HomeMy WebLinkAboutBldg Permit 05-1094
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
II. I. oS-
~ ~i~~e ~::y I PERMIT NO,o.lS,I00/1-1
3 Yellow Applicant 7 ...,---
(Please type or print and si~ at bottom)
ADDRESS
i~J~s- W,'lots ?k~v
,
LEGAL DESCRIPTION (office use only)
LO~LOCK ! ADDITION ! iYt!<J
OWNER
(Name) G,d"-~ Q *
(Address) t 5 ;). & e::-
~ ^-O\.
L rrJ.J
PID 25.34-1-.. 005. 0
ZONING (office use)
PUD
, d \' I cl t::-
Pr-';-or
(Phone) qSa- - A.t L{.] - ! 8(c{)
\..-o...lLL...
(Phone) q 5;) - ~ (p. C( - w q 00
(Phone}O (J. - .c, '-l 0 -c:::::t.JdG,
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding b6wer Level Finish
DAddition OAlteration OUtility Connection 0 Misc. ~ .3 Je.#t1S.
CODE: OLR.C. OLB.C. PROJECTCOST/VALUE $
Type of Construction: I II m IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
/1
Ad", J,/V"ln ~
~ ky l~
1
BUILDER ~
(Company Name) ~ f(-l~ C .'--Ly 1"6 ^""'"'~~
(Contact Name) (>~('.-;c::.. rn.~ Y',^,\~ /"0;'""f-r--t''( NtTt'O....k.....
(Address) "I q It"> ~.\IIL- K.I'J',.j
o Fireplace
-35. Goo:,G>
,
I hereb ce ify that I have filmishe 1 ormation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authorized agent for the
roperty and th al construction will conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
this permit for ust ause. Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed Inspections.
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6('-- ~L{:Sllt3 IO/31/D_~
Contractor's License No. I Date
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
\
$
$
$
$
$
$
$
$
3,000.00
7+. 75
Park Support Fee
SAC
#
#
/.50
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
+-~.oo
40.00
TOTAL DUE
$
$
$
$
$
$
$
$
$ /Sfp. 25
This Application Becomes Your Building Permit When Approved
.$'~ /(/~-
Paid /.s-~. ZS
Date //..:J. () S-
R~c,~, SlJ3" 2-
Br~
ThIS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1tutcs a temporary Celtificate 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
CII y OF PRIOR LAKE PLUMBING PERMIl
40.00
Date Rec'd
~::: ~:~ I PERMIT NO.o.~ OOA ~
3. Yellow AppliClllt - / t-r-
(Please ~ or Drint and sian at r: . """'...)
ADDRESS
1~1LplQ Wilds) LWtt NVIJ
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
&~e~R Oral! e&if) C,tta (Le rn.oddA: Mot
(Address) 1ftUJ\ J(/LP v" I (&'&( \IrA .
APPLICANT fl_ n
(Name) qe.l1'l-- ~ijaV'
(Address) 211)0 W. f-h/V fA 1..3
'\ .(Addres3 )
(Contact P~on) . All t1J S ti t-a II ~ .-
APPLICANT SIGNATURE r~.iiJJ;) 'itt~
ZONING (office use)
PID
(phone) Q'fj2-Ll {pq -I o~ DO
fM V\ '0-iJ-{4
I
I 0 tfAfl/ (v
(phone) Qr6"2-,lffI - (aDO
P)/AJlI1 c,v J( I~ M N ~337
(City) (Zip Code)
(phone) tl0z-1 ff7--1 ~ {p ~
DATE 11-( O-D0
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I I Water Closet (Toilet) I
()1ILC( Vlqt UVt t S Vl (JVV-e/(~ h xtu ~ J41-J!; S\.,t1Jl.DULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Estimated Cost $ Building ~~tiaJ. Add..... & A_ $39t'l
V~~.
I Quantity
Type of Fixture
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 91. ryv
$
$
.50
LI n... 0(,)
(Omce Use Only)
I This Application Becomes Your Building Permit When Approved ·
~
Date;. I '-.
I Jlf .0.>
Building Official
Date
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
Rec~
By~!ltl
I
PRIOR LAKE
INSPECTION RECORD
I~ NILDS ~wy
NATURE OF WORK ~
USE OF BUILDING _ _ JZEr Nit..
PERMIT NO. JUr. lIJH- ~ DArEiSsUED /'-~~~ _ .
CONTRACTOR .PHONE~~~
NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
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
riP
I? if j"
, ,
~ (CfJ.{ Sz.
fr~
RJl,
IZ/7/eY
, I
." "
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
a"
I
~
IJl.~"@~
" ,
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
DATE
I/z.s/a,
7 .
~),\lb \8-(J.J--- /
CONTR. r
PERMIT NO. 5- 167</
TIME
SCHEDULED
--
ADDRESS J,'52(o.'1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIPN
;:5 FINAL L L
o SITE INSPECTION
COMMENTS:
.
(\L~~
Ins
=-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.n
-tt:t
~c,..
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI