HomeMy WebLinkAboutBuilding Permit 04-1092
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l. While
2 Pink
3 Yellow
File
Cily
Applicant
I PERMIT NO.t'Jij- /t?9cJl
ADDRESS LJ~LL BIJ--P-J- H(;')~~ 1r-
?(\o~l*rz7z
Date Rec'd
/0 . Z2:.. 04-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT;:?~LOCK / ADDITION ~~ ~ PI:::.- PID~L/~- Oi3f-o
lSfcV\.-\- F (cl
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
CoiL-" l}ff) - gb~ 2..
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing ORe-Siding R1Lower Level Finish 0 Fireplace
OAddition DAlteration OUtility Connection 0 Misc. ~
CODE: l'Ifu.R.C. Dr.B.C.
Type of C;~stlUction:
Occupancy Group: A B
Division:
r
E
PROJECT COST IV ALUE $
(excludiug 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 prope d 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 revok 't cause_ Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections
lo/2-'L
~ature Contractor's License No. Date
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Pennit Fee{ /'III/i-;-.
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee IUD
II
F
I
mrvvA
H r M R
2 3 4 5
B
S U
"':-:?ODO. fJo
$ 71/.75
$
$
$
$ ~t:J.-
$
$
$
Park Support Fee
SAC
#
#
,.......
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
1.<')(1
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your BuDding Pennit When Approved
~~ lC)h~;:<I
Buiiding Oft1cial I Date'
Paid
Date
1&._20
/0. ~.0:1-
$ I
$ I
$ I
$ I
$ I
$ I
$ I
$ I
$ I It,. 2,5. I
( ,II
" ...-r.1CJ.I
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 requL'StL>d. This document
when signed by the City Planner constitutt'S 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
J().U~4--
~hl'~j :L. L
b)LU; i--e.r A v-e.
(Address)
(Contact Person) ChI" /s Mol' n:.5 _ (phone)
APPLICANTSIGNATU~~/~~
t/
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (foilet)
Residential, New One & Two.Family $99.50
Residential. Additions & Alterations $39.50
Building Permit # O~ , 0 ~ 7.- 6 Y
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Recei7l&.~;
DmelA A~ By
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q'lease ~ or orint and ,ion at bottom)
ADDRESS
4qz Z !JtAJFr I17T
77L-
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
OWNER
(Name)
(Address)
APPLICi'NJj,1
(Name) l<tu
v
(Address) 13"101)
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
; ~7. ~~ I PERMIT NO. 04-. / (;Oz.1
). Yellow Applicant '4
ZONING (office...)
PIDz..~ ~Z /17lf'...o
(phone)
(phone)9~~-~9&? -,?/ &;)/
~OFC~An 65'3" S';<
(City) (Zip Code)
DATE
/o-at> -~
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
$ ~
$ ~ .50
$ ./
,
p~
24 hour notice for allln'peetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55312-1714
Residential Building Permit Checklist /11/-IOq y
Basement Finish or Interior Alteration to Single Family Homes U
BY:
~
-
Date/ c::J- ~~-()d
~~
Building Permit #
Site Address
Pill:
Zoning:
4/ Pd-~ ~ ~ c::::h-2.
Subdivision:
Legal: L B
E.risting structur@r NO
CONFOR1'rIS TO ZONlNG
ORDINA1'iCE
YES
NO
Is this an expansion of the existing footpr'wt or
building height?
YES
Refer to Planning
NO
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside-
entrances othe:- than patio doors?
Refer to Planning
rJo
fJo
(\JD
Refer to Planning
Refer to Planning
~o
Is the proposed use of the finished space or
alteration for anything othe:- than a normal single
family home (office, groull harne, c4y care, erc.)1
Refe:- to Planning
Nit
THIS CHECKlIST MUST BE COMPLETED .0..'11) fNCLUDED IN THE BU1LDfNG PERi'llIT FILE TO
i'tlAlNTAIN A RECORD OF THE REVLEW.
.,--;-:':\'r:H ..I, 7='"..l. T "'7",:--:..:(:.; "")CC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS tI,~ Blk:fY:-,#s ~
NATURE OF WORK " V
USE OF BUILDIN~ ~ r I~
PERMIT NO. (). -,D" i/. _ ~ ~ATE ISSUED 10'" ....a-o'l
CONTRACTOR ~e IJ r e1..a. PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
' THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDIN~ AND INSPECTION
INSPECTOR
DATE
- I
"'--'Ior to Backfill) I I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
- .
FRAMING ~. /1/;2/0/
INSULATION ~ // /.z./~
ELECTRICAL
PLUMBING ~ ,b/..v~
HEATING (If required) ~ /~~oY
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
//P',I-
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/ ~/!fto/
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BEEN SIGNED
N
OCCUpy UNTIL ABOVE HAS
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 IIrvlcl ollblnl' I. IIvlIIIlIbll, ollrd Ihlllt bi plllu.d n.llr mllln (,"'rllnu"
FOR ALL INSPECTIONS (952) 447-9850
DATE TlIIE
CITY OF PRIOR LAKE , .~ h.L
INSPECTION NOTICE SCHEDULED l~y
ADDRESS ~7!22 &/.fJ ~ 77-/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,...liP1'II'lAL
o SITE INSPECTION
CO.M@TS: ./
. "P:7'-eCP, 'C~
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/17 1
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Y'// /'i ..,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/!J<7- /092
o EXlGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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XWORKSATIS~Y:PROCEE~
o CORRECT ACTION AND PROCEED
o CORRECT WORK; C";;~INSPECTION BEFORE COVERING
Inspector: ~v.. Owner/Contr:
/
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CALL "7-9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN8NOTI