration to Single Family Homes
BY:~
~
Date: t;, (Z 7 fa p'
Building Permit #
Site Address / Lf 5"c, P
Legal: L__ B
PID:
Zoning:
~~ 7Jd.
Subdivision:
"Ai,S",
Existing Structure: @or NO
8
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? 1-.10
Is the property located within the flood plain? Refer to Planning tJQ
Does the alteration include any additional kitchens? Refer to Planning IJCJ
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? tJa
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single tJO
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
7 ). (;Y
1. Blue File I / I
; ~~:~)W ;~~licant PERMIT NO'uf tJ 4"V
ADDRESS ZONING (office use)
f;{ U~ bi'({~
Tr Al6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)
(Address)
1<0 ~ ct.LQi \J vvt b f J.) 9
a. ~ ~~ t s (~L Lf ,v \J ~ .(J Lt. --=r r
(Address) .
/:'"")
l<_c.v
(Phone)) 0 L - d O:C~ - L q l., Cj
I~ r ~ b u / .J /1I\;J 5 s-o 8 ~
(City) (Zip Code)
) 5D7 -dO<-~ -l q b 9
DATE '1 - "3 .-() ~
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
I Lavatorv (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Eiector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
l Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49,50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~
$ ................50
$ ./'
/
Residential, New One & Two-Family $]49,50
Residential, Additions & Alterations $49,50
e~
OprlO Di#-
r ~()IV
Estimated Cost $
Building Permit #
Buildinl! Official
Date
(Office Use Only)
This Application Becomes Your Building Permit When Approved
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 R.ECORD
IL/SG,r &ut~'eo TU-'~ ~.t.
. .
NATURE OF WORK ~.~. F.t-'tr",
USE OF BUILDING S.f:. C.
PERMIT NO. C) .. e &I DATE ISSUED ~ IJ Q
CONTRACTOR ~tt.S' &M"(W:'tJTS' Lc..c PHONE-945'1 to I'11-I'z..8-
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECnON
SITE ADDRESS
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired
V,'",uJ.
1-[- ~-o tJ
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 ~erviCe 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