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Home My WebLink AboutBuilding Permit 01-0047CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si~n at bottom) i White File 2 Pink City 3 Yello~Applicant Date Rec'd PERMIT NO.~' /~NiNG (omce use) [ LEGAL DESCRIPTION (office use only) LOTJ~BLOCK ~ ADDITION PiDZ tj -.glO- o.~,~ -0 IOWNER (Name) (Address) (Phone) BUILDER (Name) (Address) (Phone) tYPE OF WORK [] New Construction [-']Deck ~ower Level Finish [] Fireplace I~Porch [~Re-Roofing I~Re-Siding ['-]Addition [--1Alteration [-]Utility Connection PROJECT COST/VALUE (excludingland) $ I hereby certify that I have furnished information on this application which is to the best of my knowledge hue 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, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. J ' ' (~ Signature Contractor's License No. Date Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee $ ,dfC) ~ Mechanical Permit Fee $ --' Sewer & Water Permit Fee $ Gas Fireplace Permit Fee -- [ $ /-; lJ--.L This ;~ .~i~7~°ur Bufldin~Tt W~ Appr°ved , Park Support Fee # $ SAC # $ Water Meter Size 5/8"; 1"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Other ~L.~... ¢1::I".~ ~ ~° $ TOTAL DUE $ I/'~' Z 5 Paid Date Receipt No. 3~8ff~ By This is to certify that the request ha the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document when signed by thc City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Cerllficate of Occupancy must be issued Planning Director Date Special Conditions, il' any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE PLUMBING PERMIT LSi pplicant: ~/~ ~:' dress: gal Desc~ptiop: ~t' Site Address:_ Building Permit ~ 1. Blue rile 2. Gold Ci~ 3. Yellow Applicant PPNo. 0 I-OOZl('~ Phone: ~ - ~ Z ~-~:~ Sub ~J~.~ /'41~4-- NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner X Lavatory (bathroom sink) Stand Pipe (washing machine) / Laundry Tray (1 or 2 compartment sink) Sewage Ejector .X-- Shower Stall Backflow Assembly (RPZ, Double Check, PVB) Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler X Water Closet (toilet) Other FEE SCHEDULE Industrial, Commemial & Multi-Family (1% of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $ $99.50 $ $39.50 $ $ _ .50 GRAND TOTAL $ z~(~)- DO This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the amendments thereof. /RECEIPT NO. DATE ?4 Call for all inspections 24 hours in advance. 16200 Eagle Creek Ay. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850 / FAX (612) 447-4245 An Equal Opportunity Employer Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes Building Permit # ~ / - ooq? PID: Site Address Legal: L B Existing Structure~/~ or NO ICONFORMS TO ZONING ORDINANCE Date: Zoning: Subdivision: NO YES NO Is this an expansion of the existing footprint or Refer to Planning ~ building height? Is the property located within the flood plain? Refer to Planning L~ 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 DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD L.L. SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. ~ DATE ISSUED CONTRACTOR ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~, INSPECTOR DATE Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS CC.'.;"~..:_~ :';.~TT..= ! S"."T=C FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I FINALS BUILDING 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. Call between 8:00 and 9:00 A.M.for all inspections FOR ALL INSPECTIONS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE DATE OWNER CONTR. PHONE NO. PERMIT NO. O FOOTING [] PLUMBING RI D FOUNDATION ~ MECH Rt ~ F~MING ~ WATER HOOKUP ~ iNSU~TiON ~ S~R HOOKUP FIL ~PLUMBING FINAL SITE INSPECTION ~ MECH FINAL D EXJGRAD/RLLING D COMPLAINT [] FIREPLACE RI I~ FIREPLACE FINAL [-] GASLINE AIR TST r~ ORK SATISFACTORY, PROCEED r'l CORRECT AC~ON AND PROCEED NSPECTION 24 HOURS IN ADVANCE~ CO~M~ ~ YOUR PE~ON~ H~TH & ~FE~