HomeMy WebLinkAboutBuilding Permit 10.0151 o f PR.t CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
3,15 [0
` ' AND UTILITY CONNECTION PERMIT i '
M_ �P I White File
2 Pink City PERMIT NO. / Q
NES� .
3 Yellow Applicant ��/
(Please type or print and sign at bottom)
ZONING (office use)
ADDRESS ( - .j 4 t..1vy l ✓: .' i
Z Z1- W ti
Se .. 1 ce LLre Z 44
P LLZ a 't
U U
25 55? a
a aa� z la CO
tu c9 0 wrtZ< z
1— WU t7- >
W
o �/ p
t _
u. ( v
J
D d a J z O O
p a U 0.
7 tY LL -J U c a c ' cz, $
O I- r O 0 a w C
w Z W Z_X1Z a 0 z
0 _ 0 w m wrertmLL co c4
co U a 2xul w w Z K 4 w
ii - 1 aM E y
• wa �w tZ Z AC
3 z
V
0000❑❑ O
l ft a 0 ti
�J Z J re W
J cc
wW Z , a t5 g a rc o a
• U
<L O
F, % 0 co a W
� a Z (" O O a 55 H N V �..� J
� O Z - s Zi= z W rt W� ` J Q O
_ o Q
u a . 0 w Ce W 0 0 0 0 a V V
O W a 111 OO
0 u. — . N 0 � �
v? a O = a ❑❑❑❑ ❑ 0
- v i •LOJu,,, i.,.uuLCI a
Penalty $ / Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 50. U 0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ S0. U d TOTAL DUE 644, 3 )j 7.10 $ /76 ZS
This Application Becomes Your Building Permit When Approved Paid /74 .. z- Recei O. ''y�y 90
Date By +
Building Official Date
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
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: /// Date: • / `�
/
Building Permit # PID: Zoning:
Site Address /7e00 C /e-),./ - To/9 , , L__.
Legal: L B Subdivision:
Existing StructureYES or NO
CONFORMS TO ZONING YES NO
ORDINANCE
YES I NO
Is this an expansion of the existing footprint or Refer to Planning v
building height?
Is the property located within the flood plain? Refer to Planning
Does the alteration include any additional kitchens? Refer to Planning
Does the proposed alteration include any outside Refer to Planning ✓
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning ✓
alteration for anything other than a normal single
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:\ TEMP LATE \ALTCHCK.DOC
PRip Date Rec'd
� ` ` CITY OF PRIOR LAKE PLUMBING PERMIT
H
t21
0 -I 5 —/
j,NESnsP 1. Blue File
2. Gold city PERM IT 1\ NO. 3. Yellow Applicant BM,
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
17800 L1-EA' '1 S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 1 S b" I+ (Phone)
(Name) e r-�
(Address)
APPLICANT
(Name) ( 0 0 , " ' - ' f ' 1 1y P L uwN p t G- 1' i4 6A1 - 4.4r (Phone) 9 1 < 2- - lc `ri - - 7 01
(Address) Zt `I ( -1.0 -- 1l N i,.J /V" f i Ai u& S 4011
(Address) (City) (Zip Code)
(Contact Person) V 0_ Cs) 1 (Phone) 1C 7' `{ - 7 0 9%
APPLICANT SIGNATURE / (/� V DATE L t - - 1
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower S' Rough -ins
Dishwasher Water Heater
Floor Drain Water Softener
1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
/ Shower Stall Backflow Assembly
/ Sinks Backflow Assembly Test
/ Bar Sink Lawn Sprinkler
/ Water Closet (Toilet) Other
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
Estimated Cost $ /, 5— " Building Permit #
PLUMBING PERMIT FEE $ 1 0. C .-1)
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 5
(Office Use Only)
I
This Application Becomes Your Building Permit When Approved Paid ( i e ` k Receipt No. 6 v i 0 s_ --.-,---)
4 , Ot "t S' —(6 Date 0(4 --I S'(v By
Building Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
1
LA K BUILDING AND INSPECTION
I NSPECTION ' EC - R D
SITE ADDRESS /7000 O1, &VW 77e4/1,-
NATURE OF WORK / i _ _ L.
USE OF BUILDING , S O
PERMIT NO. DATE ISSUED 3. /9.1
CONTRACTOR 1''7 NN ' /Nei• PHONE 507 2.9/, 06,04
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1 1
I 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 6 M4
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) V/ �C�
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1 1 1
FINALS
BUILDING (9 , / e,,„
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