HomeMy WebLinkAboutBldg Permit 05-0728
(Please type or plIJnt and si~n at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
White
Pink
Yellow
I PERMIT NO. ()~-07~
File
Cily
Appl;c"nl
,-
Th..erC"Ie..\ d, 'DR.
ZONING (office use)
IIY'~'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
R'lbl"\ Of'd ~n-e. JJwe.. (
rn~~1 'Du>r~e 1,-/ ~.
(Phone)
LJLJ1-i.JJ~70
(Address)
BUILDER V \\ ' r1 r \
(Company N.Jme) N Y\ 1&)1 Ia. 0'\ ~ l.oo ~.
(Contact Nanje) K.~ w;\he..h..S
(Address) q9J q rhue-LL C/~, is/o0 IJ'IIMi-o"
"
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: rkll,]t,C, DI.B,C,
Type of fJlnsttiuction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
(Phone) Cf'5l-:ALJO-4OS5
(Phone) :)~
M/J ~sL/3~
ORe-Siding ,j4tower Level Finish 0 Fireplace
o Misc
PROJECTCOSTlVALuE $ ?t'{ 000 'le-
<excluding land)
x
I hereby certify tha~ I have hlrnished mformation on this application which is to the best of my knowkdge true and correct. I also certify that I am the owner or authOrized agent for the
Jbllve.menllOnn1 Plllpert d that all Cllnstr iun will conform to all exisling Slale and local laws and will proceed in accordance with submitted plans. 1 am aware that the buildmg
otficial can vuke this r it for JUSI ca . llthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspectHlns
J,O?tnqqL/
Signature
Permit Valuatid>n
Permit Fee
Plan Check Fctf
State Surchargq
Penalty
Plumbing perrtlit Fee t.btt f
Mechanical Permit Fee
Sewer & Watetr Permit Fee
Gas Fireplace Permit Fee
7-2$-05
$
$
$
$
$
$
$
$
30fJO,OO
7l.f,( S"
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; )"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE t!Ptt-a> -;'. :J..f. (If" $ //~. zs-
-,/ _ r-- .
Paid /I (/Jlo!J I Receil'tNo. .j}uuUc>
Date 'X'- J i- t:; By VI
'" c;-...
~
I.SO
4n.80
This Application Becomes Your Building Permit When Approved
;&~~
Hllildln~ Uflicial
~~5
Date
ThIS is to cenify thtl! the request in the abuve applicauon and accompanying documents is in accordance with the City loning Ordinance and may proceed as requested TIllS document
when signed by the City Planner constltu!cs a temporary Certificate of Zoning compliance and allows Cllnstruction tll commence Before occupancy, a Certificate (If Occupancy must be
isslIed
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
APPLICAIfT" (\ \ s--.. ' ..,
(Name) . '-"L....L((Ld \-\"""\:"",,,\/ -i-Y'\<...,
(Address) ~F?I() 1~;\\O""'~ooJ ~-V
(Address)
(Contact Person) f)""", C_It>",- 'L.-.-.
APPLICANT SIGNATURE ~~ ~
. --V 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)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
(Please ~ or'Drint and sim at bottom)
ADDRESS
IIY~\
\) l <..-r ~;Llc\
\)1 \
LEGAL mtsCRIPTION (ollice use onty)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
Quantity
,
'8'" Fi'. I PERMIT NO'(6. '/.di~
2. Gold City _
3. Yellow Applicant
ZONING (olliceuse)
PID
(Phone)
(Phone)
"I<;"'.l.- L/'-I1 - S'7b I
L""b- m,.} ?t;372
(Zip Code)
~Y"',\or
(City)
(Phone)
(" I :1-40 -"\ 'd..4~
--
DATE Y - IE' -O~
Type of Fixture
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
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Omcial
Date
Building Permit #
$
$ ~ '1'\ V
$r-\ ~W
I Paid JiliA ~ Receipt No.
V \ By
24 hour nntice for all inspections (952) 447-9850, x (952) 447-4245
16200 Eagle Creek Ave., S.E" Prior Lake, MN 1714
---_._-,- ----------------_._-~--
... -.-
.
.
Residential Building Permit Chedilist
Basement F"mish or Interior Alteration to Single Family HomeS
~
r
~ Date: ?/.;;>-g'~ S-
PID: .
U~ !Y..
Zoning:
,BY:
Building Permit;:
Site Address /7 L( 3 I
Lepl: L_
B
Subdivision:
E.Iirting Struc~r NO
CONFORl\ilS TO ZONING
ORDlNA.l'{ CE
YES
NO
Is this an e:tpaDSion of the e;-'....sting foO\priIlt or
'building height'?
YES
R:re: to PiaIming
NO
I iIs the prop='/loc:1u:d within the flood plain?
poes the alt=tion include my additional lCtc::.e::s?
Refe:' to pl.".,.,...m~
tJ(J
fJD
~O
ReIe: to PI=irlg
,Does the proposed alteration include my ourside
ienmmc::s othe:- than patio doors?
Ref::- to Planning
fJO
,Is the proposed 'lSe of the finished space or
~teration for anything othe:- than a llo=! single
(:t~~iy hou:e (oce:. FOU;: acr=e. d:ly C~:. e-:c.)?
Ref::- to P!~"M"'+-g
Ah
1I"HlS L=CK:.lS7 :7n':ST BE COMJ'LETED .~'fD !i'lCLUDED IN Th"'I EllLD[CiG P~R.y1I7 fT.U: TO
lvL.\..l?'fTAl:" A R!:CORD OF THE REVIEW,
.
.
.
.
PR!IOR LAKE
INSPECTION RECORD
SITE ADDRESS >>1/31 ~~Cu:J DIl..
NATURE OF WORK ,.,. FI"'''1''~
USE OF BUILDING SP: A · ~_
PERfI.'lIT NO. 0;5-()7~. ~ DATEjSSUED ~=r
CON- HACTOR ~ 14J~ CANS '-;PH NE .-~-@S:S"
NOTI:: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
$1-
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if/' d/cJ
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
_I /,
~ Y/?-X~
/.//..#7 9?j/As
rv- r 9// zz.l~
~ 1/..?~r
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.
BUILDING
ELEcl:TRICAL
PLUPr1BING
I HEAtING
DO NOT
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
n ~J '] (
t2a.- ~/t
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o I!jIlULA TtON
J<l"fINAL
o SITE INSPECTION
C.QMMEN}'S:
g ~-I>-tC-<t.. (
.A;t~4.'
h:~,t4~
c..J
CONTR,
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~4/
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~/L..e.. /
-- /
r?~(
~
/-? L~ (
DATE TIME
"'f'Z~
OS-72-'i
o EXlGRADIFILUNG
o COMPLAINT
o FtREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
7;k/ ~r
-
~k
-
0/('
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O"t
-----::::--.------.::-....
L~ / /r/J ))
/"'~~4- /7 ~ /
~RKSATI RY.PRO~EED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
U<SNO"