HomeMy WebLinkAboutBldg 05-0144; Plg 05-0143
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT c:J;{ _ cJ ;;1- 0.;-
File
City
Applicant
I PERMIT NO. aS, 0 I~
White
Pink
Yellow
(Please type or print and si2ll at bottom)
ADDRESS
:3 L/~J3
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I t'L/-1
S '1C1.a/YJOt^'L
LEGAL DESCRIPTION (office u;!..9nly)
t-. 0/- W. /.). I t>~ .=:>
LO~ BLOCK '..f.. ADDITION
7'1J~AA/od
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PID,J?S./) fJi"()()'!;-O
ZONING (office use)
OWNER
(N ame)
l~i6l0''''~ {.; IA'(S;L.
. 1/
(Phone) 412} Z.'I-f) - S<. "':1:i-'
~
(Address)
BUILDER ~~ / /i ~L,.. .''--. /
(Company Name) '1/1 . .''4 Lgt;'/,p:.!I/t/J'C _IA<~
(Contact Name)' 'I~/1I'/ :5HfJ /eT /
. ,
(Address)
(Phone) ~~/ #;rc;.>"?- L/S:;-'-j8~?
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE~.R.C. D!.B.C.
Type of onstIUction: I II III IV V A B
Occup cy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
t.. ooo
,
I hereby certity that I have hlrnished mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorIzed agent for the
orm.;o all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
y agree that the City official or a designee may enter upon the property to perform needed mspections.
:f B~.:r
7(',25
Receipt No. UJ?O -'7~/
U'
T-
Permit Valuation
~~
("'Signature /'"
~
1/ ~IJ(), DO
$ 7q,7C:
$
$
$
#
#
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Penalty
/'50
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Plumbing Permit Fee 05. 014.3, $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
TOTAL DUE ~
Paid 'J(~~
Date 2- ..., ~-_C;
z, z. S. d S
This Application Becomes Your Building Permit When Approved
~~
d/;J-~ftS
By
Buildlllg Oflicial
Date
z- 2..2-. -0 {-
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certity that the request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conslItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Cerl1ficate 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
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
2,Z5. oS-
DAV \ 0 ~i-c::'O t4 4>>v l~.. (Phone)
,-~47~ SlJCt1.JnL lJr. 'ff-ior tah, WlN . '5S 3 7 ~
I .
(Phone) b5 J - 3loC). J 340
EaoM mAl. 55/";)3
(cwfy) (Zip Code)
(Phone) ~S 1- ?M?- r3Lf ()
(Please type or print and si~ at bottom)
ADDRESS
~;L+7g \S~lcamor~ Dr.
I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
~;;~~ANT J+P Pi~w.o(kS
(Address) \ ~ 7 D TxxId Rd.
(Address)
(Contact Person) ~ris IJie/h
M)LJ Ow ,n ,
'PPLICANT SIGNATURE
I. Blue File
2 Gold City
3 Yellow Applicant
I PERMIT NO. 05. 0/4-3
ZONING (office use)
re:- /.s.D
PID Zs.. () 1~. 0 OS: ()
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture I Quantity Type of Fixture
Bath Tub with or without shower I J Rough-ins k' i \-Gn~
I Dishwasher I I Water Heater !2e11C/f;:>6l..-
I Floor Drain I I Water Softner
I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
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 $ 2000, o\.)
PLUMBING PERMIT FEE
STATE SURCHARGE
e' TOTAL PERMIT FEE
Building Permit # 05. 0/4-3
~~.)U
.......~ -~O.'-
$
$
$
paid40.00
Date _ _
Z. z.. ~ . () J
Receipt N~ /~
IBY~
~q~{iLl-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
i>
INSPECTION RECORD
SITE ADDRESS .ELI 78 S ~e- '"~/'
NATURE OF WORK KLrci!~
USE OF BUILDING _ ~ F: .
PERMIT NO. OS.O/4-1!J DATE ISSUED ZJzv/~
CONTRACTOR MfJJJJ;~ KJ;1Jt~ PHONE
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
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/J
1/1/1/
J~ I
"IV ,/
, -/"\
i/V OJ I
OCCUpy UNTIL ABOVE HAS BEEN
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.
2, 7 .() I,
J
J
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE 2- 7-0'
INSPECTION NOTICE SCHEDULED
ADDRESS Z'1JY S'1/ f.I I/V1 ~ TVl
OWNER CONTR.
PHONE NO. PERMIT NO. OLe;-:- fLIt.!
o FOOTING o PLUMBING RI o EXlGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLINE AIR TST
SITE INSPECTION o MECH FINAL 0
COMMENTS..:...- _ __
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( (/1 th-c.-~_____
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IWORK SATISFACTORY, PROCEED
o CORRECT ACTrON AN CEED
o CORRECT WOR L OR REINSPECTION BEFORE COVERING
Inspector: ( . Owner/Contr:
I I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl