HomeMy WebLinkAboutBuilding Permit 05-0142
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z z..1-. o-S-
00 -OBIS
ADDRESS
/t13BO
eAt/EN
LEGAL DESCRIPTION (office use only)
White File I PERMIT NO
Pink City . (I~-. 014- z..
Yellow Applicant .
G/.
N6
ZONING (office use)
R-I
LOTZ3BLOCK I ADDITION K.II08 HIlA- 5TH
OWNER
(Name)
8/t.,t." 7HO~TOtJ
(Address)
PID 25' 3"
(Phone) '152-Qo3'- 33Qo ( \)~ ')
q~L-2.33 - 32-'-I~l4~
BUILDER
(N ame)
L.
/{~
M "'-'~v e.
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o Misc.
o New Construction
)d'Lower Level Finish
.3 rU1S.
~rePlace
PROJECT COST IV ALUE (excluding land) $
ODeck
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
I hereby certify that I have furnished information 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo th operty to perform needed inspections. I I
X 2.. _2.Lj L2.co~
Signature Contractor's License No. Date
Permit Valuation 3. (J (:l (; .::J c.;
Permit Fee $ '7 Lf. 7~
Plan Check Fee $ -
State Surcharge $ 1.5()
Penalty $
Plumbing Permit Fe2fw. $ 40. t-V
t'l" .... ..7(.;-
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permi~J~ $ H .. (,rV
IJr,lPCR--
,
This Application Becomes Your Building Permit When Approved
#~~
,
/~~r
,
Date
Building Official
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other ae~~ $ /0 0
TOTAL DUE $ /57 25
Paid
Date
/572.i
1.:-
"2 '2- . I')
I ~;C~IJ?I-
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 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3 . Yellow Applicant
I PERMIT NO. OS. 0 l~
i
ZONING (office use)
I ~;;~P;:"7~ N~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER ~
(Name) ~( -;k..,.
(Address) ~.~~
(Phone)
,/S2.--Z.:JJ -124'1
APPLICANT
(Name) ~.-.....
Ad . kJ^L.1.
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
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
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
, Shower Stall Backflow Assembly
E Sinks Backflow Assembly Test
( Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
~, ~I ,jl
p~ ,-(} I '1"2-
Estimated Cost $
Building Permit #
.50
(Office lJse Only)
Building Official
Date
I Pa;d
Date
I ::<eiP' No
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /.f3'() IlAveAI ~
NATURE OF WORK LOW6JL ~~
USE OF BUILDING ~ h/.,c. I
PERMIT NO. ~~~l'''''~ DA'fE ISSUED ,. 'LtAI
CONTRACTOR 71II.~1 PHONE '#.1. ~J '0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
8U1LDING AND INSPECTION
INSPECTOR
DATE
__ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
G4S LINE AIR TEST
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 service cabinet prior to rough-in inspections
and maintained until aU 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