HomeMy WebLinkAboutBuilding Permit 11.0141 J
0 a
f J 1Z LL re w
0
b L
° g nZ >
� n.dd J °
O2 wU�u) z
<
o ` Q� , � w 8L.LL 0 W N k,,, N 0000❑❑ > �
O U 0
'\-1 o x • N CI O a.a ��' W c Z w
LL st
M Z Y �C ? ! "' 0 o V 0.
F- re OOLiJ ( 1
a j
W Z 0 w m Z - x x Z Z 0 • 0 O� z
o
nx w W 0° z x a 171: IL
W< _1 W W LU W X L
a 2 3 U U cG Z Lcj
00000 0 0 0 O w a
O. LL LL F ti
J
0 Z 0 0 w
Z U LL
1.11 Iji Y 0 ` �= < - co a
U
~ N 0
°-. o 0 = I- a Z N P. W W � !
LL W it W 0Z1 = aw Ce re C I-
- 6 U O
O w c w Z o NZF- E O O O y
ai 0 V
Z 0 LL LL LL LL N 0 U U d
U ? a O a ❑O❑0)]0 0 Nsk/o❑ C
0 1PR1
� CITY OF PRIOR LAKE BUILDING PERMIT, • Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3, ? /1
r ' AND UTILITY CONNECTION PERMIT /NI
r
l ` vN E SD
I. White File PERMIT NO / i Q /4 /
2. Pink City `
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/67,63 54- ensr1er i2\-,1y i ?o or LA .16-e /11 4/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (Name) l t ■ j t .� ? , -4 - CA e-4- (Phone) 15 Z ` 't / ?� /
(Address) /V ,Z k, 3 51- a 11t 1 1 e,-- ;
�J , K el( 90 i( t_
BUILDER t/
(Company Name) AA K K 0e 5l5 'V) 5 ;, j /l/L t (Phone) f S 2 -- Y'17 - 7 6 / 6
(Contact Name) Ks (Y.__. ) ) y'Pr (Phone) 4 ) 6 o ¥l 3 y (Address) - 6t'() / S y k 5 .K,'ei.i/‘,."-e zit iv
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ['Re-Siding FP .wer Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection 3 eel I.
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: �' / �" / r, P .
Type of Construction: I II HE IV V A B ����
Occupancy Group: A B E F H I M R S U PROJECT COST /VAL $ '7 / tJO U
Division: 1 2 3 4 5 (excluding land)
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 oor designee may enter upon the property to perform needed inspections. Z / / /
Signature Contractor's License No Date
Permit Valuation 3 O O O , d Q Park Support Fee # $
Permit Fee $ . 4, - r SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1"; $
State Surcharge $ A s —) Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ s .5-7) Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 5*, J r D TOTAL DUE $ 1 05. is
This Application Becomes Your Building Permit When Approved Paid / /55 LS R ipt No. 6, Z/ LO
Date 3, el_ //
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, Warty
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Mar. 21. 2011 9:17AM N - — .:5 P. 1/1
Date Reed
CI - 1Y OF PRIOR LAKE PLUMBING PERMIT
IL
l i l atri 21 PERMIT NO. 1 1 . 14 1
(
tilvt "
1 YeArav Applicant
alGaSC Type or print and sign at bottom) -
ADURFSS
‘5 ''''tY\ ZONING (office usc)
LEGAL DESCOVTION (office ose only)
. LOT BLOCK ADDITION ?ID
OWNER
(Name) _ (Phone)
,
(Address)
•
APPLICANT ,) .A. *C5);,
I*4Z)) 651-31 7 Vi3,2,-
• (Name) ON V--- A ' ''''''s-. _ ' _ ...,, (Phone)
(Address)
(Add (City) (Zip Code)
etk \-kowvy)
(Contact Person) ..i. • (Phone) 651 –7 ,5 - '45 - Vi
il l// • ;:ii r
APPLICANT SIGNATURE .11Ace #' DATE 3 21 j
....----.
(
APPLICANT PLEASE COMPLETE I3ELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower R01,10-ins
Dishwasher Water Heater —
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
1 Shower Stall Backflow Assemblv
,. ..
Sinks Backflow Assembly Test
1 Bar Sink ____ Lawn Sprinkler
,
i Water Closet c1:11..6 • Other
FEE SCHEDULE
:rldUstrial, Commercial & 1401-fanifly 1% ofjob cost with a$ minimum Residential, New One & Two-Fam:ly E49.50
Residential, Add Lt:ons & Alterations $49.50
Estimated Cost $ Building Permit #
PLUM13ING PERMIT FEE $
STATE SURCHARGE $ • * PAID wiTH
._ • , W
TOTAL.PERMIT FEE $ --IJIL
° Use
On II SFIA40 1
DS
I This Application Becomes Your Building Permit 'When Approved Paid Receipt No. •
I
.. ---
Date By
1 BuildInE Offiziad Date ,
24 hour notiee for all rispections (952) 447-9050, Nx (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
i
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: Date: 3: 9, 4 /
Building Permit # G / / / 4-7 PID: Zoning:
Site Address (a Z �-
3 � O E
Legal: L B Subdivision:
Existing Structure: ,r NO
CONFORMS TO ZONING YES NO
ORDINANCE
YES I NO
Ls this an expansion of the existing footprint or Refer to Planning
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: \TEMPLATE\ALTCHCK.DOC
PRIOR LAKE D=ING AND INSPECTION
INSPECTION R
SITE ADDRESS /62-(03 S7li`7Cam' , 1-4D C E /24
NATURE OF WORK L -dW t&VeZ,
USE OF BUILDING `-S /9"/,
PERMIT NO. /1. / ¢I DATE ISSUED .3 . y. / /
CONTRACTOR fritte 1)F5/Cj "1:5, / /NC , PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I I I
1 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING P -IP e /i
INSULATION 110 .
ELECTRICAL
PLUMBING 'V,`sucep 06/ ?A(
HEATING (if required) ABU y �
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1
FINALS
BUILDING
PR 601z0/11
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