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Home My WebLink AboutBuilding Permit 03-0959 CITY OF PRIOR LAI(E BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I.- I. White File 2. Pink City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS /l/~cx3- f?~oeI RcJ ~~ LEGAL DESCRIPTION (office use only) L01i~LOCK -3 ADDITIONJ::Uoi rJuj~ OWNER (N ame) {}O 11# ~ JL,1 t"r'-'L~ 0-ep e, o (Phone) ~~Z-- LfO 1-~ () $V'* worK '135* 7a~~ 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 upon the roperty to perform needed inspections. (1. ~~ SIgnature (Address) BUILDER (N ame) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK o New Construction ~Lower Level Finish ODeck o Porch ORe-Roofing }\Fireplace OAddition OAlteration PROJECT COST /V ALUE (excluding land) $ o Misc. x Contractor's License No. Permit Valuation 1QooOO Park Support Fee Permit Fee $ 7LIt 7!' SAC Plan Check Fee $ ''''' ater Meter Size 5/8"; I"; State Surcharge $ It S]> Pressure Reducer Penalty $ City SAC and WAC Plumbing Permit Fee $ 40 0.2 I '''''ater Tower Fee Mechanical Permit Fee $ Builder's Deposit Sewer & Water Permit Fee $ Other Gas Fireplace Permit Fee $~~ PJD TOTAL DUE n:?;-1bD ~.. r- Tbil!Jlicm:-ecomes Your Building P=;t~7;;~ved -b~:e~ :, ~ ; --3 BUill~1 Date Date Rec' d PERMIT NO.O 3..; C?sr" ZONING (office use) glsLJ PI~" 310- ~3J-D ORe-Siding OUtility Connection rh.r/ () 3 Date # $ # $ $ $ # $ # $ $ $ $ //f/;.~ ReCJtNoo f4'Cf'e09 By ~ 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. f2-t:oJ. V1d+r~ ~ Low~ lev(1 t+4"1d,..l'r Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, tax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ~ ~ Date: 7-;;2.d-- -0 3 Building Permit # Site Address Pill: ILlel] ~. ~~ *12/ eo.s-t: vou 2- Zoning: (2d N[ ~~b f1-rl ( Legal:L (L B ') Subdivision: E.xisting Strllctur@ or NO CONFORLvIS TO ZONlliG ORDmA.l~CE ~~ ~ NO Is this an expansion of the existing fooltJJ.illt or building height? 'YES Refer to Planning NO Is the property located within the flood plain? Refer to Plarrni-n g ~ ~ V ~ V Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside. entrances other than patio doors? Refer to Planning Is the proposed use of the finished space or alteration for anything other than a nonnal single family home (office, group home, day care, c!c.)? Refer to Plamring THIS l.n~CKLIST MUST BE COMPLETED A.ND INCLUDED IN THE BlJ1LDING PERMIT Fll..E TO MAlNT.-\1N .-\ RECORD OF THE REVIE'N. T .\ I f-o,\,fPLj, TF\ALTC":HCZ.DOC CITY OF PRIOR LAI(E PLUMBING PERMIT Date Rec'd (Please type or print and sign at bottom) ADDRESS I. Blue File PERMIT NO 2. Gold City 1./1 --., _ /).s-Q 3. Yellow Applicant V -::J' 7, 7 1L/~!2 '3 I?~~d Rd. ZONING (office use) (Contact Person) cJ (Phone) APPLICANT SIGNATURE ~/1. ~ DATE t7 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink J Water CILo.set (Toilet) I -V'~ ( Ue:; o ()J~ FEE SCIlEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 milllimum LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION g,':e~R (~ (Address) 1- Kcd~ jJ~ - U , , APPLICANT (N ame) (Address) (Address) Quantity Estimated Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERl\'ul FE:E (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date PID (Phone) 4'03-- a:J3 ? (Phone) (City) ( Zip Code) 1-// 'L /fi \ Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 \. $ $ $ .50 o~ 'I " '6/ (Iff f VV'I ' ~eceipt No. By J parpcl Dite 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 . INSP,ECTION RECORD SITE ADDRESS I 'I ~ ~?:r t? f) SG wocc:/ ""R ~ NATURE OF WORK l--f", USE OF BUILDING SF=" 0 PERMIT NO. oa - tf~9 ..., DATE ISSUED -2-;1.3 -.3 CONTRACTOR .;joJN , ~~r PHONE~ s-- 7~;J,.i)..... NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~~~ '~ \ I ~~~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS f:fl;~ 1-/& BUILDING ELECTRICAL PLUMBING HEATING DO NOT ,. y 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 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~.~ ADDRESS /'1 (,)."3 OWNER PHONE NO. PER.MIT NO. o FOOTING o FOUNDATION o FRAMING o )NSULA TIO~ .,Ji:FINAL \... o SITE INSPECTION o PLUMBINIG RI o MECH RI o WATER HOOKUP o SEWER ..lOOKUP o PLUMBING FINAL o MECH FII~AL COMMENTS: DATE TIME 7-/~~ r - erSt o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o /' ~RK SATISFACTORY, PROCEED o COR~ON AND PROCEED o COR._ECi; j K. CALL FOR REINSPECTION BEFORE COVERING Inspeelf { r Owner/Contr: CA~J.,-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSN.on CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!