HomeMy WebLinkAboutBldg Permit 05-0476;0281;0414
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or p(int and sign at bottom)
ADDRESS
I Ss ). '1
White
Pink
Yellow
File
City
Applicant
L..et 1""".,,+
t\vc.
LEGAL DESFRlPTION (office use only)
LOT 3"" BLOCK ADDITION
OWNER
(Name)
Lw-r
7000
(Address)
BUILDER
(Company N~me"
(Contact Narrje)
(Address)
. S"a Ihf,('
N~";"..",, wpQ.J
r5xJ~ "\
tA1c.Loft O",;vL
(Phone)
(Phone)
(Phone)
TYPE OF WORK D New Construction DDeck o Porch ORe-Roofing
DAddition DAlteration o Utility Connection
Date Rec'd
I PERMIT NO.OS-- '1'7~1
ZONING (office use)
PID
~..r-OJJ-O<::J~ -0
c;tl. -~Jq~3Wo
ORe-Siding DLower Level Finish
l'C. - (J( 114......... 1-
o Fireplace
CODE: DI.R~C. DI.B.c. p(fMisc.
Type of Consnpction: I II III IV V A B
Occupancy Grqup: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV Al.UE $
(excluding land)
{J I. (,00
I hereby certify that I I have furnished mformation on this application which is to the best of my knOW.Jedge true and correct. I also cCltify that I am the owner or authonzcd agent for thc
above-mcnl1oned p opcrty and that all constructIOn Will conform to all eXIstmg state and local laws and WIll proceed In accordance with submitted plans. I am aware that the buildmg
I)fficial can revoke t IS perml! for Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspeetlOns.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharg~
,
Penalty
Plumbing pern1it Fee
Mechanical Pe~mit Fee
! .
Sewer & Wateri Permtt Fee
Gas Fireplace Ftermit Fee
Contractor's License No.
$
$
$
$
$
$
$
$
/ (,O() c.o
(.0 7~
?tf. "'1
g-O
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Park Support Fee
SAC
Builder's Deposit
Other
TOTAl. DUE
This ^,atio e omes Your Building Permit When Approved
Huildll!!. Onkial Date
Paid
Date
I/U- I") J
. - "'- ;'i/~'- ~
Date
# $ I
# $ I
$ I
$ I
# $ I
# $ I
$ I
$ I
$ /01. 0L1 ~
~
Recei~t No. LlK/0 25 I
By C1 I
U
ThiS IS to certify th4t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. TIm 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 mllst be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05.02-81 I
(Please tv~ or ~rint and sip at bottom)
ADDRESS !
/SSZ-7 [Crlfhl1{ IJrthl1b
LEGAL DE$CRlPTION (office use only) ,
LOT 11 BLoCK ADDITION N6y{L Gy~r).., WbOL7f
OWNER
(Name)
)(4Y/ Bohn
}OOo he CtJ/1 {)V;~
(Phone)
(Address)
BUILDER
(Company Name)
I
(Contact Naine)
(Address)
St?~
(Phone)
(Phone)
Date Rec' d
4, /4-.0~
ZONING (office use)
t!-IJ 0
PID 2.5.0:15.005.0
~1Z-J31'3P;D
TYPE OF 'tORK 0 New Construction DDeck [JPorch dRe-R~fing rVae-Siding OLower Level Finish
DAdditlon DAlteration DUt!htyConnec~ rMiSC.:;-;"'tJf./v.:I / ~jAl;r~
CODE: DI.l.c. DI.B.c. PROJECT tOSTlVAl.UE $
Type of Cons roction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 .5
o Fireplace
I hereby ccnily tt II i have rrlrnished mformation 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 ~roperty and that all construct on will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the building
:fi"" cony ~JU ",se E h"mm,. I hmby "'" thO! Ih,Clty nffiCl" m' d'Slgn,e m,y enl" upon Ihe pmperty to p,,[olm "'y};'tJ/lJ<
Signature Contractor's License No Date
I Permit Valua~ion 2",> (1) - Park Support Fee
I Permit Fee $ "14.,<:::; SAC
I Plan Check FFe $ Water Meter Size 5/8"; 1";
I State Surcharfe $ (. z.., Pressure Reducer
I Penalty $ Sewer/Water Connection Fee
I Plumbing Penmit Fee $ Water Tower Fee
I Mechanical Bermit Fee $ Builder's Deposit
I Sewer & Water Permit Fee $ Other
I Gas Fireplac4 Permit Fre I , $ TOTAl. DUE
/J
TrJi Paid '7(;.00
Date "'J~ .()r-
--. .
