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Home My WebLink AboutBuilding Permit 03-0549 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d (Please!VDe or orint and sim at bottom) ADDRESS ; ~;~:' ~:;y I PERMIT NO. D3- 511 Q.I 3. Yellow Applicant , I OWNER (Name) Yl1~LiJfJ .~~e L17/t Pod-rt'C/{i... !J1a,uSotJ L~ I/};) 75 LEGAL DESCRIPTION (office use only) LOT 1/ BLOCK ~DDITION I I R~(Offi"U") I PID,:)5 3f'Z,-11;J, q- () (Phone) </'-10'- ILI;;;...q (Address) BUILDER (Name) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK oDeck ORe-Roofing DPorch o New Construction ~ower Level Finish o Fireplace oAddition DAlteration o Misc. PROJECT COSTlY ALUE (excluding land) $ ORe-Siding OUtility Connection 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 ~~:;:P:O~i~S~~ S- 1 Ill~. Si~~tur: I Contractor's License No. Date I Permit Valuation &'0(5(')(j/Oo I Park Support Fee # I Permit Fee $( -jL!- '/6 I SAC # I Plan Check Fee $ / / ~l) I Water Meter Size 5/8"; 1"; I State Surcharge $ I Pressure Reducer I Penalty $ I City SAC and WAC # I Plumbing Permit Fee $ tlo,OU I Water Tower Fee # I Mechanical Permit Fee $ I Builder's Deposit I Sewer & Water Permit Fee $ I Other e I ec., I Gas Fireplace Permit Fee $ I TOTAL DUE ~ This Application Becomes Your Building Permit When Approved -~ffici:P~ 0/7,63 I Paid hJ///' /,::J ') I Datei::)- --J _1)(-:2.. $ $ $ $ $ $ $ $ 1,gQ.. $ /I~,d-S Receipt No:<;/.l/ -5/ ' / By cif../ , 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 16200 Eagle Creek Avenue Prior Lake. MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Eames ~ BY: ~ 7d~ Building Permit # Site Address Pill: Legal: L / ( B ~ Existing Strllcture@)r NO CONFORLvIS TO ZONING ORDINAl'{CE Is this an expansion of the existing footpr'wt or building height? Is the property located within the flood plain? I Does the alteration include any additional kitchens? Does the proposed alteration include any outside entrances other than patio doors? Is the proposed use of the finished space or alteration for anything other than a normal single family home (office, groun home, day cue, etc.)? Date: .5 - 7~0.3 Zoning: //)J 7 5 J/11U.t-+~ GAJ Subdivision: D~ if:!:&... YES NO YES Refer to Planning NO Refer to Planning WO ,-JQ f'-JC Refer to Planning Refer to Planning NO Refer to Planning N~ Tms CHECKL1ST "lUST BE COMPLETED ..lu'fD INCLUDED IN THE BU1LDING PERMIT FILE TO i'tWNTA1N A RECORD OF THE REVIEW, T .\T1=("rPT-,), TI\A LTC':HCK.DOC PRIOR LAKE INSPECTION RECORD 1ll4JS/rP"e }J DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I~:L ?5 NATURE OF WORK ~ USE OF BUILDING -5t=- . PERMIT NO. ~tJ DATE ~D 5" -".o..:J CONTRACTOR 4. ~1U PHONE ,,~- I~i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING . HEATING (if required) J1;(7 J;';?2- V/If j/I/Y./ S'v)-L .j,/1-)_L COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT m/f ,:L/~5- tJ' /~/k? /I/~ '!{/ fldS-/ JfZ(f -1'1'q' I'~ HAS BEEN SIGNED r OCCUPY UNTIL ABOVE NOTICE This card must be posted near an eleclrical 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 DATE TIME CITY OF PRIOR LAKE ,/ INSPECTION NOTICE SCHEDULED ~ //#" S- , .~ ADDRESS / 7...275- ~4:" ~4 tel OWNER PHONE NO. D FOOTING D FOUNDATION D FRAMING D~TION ."..erFINAL - 'D SITE INSPECTION CONTR. PERMIT NO. D PLUMBING RI D MECH RI o WATER HOOKUP D SEWER HOOKUP D PLUMBING FINAL o MECH FINAL COMJJI..ENT~: / /. /' , .0:,,.. fo Cq 17).", 6V/c... /J/ / /-,/(..~,.... /;; ~ 9- ~ -I ~.er..t, -- h;~/ . ...-: h#p/ ~ ---- hh? / , ~ /' orC ... ",,3"-3</7 o EXIGRAD/FILLING D COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ?/; I ~ ~ -/ I :.J CJ~ CJ~ ~. ~ . If %f'~ I ~ ~RKSATls~~n ~~'~RRECT ACTION AND PROCEED D CORRECT WORK~~O~NSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: ~ ,/;/ '\ h /.p J ,/ ------ CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY I INSNOTl Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File 2. Gold City 3, Yellow Applicant I PERMIT NO';313-S-<J!f I (Please tvD~ or vrint and sign at bottom) ADDRESS ZONING (office use) LOT BLOCK ADDITION PID . OWNER ;;; ) L .' Y1/1 '. J (Name) rUTr IC/a. /'/t/G/1./50/V tjt;o-;tf"d- C, (Phone) (Address) APPLICANT (Name) (Phone) (Address) (Zip Code) (Address) (City) (Phone) (Contact Person) APPLICANT SIGNA~~)) I f'A.~ , J '/ / {)..3 fY)i \Mb!~ ~ 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 I Sinks I Bar Sink I Water Closet (Toilet) "'" DATE Type of Fixture Quantity Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-Family $99,50 Residential, Additions & Alterations $39.50 6~fl1'1d- Estimated Cost $ Building Penn it # \ PLUMBING PERMIT FEE $ _ J 1Y STATE SURCHARGE $ l\r .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved I Paid I D~ '-1- O~ <So Receipt No. J B~ Date Building Official 24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave" S.E." Prior Lake, MN 55372-1714 -'