HomeMy WebLinkAboutIrrigation Permit 05-839
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1, 2- 1, OS-
White
Pink
Yellow
File
City
Applicant
PERMIT NO. os- _ 0 131
(Please type or print and sign at bottom)
ADDRESS
ztR14- W/~O-> L/tN6
ZONING (office use)
LOTd(BLOCK!
ADDITION
Jf~ Sr-o~ ~
!i/{I2{fl..d ;J ~Z5. 4-:5'0.02.(.0
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Phone)
(Address)
(Address)
4CCf'{' J,..ltl
<- 4"lynl!
,
S-l{t;J -( jd J'"",
f I >tv/~, 'PIC/
(Phone)
(Phone)
r; I Z--!~ J /-CI6 . ~ '~h:; t'l 2_
tv' L'L r 1-"3 e:rJ 11
BUILDER
(Company Name)
(Contact Name)
st-- 0-
CODE: DI.R.C. DI.B.c. )@"MiSC.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
/-)t 11f::,~/ t,A1A/~ ;/VU(j.
/
PROJECT COST IV ALUE $
(excluding land)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection
I hereby certify that I have furnished mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
'bo"'=""O;;r"'~;)1)t ,II '"''''''',0' .,11 ,",fmm " ,II ""'mg '"'' ,,' loc,1 I.., ,,' .,11 prooc,d m "",',," wi" ,"'m"'" pI", I 'm ..,,, ".at the buildmg
:f1Cial ca~Ul1/ f 1{lst cause Furthermore, I hereby agree that the CIty official or a desIgnee may enter upon the proper1y to perform neede~s~e~n~ _ (.> S-
- /,' Signature Contractor's License No. Date
This Application Becomes Your Building Pennit When Approved
Paid
Date
~65. crv
f? -v!.V[
# $
# $
1- JZ, 'I $ 4-/6.0()
$
# $
# $
$
$
$ -1-55.00
ReC%No. 499/~
By (J..,
(j
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 4().OO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Buildll1g Otlicial
Date
ThIS IS to certify that the request In the above applicatIon and accompanying documents is 10 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 Certllicate of Occupancy must be
isslIed
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 PERMI.
8.25. OS-
'- Blue File I PERMIT NO
i ~i~w ~~~Iicant . 05'. 0 !.J Cf
(Please type or print and si2l1 at bottom)
ADDRESS
2 (P'14-
vv II--D.5"
L-N.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOTZIBLOCK / ADDITION v'~/#q ..501/7JI~ j}fG W;t,OS 2'fR PID Z5... 4-.30. tJ2/. (J
OWNER
(Name) (Phone)
(Address)
APPLICANT _
(Name) /ICe Ie.GO!Tt:;O PL---t'1I3tj,
(Phone)
(Address)
(Contact Person)
(Address)
SH'A 1\/ &"
(City)
(Phone)
(Zip Code)
~/Z. 25/. 39'74-
APPLICANT SIGNATURE
DATE
Quantity
APPLICANT 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)
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential. New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # (J.r AI r J '1
39.5D /
.50
4-0. 00
$
$
$
l-Yz.."
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
p~
Date j': PI, (/ cr
Receipt N~
By 4
U
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2L. 74 L. }~~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
fI/
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~,)
DATE TIME
~1~~
~ -~~?
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~~!~E ~IRRT
)lL1..~~
)c:[WORK SATISFACTORY, PROCEED
o CORRE T ON AND PROCEED
o COR CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspect! Ir' Owner/Contr:
C ~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl