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Home My WebLink AboutBuilding Permit 04-0137 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Please or tint and si at bottom ADDRESS I Y L.{ I b CASf'I$-C:,A1G- wAif NW LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) ::I;;UN 1). Date Rec' d 3./Z.df- ; ~;~:. ~::y I PERMIT NO. OA ~,J I?Z 3. Yellow Applicant , ,. ..- V' IW ~ ZONING (office use) YI!.IOIt. !! 7- (Phone) (q,z.) Z33-3olILI 5"5"372- (Address) BUILDER (Name) (Contact Name) (Address) .::::r; ItAl b .:::Jb/MI 2>. ME....,,~ 14LfIft, CASTU:t//fTc W/r ME- TTLF /' TYPE OF WORK o Misc.. C. o New Construction '9(Lower Level Finish ~ VJI" ODed )( Fireplace (Phone) (Phone) "7,t: lOt!... l..It K ~ ('f~z) 'ZJ"3-3t)~L{ (J?Z) '112-')..Z76 II !;~ 7Z OPorch OAddition ORe-Roofing OAlteration PROJECfCOST/VALUE (excluding land) $ '1Sbo.Od ORe-Siding DUtility 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 loca11aws 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 e property to perform needed inspections. x Permit Valuation :3 0' tJ .Dd Permit Fee $ 7..f. -rr Plan Check Fee $ - State Surcharge $ l.rD Penalty $ Plumbing Permit Fee ~ $ 4-'0,0 () Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee W-... . jI... ~I UJ This Application Becomes Your Building Pennit When Approved ~ffi~ S!/~~1 Contractor's License No. Park Support Fee SAC # # 3/q/ot{ Date $ $ $ $ $ $ $ $ $ I. 0 () Water Meter Size 5/8"; 1"; Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit # # Other tn.A:7.ntAeHH....- TOTAL DUE 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 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~.(}D AJW . ~ I PERMIT NO 0/-.0/37 I I I ZONING (o~use) I 1. Blue Pilll 2. Gold City J. Yelklw Applicant I ~fi"'~ {We J lL1WJ LEGAL DESCRIPTION (office use only) LOTZ3 BLOCK I ADDmON PID . 3e4-. 02..3.0 I=~~ """" WI;;;, -12/ti -0~f:31 (Address) (Contact Person) APPLICANT SIGNATURE DATE Quantity Type of Fixture Quantity Type ofFiItore Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test I Bar Sink Lawn Sprink1er Water Closet (Toilet) Other APPLICANT PLEASE COMPLETE BELOW FEE SCHEDULE Industrial. Commercial & Multi-family 1 % of job cost with. $39.50 minimum PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ .~q. F)D $ .50 $=4IJ.W Residential, New One & Two-Famiiy $99.50 Residential. Additions & Alterations $39.50 p/110 ell"- ~v,L-k? Estimated Cost $ Building Pennit # (Ome. Use Only) Tbls Application Becomes Your Building Permit Wben Approved BuUdlDl omclal Date P~ Dai~.(p.()1- Receipt No. By 24 bour notice for all inspections (952) 447-9llSO. fax (9S2) 447-4245 I:. 'I:: ,. . t . Residential Building Permit Cheddist Basement FIni3.h or Interior Alteration to Single Family Homes r BY: ~ -;k. ,f)p Date: 3/ P-/6t/ Building Permit # Site Addres3 / 11/ G:. Lq21: L B PID: Zoning: ~~~. Sabdivision: Existing 5tructur~ NO I CONFORlVIS TO ZONlNG ORDINAi'1CE YES NO YES NO Is tbis m e:tpallSion of the e:cisting footprint or Refer to PIOTm;."g building height? tJO Is the property located within the !lood plain? Refer to Plamril!g I rJO Does the altero..tion include my additional mch=? I Refer to P10Tm;."g I tJO Does the proposed alte:alion inchllie my outside' Refer to Plamril!g e:ltl'mc:s other than patio dootS? tJO Is the proposed use of the finished spac: or Refer to P1=:iI:g al~tion for mything other than a tlor.nal single No fa.mi1y home (occ:. group home. day c:u-e. etc.)? THIS LlUCXlIS1' :'fIUS1' BE COMl'LETED .~'ij) U'lCLUDED U'I T:-1I BtllD['iG P~R..;lI1' FT~E TO :'flAlN1'All'l A RECORD OFTB! REVIEW. . . . . PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /4e?/(P t!I1JTU3Gn-~ W~ NATURE OF WORK t-OW~ ~ USE OF BUILDING Jt.,e:r .4- / /C..r PERMIT NO. 04-.0/.37 ATE ISSUED ..3~ /Z- .o~ CONTRACTOR /"1 e:-~ ./ PHONE Z3.] , J 04-4- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE - I ~II PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING If re FIREPLACE GAS LINE J:R TEST - ;?AV, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED l I 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. FOR ALL INSPECTIONS (952) 447-9850 ~F~~ ra':l+~~ ~~ CONTR. PERMIT NO. l./ - {Yl TIMe CllY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS J c...\ 4 \ \a OWNER PHONE NO. o FOOTING lJ FOUNDATION lJ FRAMING lJ INSULATION ~ FINAL / lJ SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP lJ PLUMBING FINAL lJ MECH FINAL o EXIGRADIFILLlNG o COMPLAINT lJ FIREPLACE RI lJ FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: =n:~ J ~ J;;l ~ ./ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORR WORK, CALL FOR REINSPECTION BEFORE COVERING Inspeeto . Owner/Contr: C '9860 FOR THE NEXT IN PECTlON 24 HOURS IN ADVAN E. CODE RBQUIRBMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY/ -,