HomeMy WebLinkAboutBldg Permit LL 07-629
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1_1'0. u7
File
City
Applicant
I PERMIT NO. O~lO('2fll
,
1 White
2. Pink
3 Yellow
at bottom)
tves1 a~,.t
Po.\~ t
LEGAL DESCRIPTION (office use only)
LOT
s
ZONING (office use)
o T2.-. ~oIJV'7- pre. /lID 1./;V 0 I OO~ ~
'l.S 0
(Phone) <'1 ~z.) 4lj () -I:"~
ADDITION
OWNER
(Name)
of
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction ODeck o Porch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection
l}JCower Level Finish
3 R/J15 .
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
$ f./5; 000
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
o Fireplace
I hereby certifY that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authOrIzed agent for the
above-mentIOned property and 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 buildmg
omcial can r'voke this permit fOnu~ca~lse .~lI1the~more, I hereby agree that t.he City official or a designee may enter upon the property to perform needed mspectlons.
X . T~ ~-> 7-.lg-'D7
Contractor's License No.
Permit Valuation
Permit Fee
..3000.00
$ 4.15
$
$
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
--
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I.JO
4' -10
O. (, )
Builder's Deposit
Other
Sewer & Water Permit Fee
#
#
#
#
D
$
$
$
$
$
$
$
$
$
This
ThIS IS to certifY that the re h e applicalton and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
~.
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1 z,S: 01
i: ~~ ~:~ I PERMIT NOo07.,,{)(PZ 0 I
3. Yellow Applicant . L .
501ft? /Alt;11(}rrl'- /7. /.)/z.-.
I ZONING (-~) I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
APPLICANT
(Phone)
P L,.,M 10 tr'l\
A" s.
. 'I' --.
R:~l~,\({t
(City)
(Phone)
(" l fCCCf 7lo~
.SSl/7..
(Zip Code)
(pr l fOJ Y 7 Z 7-
7 2SJ .,
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink U.. Sewage Ejector
Shower Stall J /' Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Estimated Cost $ BUildin~$g ~:roti&, A~moo'& ;:g:~uPP$3ll( aL-
PLUMBING PERMIT FEE r J' V
STATE SURCHARGE .50
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN SS372~1714
PRIOR LAKE
INSPECTION RECORD
~
.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. {)It.
INSPECTOR
DATE
~ I
I , I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
\ 1 of}
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