HomeMy WebLinkAboutUtil. Cnctn. Permit #03-1533
11/17/03 MON 14:06 FAX 6124474263
CITY OF PRIOR LAKE
.J..Ple~~E!.print and sign at bottom)
ADDRESS
_ 5 44 E5
CITY OF PRlOR LAKE BUILDING PERMIT,
TElVIPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White
2, Pink
J, Yellow
File
Cil}'
Applic81l1
PERMIT NOo03 -153]
CRAN~ C \-
LEGAL DESCRIPTION (office use only)
IaJ 002
Date Rec: d
/ I . /1. ,,]
ZONING (office use)
12-
LOT[} BLOCK 2. ADDITION ~ WIl..j)S
~lit PID 25 -4 IZ"'O 15"-0
OWNER
(Name) Shamro~k npveloPmQ~~, !~€_
I (Address)
(Phone) ___ 763-421-3.t500
3200 Main-5trpp~ t300; Coon Rapid~. MN ~~ddA
BUILDER
I (Name) Shamrock / Erin
I
, (Contact Name) Roaer Hoffman
(Phone)
(Phone)
(cell)
763-421-3500
763-421-3500
612-328-2681
(Address)
3200 Main Street #300, Coon Rapids, MN
55448
TYPE OF WORK
o New Construction
ODeck
OPorch
OAddition
DAlteration
o Re-Roofmg
o Fireplace
OLower Level Finish
OMisc.WA-T6'2- f'-1~ .1"
PROJECT COST/VALUE (excluding land) .$
ORe-Siding
OUtility Connection
. I hereby certify char I e furnished information on this application which is to the best of my knowledge true and correct. r also certify that I a.m the owner or
,wthorized agenr for e above- ti ed property and that all construction wilI conform to all existing state and local laws and will proceed in accordance wich
submitted plans, 1 a ware th b '{ding official can revoke this permit for just cause. Furthermore, I hereby agree that the cicy official or a desig.tlee may
enter upon the pro to per de inspections,
x
Contractor's License No.
v
P-ennit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
,
Plumbing Permit Fee
Mechanical Permit Fee
: Sewer & Water Permit Fee
i
I Gas Fireplace P.:.uuic Fee
t
$
$ ~20tSO
I Rec~e'Pt - ~ ~ 4-2
I By
.-
$
$
S
$
$ 1-0.00
$
$ 35..50
$
i Park Support Fee
I
SAC
I WaterMeter Size 5/8"; I";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
ThJS Application Becomes Your Building Permit When Approved
Paid 3" v z,.O. 50
Date /j~ /'1_ a3
Building Official
Date
~
$
$ t2"15. -
$ 300-
.$ 7'0-
$ (2~. -
$ 7aJ, -
$
This is to certilY chat the requesr in (he above a.pplication and accompanying documt:ncs i.s in accordance witl1 the City Zoning Ordinance and may proceed as requested, ThIS documem
when ~jgned by tlle City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerrificate of Occupancy mustOe
issued.
Planning Director
Dare Special -:onditions, if any
24 hour notice for all inspections (952) 447-9850, lax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
11/17/03 MON 14:07 FAX 6124474263
CITY OF PRIOR LAKE
IaJ 004
Date Ree'd
CII i OF PRIOR LAKE
SEWER AND W A'lER PERMII
II. /9. oJ
. .
J. Gr~ File
2. Yellow City
3. Gold Applicant
PERJ\tUl NO.OJ> -153 J
(Please type or print and sip at bottom)
ADDRESS {541-5 ~A-/VE
Q.,.
ZONING (office use)
(2 - ,
LEGAL DESCRIPTION (office use only)
LOT r\BLOCK L-ADDITION -rite Wi(....~-rW..
PID Z 5- f 12 -01$-0
OWNER
~ame), . Shamrock Dp-velopmpn~. Tn~_
(phone) ~?1,-1.500
(Addres~ 3200 Main Street ~300
(Address)
0.nnn R~pin~' 5544S
(City) (Zip Code)
APPLICANT
(Name) Erin Con~.r~~~.ing: Tni""_
(Phone) 7n~-d?1_ ~~nn
(Address) 3200 Main Street #300
(Address)
Coon Rapid~ ~~ddA
(City) (Zip Code)
'. (Contact Person)
Rog~~_ijoffman
(phone)
(cell)
DATE
763-421-3500
612-328-2681
11 /1 R In~ .
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLEIE BELOW
Size of water service \ inches. r'"
Location of any couplings from struct~; ~ feet.
Type of sewer pipe. 0 Al\C PVC 0 Cast Iron
Estimated length of sewer line \" 't. fee .
Clean out (if required) located at ~ feet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"'3&f~~v
.150
4-0.. -
pftlO tJ/
()vO~ -
Estimated Cost $
Building Pennit #-..-...,.. '
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Datj/_/tJ. vJ
:;~r
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11/17/03 MON 14:07 FAX 6124474263
CITY OF PRIOR LAKE
IaJ 003
CITY OF PRIOR LAKE PLUMBING PERMI1'
Date Rec' d
)/./ 9.0]>
I. Bluo File
2. Oold City
3. Yellow AppliCllnl
PERl\'.ll NO.OS -/533
(Please type or print and siRD at bottom)
ADDRESS
ts44S- CJZANE~~
ZONING (office use)
f-{
LEGAL DESCRIPTION (office use only)
LOT II BLOCK '2- ADDITION \ (.{E:- W, \..V S (;, ~
PID -z..S '"4/'2. "01.5.-0
OWNER
(Name). Shamrock Development, Inc.
(Phone) 763-421-3500
(Address) 3200 Main Street #300, Coon Rapids, MN 55448
r APPLICANT
(Name) Erin Contractinq, Inc.
(Address) 3200 Main Street #300,
(Address)
(phone) 763-421-3500
Coon Rapids, MN
(City)
55448
(Zip Code)
APPLICANT SIGNATURE
(Phon~ 763-421-3500
(cell) 612-328-2681
DATE l.lL.1.B/01
(Contact Person) Rooer Hoffman
I Quantity
. -\
i
;
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
.Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 campa. luaent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
'l
FEE SCHEDULE
Industrial, Commercial & Multi-family t% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERM. 1. FEE
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations .$3J9.fO
Building Pennit # I;V
fffl 0 OJ.
{)",O
$
$
$
3Cf"SO
.50
-+e.. -
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Date
/(,1,05
Receipt N01 J 11. /\
tl/f)/;
By r
Building Official
Date
14 hour notice for all inspections (952) 447-9850, fal (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J 54 4 G:;-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE nME
SCHEDULED ":12...01- I O~'JO
()..~ Q~~
CONTR.
PERMIT NO.
J - It>~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: - 0
I. ~tJO>~ Q.~~ ~ ~c- LJ~ I,~
{o.J ~r~
L,~ ~~
(l)
f.R.../
DJ"I./
/'
~/ I .
o WORK SATISFACTORY, PROCEED
~ORRECT ACTI A PROCEED
o CORR W K, CA L FOR REINSPECTION BEFORE COVERING
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl