HomeMy WebLinkAboutBuilding Permit 06-1084
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
~.::~ ~tico~ I PERMIT NO. ~ ./fJ6f,
I ZONlNG<--l I
P~If::J,^- Lfll'-'l: In,J S'S- j 7~
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER. /) ( --r.7
(Name) !\.dl/;S 1:1 · )tff/-I,VSotV -IJ.4-
(Address) I tf.},!b (j D(Z.tJc;. /C m .z t.
IJw
PID 2-5". 387 0 3~ 0
(Phone) (~Jr~) ~tfc:,-:3 371
IYlN ~s- 3 7.
BUILDER.
(Company Name)
(Contact Name)
(Address)
(phone)
(Phone)
o Fireplace
TYPE OF won 0 New CODSttucnon ODeck OPorrh ORe.Roofing ORe-Siding )2!ILower Level Finish
OAddition OAlteration DUtility Connection 0 Misc.
CODE: )SII.R.C. OI.B.C.
T~ofC~on: I
Occupancy Group: A B E
Diyision:
~ bL-______
n IDIVVAB
F HI MRSU
I 2 3 4 5
PROJECT COST IV ALUE $
(excludinglancl)
. application which Q 10 Ihe bnt of my ImowJedSe lrUt and romcI. I also certity !bat I am Ihr owner lIr authorized agelll for 1M
n . conform to III existins stall: and local laws and will proc:mI in accordana: with submitted plaJls. I am aware that the buildinl
, I htrdly agree that tht city officia1 or a desiJnee may CRier upon the proptIly 10 perform needed ~s.
1c:J ~ 06
Contractor's License No. ' Date
x
Pennit Valuation
Pennit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer &; Water Permit Fee
Gas Fireplace Permit Fee
$
$
S
S
$
S
$
S
,00
This Application Becomes Your Buildlnl Permit When Appron'
~ ~~ !~C~
Buildinlt Official
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; S
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $ " .
Builder's Deposit $
Other $
TOTAL DUE S /0...3. 25
I Paid
Date
/ ~. ;?S
I ' &' 00
lyNO.
5?_~.,cl$"
11us IS to certify Ibat the requnt in Ihr above application and accompanyinl docummls Q in accordanct wilb die City Zoninl Ordinance and may procetd as requcstc:d. This ducument
when siJned by Ihr City Planner constitutes a lemporary Certificale of ZoninJ compliance and allows construction to COlIUIIen<<. Iltfore occupancy, a Ccrtificall: of Occupancy must be
issutd
PIannlnI Direct<<
Date Special Coaditicma, if lIIIY
24 hour notice lor alllaspec:tions (9!l2) 447-98!lO.1a1l (9!11) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
/2.. e.oG
I Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO. &'. I ~e4-- I
ZONING (office
use)
I "Jl L.4k. 'i. fY}tJ. ~s 37;(
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER h .---r-
(Name) Oi('!.!..J ...Jt7Hf\./SoIV J:i]:..
(Phone) (9~d.) ~40 - 33 '1'7
(Address) I'/;<G/'i f)rZ()oltlnt(-~f.. fJ,Vf) i1/w. (I<l0(1 L/f-/(f ;n"'; .:;::;- ') 7~
APPLICANT //) --r-
(Name) /1()f.(j f 1 ~OH~,S(;rV jJJ-.
(Address) /{)bFr f](lo())c,Y?'!:,{'f Ptvl:) Nc{;
(Address)
/)
(Phone) (9Y 02 ) f:1(.fo- 33 c;'7
Hv.; (l C/fl.. 'i 55 "3 7 ~
(City) (Zip Code)
(Phone) (YS~) .;2.40 - :!)5 /(
e of Fixture
(Contact Person)
APPLICANT SIGNATURE
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimmn Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Ouly)
This Application Becomes Your Building Permit When Approved
I :~;~ No
BuUdiol!: omcial
Date
I Pa;d
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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PRIOR LAKE
INSPECTION RECORD
~11
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT ONS BELa
THE PERMIT IS BY SEPARATE DOCUMENT
- r
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION fl
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- --
~
BUI,J-DING
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