Buddin~ 0 ticin
....... --- I
#
#
#
#
$
$
$
$
$
$
$
$
$
...,ro. -
I Receipt No. #//0
Bv ;I"'/P~_
This IS to certify thaI the requl's! 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 constlltltes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
s: to~OS-
(Contact Person) CJC;Y;:: 5~P7:- (Phone)
APPLICAj'lTSIGNATURE /J ~jJ)f ~ DATE 5 -/rY oS
(/ /I:LI~ANT 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
Sinks
Bar Sink
Water Closet (Toilet)
i
(Please type at print and sim at bottom)
ADDRESS
CAul'7vT /11/6;,/(/6
/55Z7
I
LEGAL D~SCRIPTlON (office use only)
LOT 8 BLOCK
ADDITION NO,~-n 6;Rfi/;v'j1/tidn
OWNER
(Name)
(Address)
APPLICANT
(Namp\ i.s cf,Ht;,7e<;,7<.- Pc- (./ /'? a oJ c:r
,
(Address)
(Address)
QuantifW
FEE SCHEDULE
Industrial" Commercial & Multi-family I % of job cost with a $39.50 minimum
;~: ~:~ I PERMIT NO. OS. 0+/4-1
J Yellow Applicant
I Z':em;'; ;ffiCOUSe) ,
PID ?5.03S. 005. 0,
(Phone)
(Phone)
PU.
(City)
(;/Z, 7-1-7. 3083
(Zip Code)
Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit # (),~ 04/ tI--
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
,
I
(Office lise Only)
This Ap~lication Becomes Your Building Permit When Approved
Building Official
Date
395lJ
.50
40. 00
I Paid 10.0 0
I Date s-. /0,1/6'
ReceiPtN44185
By ~/'
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior I.ake, MN 55372-1714
PRIOR LAKE
.'. "
INSPECTION RECORD
/5SZ7 4IIL1'1vr AII~ Ne
NAT4..RE OF WORK ...~ ~_~_., I.......,...
USE pF BUILDING ,~~ .
PER~IT NO. ATE ISSUED 4-. *. ().~
CONTRACTOR ~~~~ PHONE ~
NOTIF: THIS IS NOT A'"PERMif FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE !ADDRESS
i~ '~N (I'IIo,to B..klm): : :
,PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
D _ J L .. -- I
FRA \lUNG I t/l/Y'
INSllLATION I
I
-. ~~//r~
-~
INSPECTOR
DATE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, U{/NJ)t:lW~ I I J
FINALS
(Prior to Sodding) I
BUILDING I Vl/J/? r: _l..J1- 0:)
ELE 'TRICAL I
I
I
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
CITY OF PRIOR LAKE <0 - 2f~
INSPECTION NOTICE SCHEDULED
ADDRESS ~( ~J-- IihJ
OWNER CONTR.
PHONE NO. PERMIT NO. O~-~7? .)...8'/
,;
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNOA TlON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~LATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~LUMBING FINAL o GASLlNE AIR TST
SITE INSPECTION MECH FINAL 0
DATE TillE
COMMENTS:
(!;) Aclcl
f-b~
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do~-;:
1/
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/1 r)c,<.
s:-- t.{ 7(,
. \ - 1-'i1"'/
<:'- 4 (t.../
o JiORK SATISFACTORY, PROCEED
)If" CORRECT ACTION AND PROCEED
o CORRECT WOR~ J'9L FOR REINSPECTION BEFORE COVERING
Inspector: IV (/ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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