HomeMy WebLinkAboutBldg Permit 05-0094
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or I'rint and sip at bottom)
ADDRESS
3585 ,coX
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Os. 0014-
mil,
7J2h / L-
LEGAL D,SCRlPTlON (office use only)
LOT I5'B~OCK I ADDITION
OWNER
(Name)
(Address)
BUILDER 1/
(Company!\ ame) rt.eu I 'IV
(Contact Na: ne) 1.( e U 1 "tV
(Address) 1'1, 7 -S- ~$
we:vJI7,pv'f'/ 2rJP
-p .d-c..,s~ tV
?c:.krs,,1o..J
Av w
MII\.lC.
Date Rec' d
2, I" oS-
ZONING (office use)
,eZ-
PID zs: 3~!i. 013,"0
(Phone)
f 0 IV"+-
~ I z.-1 n-3Lt~'-I
(Phone)
(Phone)
l'Y1~
W<'Vll/~
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TYPE OF VI ORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding k; O~'}t;1rFi.niSh
DAddition DAlteration DUtility Connection 0 Misc. r ~. I
PROJECT COST IV ALUE $
(excluding land)
CODE: ~I.ll.C. Dr.B.C.
Type of nSl mction: I II III IV V A B
Occupancy G: oup: A B E F H I M R S U
Division: I 2 3 4 5
o Fireplace
I hereby certify tho t 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 Of authorized agent for the
,bnvo.m,n!>o",d 'mp,ny ood J~ht:J" constn"tion will oonform to all existmg state ood 10,,1 laws and will pro",d in acc"dan" with ,"bmilled plans I am aware that tho buildm,
:final can r;; 01" P':4'1t ""se Fmth"m"o. I h",by a8m that th, "ty;"~' i ;'"5 V '7' (;,n th, prop"" to pnfotm n;;~",.;o::; ~
Signature Contractor's License No. Date
! Permit Valuati In
I Permit Fee
I Plan Check Fe,
I State Surchar,g ~
I Penalty
I Plumbing Pen lit Fee I _ ""'" _
JJvlr-- ...
I Mechanical P1rmit Fee
I Sewer & Water Permit Fee
I Gas Fireplace )ermit Fee
2,000.60
$ (,Z.Z.S;
$
$ I. 00
$
$ 4-0.00
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ 103.2-S
Paid
Date
/03. Z-6
tJ...3.0!>
I Receip! No. m1 (,
Bv jffd_.. .
Dale
24 hour notice for all inspections (952) 447M9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Applicati In Becomes Your Building Permit When Approved
~Oft~ q1~OS
ThIS IS W nortify t~at the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pl"Oceed as requested. This document
when slgnrd by th~ CITY Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Befoi"t' occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please ~ ~ r orint and si2l1 at bottom)
ADDRES~ :
3 $" as ;:tJ~ 7J11 t.-- 1JUt7 t.---
LOT
LEGAL D ESCRlPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BLOCK
APPLICA "T
(Name) T> L S IN f \,--IA 'r1"l3-1,Jj)
(Address) -'-.!:!- IFv 13.J ~-r<::: L C:I
(Address)
(Contact P ",son) b t: N.f D /....., S hJ
APPLICA"TSIGNATURE ~J)~--'O_
Quanti1 y
I
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
1
(
1
---
Z . q,()S
I. Slue File
2. Gold City
3. Yellow Applicant
I PERMIT NO.OS: 0t7f4-1
ZONING lofficeuse)
PID zS: ItS: 0 l7-v
(Phone)
(Phone) " jd-. I V) 0 J <'t
flP-P Lk v-fl / t, y 55) .l\.\.
(City) I (Zip Code) J
(Phone)
DATE
.l-'~~()<\
Type of Fixture
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
(Office Use ( nly)
This API ,lication Becomes Your Building Permit When Approved
1Uilding Official
,
Date
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Building Permit #
$
$
$ ./
/
~
Datz, '1 05
.....
./"" .50
Rec~1
By -!UA J
~~ -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
.
:3Y:~~
Date: c:l/3/tJ5
3ui1ding Permit #
lite Address 35!J5
~egal: L /3 B /
PID: Zoning:
FOx T~ TVA ,:jl
Subdivision: W~-
~-~
:~.risting Structure:~r NO
~ONFOR.l"rs TO ZONJNG
ORDINAJ.'{ CE
YES
NO
] ; this an e."'tpansion of the e.-cisring footprint or
C uilding height?
YES
Refer to Planning
NO
Ii the property located within the flood plain?
Iloes the alteration include any additional kitchens?
IIloes the proposed alteration include any outside
e .trances other than patio doors?
Refer to Planning
,Jo
t-Jo
NO
Refer to Planning
Refer to Planning
~o
I : the proposed use of the finis.he:! space or
a iteration for anything other than a n=al single
flIllily home (office, group home, day care, etc.)?
Refer to Planning
1---10
1 IDS C1'lECKLIST MUST BE COMPLETED Al'ID INCLUDED IN THE BlJILDlNG PERl';IIT mE TO
;v AlNTAIN .-\ RECORD OF THE REVIEW.
,
L:TEMPU. TE\Al TCEeZ.DOC
PRIOR LAKE DEPARTMENT OF
. i BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 359;5 ;:1)'1 7111 L-- 7?U11 L--
NATL RE OF WORK UJ /III c71- u:;-V c (.-/
USE :>F BUILDING IZEJ r-r/iL.
PERr~IT NO. o~. 00 q 4-- DATE ISSUED 2-J 05'
CONTRACTOR ,t:eV/,!/ 'pf5/dC--J'tJ;<-/ PHONE &/2-,71>7, Jf-J."f--
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
FR MING
INS JLATION
ELE .CTRICAL
PL4MBING
HE riNG (if required)
fJs
f
I
I
I
~
~tJ/~r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
EL CTRICAL
PL MBING
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.
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J/JIY' 1-(/-Oi
J
f/W/ /
trVYj U:1
FOR ALL INSPECTIONS (952) 447-9850
----~--_._----.~-_..._---_._---~_.,..-
DATE nUE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Y-II-OS--
ADDRESS
?~ Fox: 1uil 7---1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s--rL{
o FOOTING
o FOUNDATION
o FRAMING
It !NSULA TION L I
~INAL 11-,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
------ ~
/I ~.' \
(/ / I 1 . Lj )
( .../l O?fl-- t Ilt /
~ ~/
~ ------
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 17~'J52 FOR REINSPECTION BEFORE COVERING
Inspector. -f..JLf Owner/Contr:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
....."