HomeMy WebLinkAboutBuilding Permit 09-0501
o~ 0 O~OODD "0 ~ ~ -0
:I: C Z_
~ 0 (II "TIZ"TI"TI"TI 0 C ~~
2 ~ =4Z(ll~OO z m ;u mo
;0 !: !!!~c:!:i~ m ;0 m O"TI
l::l " z'>-c- z (II ::!-g
t!:l (II m (II,....-l~~~ p (II
~ ~ z 0;0
"0,.- -l z-
t!:l -l -f m. 0 0 - zO
l<::> ..... en
cO en o Z Z U) 0;0
S "TI ::!'T)
co ~ 0.' ::!>
~ 01 ?o- 0
0 -l zF 0"
"TI 0 0 ~ mm
~ 0 ~ ~ ^
;0 r-
~ -t ,
"TI -g
. ::E: 0 ;0
~ m ;0 0 000000
z ;0 0
~ m m m !:-g(ll~!:-g
>< m
-l Z c m'~>m'
~ (II 0C: -lOC:
i ti z ~ "0 x!: m::E:!: -g 0 (II
(II m "TI!!!::O::O;o!!! m 0 0
Q ~ "0 :J 0 zZ::E:::E:-Z ;0 Z X
:l m CD -l ~Ci)00 Ci) i!I: -l m
~ 0 ~ 0 '"TIOO ;0 =4 ~ C
-l 0 Z -"'" - c:
~ 0 ~ tD Zc:c: Z ,
~"O"O P m
Z :1 m c
~ "TI
N 0
....
~ x ;0 ~)
m
~ 0 0
c: 0 t
;0 <
(II m
~ Z ;0 N ~
~ Z ,.. -4
Ro C Ci) m
~ <
~
~ Z
0
~ !'" -4
i
m
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
lIS. Or
I. White File I PERMIT NO I
2. Pink City . () Q. 0 ~o J
3 . Yellow Applicant ~ .;..,) I _ .
5115
,,^~,rJSorJ
lSL~Q 12-o~b N.e:..
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
6 ~I=-L-Do...l <51 tJD J;.. LA-~ (Phone) 95'2-- 44, - 4'-1-52-
, '5 J 15 MAa.:T U\l S oJ, 'S~ 12-0 A-l> I\llz...
(Address)
BUILDER
(Name) M~IAJALD lbu,(....[)~ ~tJ.Q.
(Contact Name) ~Ei-rZ-I\ll E- l\AA..HuvJA-L-.D
(Address)
(Phone)
(Phone)
9'52...- 44, - 2-, &~
(012...... 3bq - 5~4--L
TYPE OF WORK
ORe-Roofing
o New Construction
!S1Lower Level Finish
2- JWt15
ODeck
8 Fireplace
OPorch
OAddition
ORe-Siding
OUtility Connection
PROJECT COST IV ALUE (excluding land)
o Misc.
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-mentione property and that all struction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. am aware that the ilding official can ke is permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u ro ITO d inspections.
235+
Contractor's License No.
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
2
$
$
$
$
$
$
$
$
f/l)
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
1~c)cJ
5V. 0 0
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Date
$
$
$
$
$
$
$
$
$
ecomes Your Building Permit When Approved
~rlp
Date
This is 0 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
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
7 2-]~O 7
~: ~~L ~~~Iicant I PERMIT NOO9. 6 9J II
ZONlNG (office use)
/s-
"
(\... c..r ~ "" S D ^
U. IUE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
"-
'<;
(Phone)
APPLICANT
(Name)
f/~\o; ~
" S- ~ ~ J ~ f \- ~ ~+ LJ.
(Address)
W~
~
(Phone) l' ~} - t1'1, - ~P). S-
f",'".,. ~ k "-' ~ J 7 2-
(City) . (Zip Code)
(Phone) (, ()- ~D \ - ~7;) C
<IDA TE
Sc. \-w'
_ '-:--,-,-,-cc~,
( (Addres~)
~
(Contact Person)
1vJ~
APPLICANT SIGNATURE
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
.50
Q~ID 6t
~JJ
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
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
BY:
Residential Building Permit Checklist
. --B-asement~isb-orInterior Alteration tcr-SingIe-Fa:mily1lomes-
Date: -1. /3,0 c;
Building Permit # 0 9. osv / PIn: Zoning:
Site Address ./-51 I S- ;11/1/t.//7/JJ 0 A-i I J G- _ ,eL:) .
Legal: L B Subdivision:
E:dstillg struewrG NO
I. CONFORMS TO. ZONING
. ORDINANCE
Is this an expansion of the existing footprint or
building height?
Is the property located within the flood plain?
Refer to Planning
v
Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
v
Refer to Planning
v'
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\ALTCHCK.DOC
DEPAFJTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~. DATE ISSUED
CONTRACTOR ~~fJVJf~l) PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BE OW
THE PERMIT IS BY SEPARATE DOCUMENT
--
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ViS
#
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 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