HomeMy WebLinkAboutBldg Permit 05-0342
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silUl at bottom)
ADDRESS
2>1~ M~eSriG LM~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
ADDITION
hCAr~ 'T~~
1 ~'b'll Jlu.lJJ..:!:h AYe .
(Address)
I. White
2 Pink
J Yellow
File
City
Applicant
3G'J Vy',uy
(Phone)
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I
E
m IV V A
HIM R
2 3 4 5
BUILDER
(Company Name) J8 \^JC'()ctfi lkr( ~ AsSOc:, ';' Ltc
(Contact Name) -lY'fll u~d...c" .
(Address) llo~\'" ~ ~" S'{;. I Pn"OV
Date Rec' d
f Z8 {6
I PERMIT NO.
05-', c34-2-
ZONING (office use)
PID ZS 4'IQ, DO Ef, 0
q;") ;7~t.14,~Cl ~SO
(Phone) <l S;l.. - \..f L( ,-0 $'~ 0
(Phone) -'" I -:L - 6(., :z,-7~
Lau....t / TVvJ S 5 -~7-r..
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Mise.
x
v~~
, . Signature
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
$
$
$
$
$
$
$
$
3,ooooU
? 415'
/.50
4-0 . 0 ()
c{o.()U
This Application Becomes Your Building Pennit When Approved
Building Otlicial
Date
B
S U
PROJECT COST IV ALUE $
(excluding land)
Contractor's License No.
[ Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection.Fee.
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
/5'&.z j~
f. ZA:cu'--
4, ~8' -a_~
Date
#
#
$
$
$
$
$
$
$
$
$ /S&.Z.s-
411<P'l
/
I hereby certity that I have fhmished mformation on this application which is to the best of my knowledge true and correct. I also certity that ( am the owner or authOrized agent for the
above.menlloned 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 F1I11hermore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
~ 00 3;)... 10 q
#
#
Receipt No.
By dLte..<'
'/
ThIS IS to certity 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 conSlltutcs 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
5:/7. IS-
CITY OF PRIOR LAKE PLUMBING PERMIT
~ C\ ~\01
A~#. ~0~'
~ GO-"Ji
~;;~~ANT ~cl\<2X Qt ~ ~ u\'(\ D"
(Address) Y'fCo f-\d,iClf\ ~\y~ S'l
(Address)
(Contact Person) ~ Q.. \\ Sc\,er Q..I(
APPLICANT SIGNATURE ~"l.D'--1 a ~,~
. ..
I u ~ l I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry q"ray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or print and siJOl at bottom)
ADDRESS 3 n
I~lo
\\\Q~QS\\L lO0JL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER I '" ""
(N ame) \.J-), '{ \j \.) ~ '{
(Address)
1. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NOfJ5:~
ZONING (office use)
PID
(Phone)
(Phone) Q'S'd. -l\L\1-1o ( 3 Y
P \' \ or L a...V-..o CS S "3 I d
(City) (Zip Code)
(PhOne)~)- to I d - 7L{ 7- 3o~ ~
DATE c:.)); 3/ /) 5
Quantity
\
\
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family
Residential. Additio~~ ~rations
Building Permit # ~6. <<:I'I'Z-
~-J
y~~ \ ~fJ\r'-
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$99.50
$39.50
$ ::'C1C)()
$
$ L.\ D .(f\
PAID wrrH
'JIU'lDING PERMrr
Paid --
",--
D~ n. tJS
-
Receipt No
;;~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 378" l'1A.Jom e W.
NATURE OF WORK Ul1l61L (4!r;Vez...,
USE OF BUILDING JIi!!Jt If/Ifl-
PERMIT NO. -.-fJ S. 03+t.. ~ATE ISSUED t:.. -z.,..o.
CONTRACTOR r6 ,*HD"~ PHONE fII#"'I'7. IJISV
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTOR
DATE
~ . _ Jlr I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATION
..AS FINAL
o SITE INSPECTION
COMMENTS:
Q{~
SCHEDULED
M~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
~
DATE TIME
O/~lf
r;- - 3VL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
rJl
~(.( -
--c-
~ORK SATISFACTORY, PROCEED
o CORREC CTIO AND PROCEED
o CORR TWO , LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
7- 50 ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETYI
INSNOTI