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Home My WebLink AboutBldg Permit 05-0873 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d (Please type or print and siKll at bottom) ADDRESS ~. ~i~~e ~:~y I PERMIT NO. /f r.-- f/'1/^ I 3 Yellow Applicant { I ';J . 'h J /5 3t ~ ~iJ~ L/ (>>~ ~~ H.uu .-/ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT f BLOCK 3 ADDITION PID 57S--6~3 ~=R vJ"1~ L\)..qA'~\~e-'.1 (Address) /5"3"[1' Au. fI.,.- fJ4i".J NiA/ , /rw - ~~. M,y (Phone) QS2- lf~ 1 - 'J.3lf9 !:."S'37 2- BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) ~ TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing DAddition OAlteration DUtility Connection CODE: r'tfI.R.C. OI.B.C. Type of <l':nstruction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ORe-Siding ) iower Level Finish 0 Fireplace 312~ .----- o Misc. PROJECT COST IV ALUE $ (excluding land) I I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit FerJtJvf l- I Mechanical Permit Fee' I Sewer & Water Permit Fee I Gas Fireplace Permit Fee 1/ /) . I hereby certify that I have fi.1mished information on this application which is to the best of my knowledge true and correct. I also cettify that I am the owner or authonzed agent for the above-mentIOned property 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 :c~ ;~ke this ;::::'t cause Fur~erebY agree that the CIty official or a designee may enter upon the property to perform needew;;sr / / Signature --. Contractor's License No. - , Date 1/ .::~ O(Xl. - Permit V~luation '/ tf. '1...S- I I /,50 I I I Park Support Fee # I./tJ, ,- Water Tower Fee # $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ SAC # Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee # . Builder's Deposit Other TOTAL DUE ~_~Boll~'P;:;;:";' Building Oflicial Date Paid Date ..- Jff.o,~'J 4- q-4..-- .../ $5oo~ $ II /pJ J..'5 1~/1,''1~("' _./ Receipt No. ~yv -<5 I By V ~ I {;' ThiS is to certify that the request in the above applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued 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 -- Residential Building Pel.w.it Checklist Basement Finish or Interior Alteration to Single Family Homes .~ 0 /7._ ,. .,-. Q-(573 BY: ~ ~ Date: 4j t(/ ~ . Building Permit # PID:~.:. d I Zoning: Site Address J 5 3bl? ~ fYtJ2/Ju' p~ Legal: L? B.3 Subdivision: u.J~ ~ "'f1-,_ Existing structure:~r NO CONFORlVIS TO ZONING ORDINANCE YES NO Is this an expansion of the existing footp<~t or building height? YES Refer to Planning NO Is the k'<v}'erty located within the flood plain? Refer to Planning rJo ~O t00 Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside entrances other than patio doors? Refer to Planning rJD Is the proposed use of the finished space or alteration for anything other than a nonnal single family home (office, group home, day care, etc.)? Refer to Planning tJo THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLA TE\AL TCHCK.DOC CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd /f).11. 05 (Please type or wint and sign at bottom) ADDRESS ~. ~~ ~:~ PERMIT NO.O~. ()813 I 3. Yellow Applicant v_ /SJ(,t /f16j ;Ir;~ ,,~.r..J' ZONING (olliceuse) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ~ :/7 r:. (J -z-J _ c)" OWNER (Name) /... t/ e; .f rt-M ~ . (Phone) (Address) APPLICANK IL Il. A / . 'JJ...h_ // / . /J_ (Name) _7~tlyr/ /FJf?I7R n,.". ,,//7S11-YM-- (phone) (Address) vP AI# &.n~OH ~ (Address) 1 t/ (City) (Contact Person) ~ JlM~ .. (phone) APPLICANT SIGNATURE (~L~ '1&~4d~3397 . /U+1 (Zip Code) Dp"M~-7~{PB I~/ jI/~.5 553: 5..(' DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity I Type of Fixture Bath Tub with or without shower I Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) I Laundry Tray {lor 2 compartment sink Sewage Ejector I Shower Stall I I Backflow Assembly I Sinks I I Backflow Assembly Test I Bar Sink / I Lawn Sprinkler I Water Closet (Toilet) I I Other FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum ----- STATE SURCHARGE $ ~ .50 TOTAL PERMIT FEE ~ (Omce Use Only) / This Application Becomes Your Building Permit When Approved p~ Datio. If. or PLUMBING PERMIT FEE Residential, New One & Two-Family $99.50 Building ~::,"i1a1. Addiil"", & A1terntion, $39"e ~ D~\V JJ~ { ~V\ $ Estimated Cost $ Building Omcial Date 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 INSPECTION RECOR NATURE OF WORK ~ USE OF BUILD~ .:.S _- PERMIT NO. · ~.,' ~ DATE ISSUED ~- ~ , CONTRACTOR f,- · PHONE 1./1I'1. ~ 3~ 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 I II) I I PLACE NO CO-flC'n~ I E UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ,. RAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 1-, C tf:A, , fj /J /) t ~_ q, vvY/ \ 10-1 J, ~ t.l) IfY I vd$' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT Vf/1/ J, iJ .S~36-U J I. V OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOT1C'E 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 DATE nilE CITY OF PRIOR LAKE ..t"-3P-di INSPECTION NOTICE SCHEDULED ADDRESS /57x.cr .~/~ p~, .., " OWNER CONTR. PHONE NO. PERMIT NO. o &'73 o FOOTING o PLUMBING RI o EXIGRADIFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION L- L. o SEWER HOOKUP o FIREPLACE FINAL Ji!l'"'FINAL , ( o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ~ /" I f \ , "'--- - --.. /' / // jo~ L--'""' ~ n-:/ ~ L,j, ') I 1(.<-.-- / / ~ -------- ,IWORK SATISFACTORY, PROCEED o CORRECT AwTION AND CEED . o CORRECT WORK, L R REINSPECTION BEFORE COVERING Inspector: j Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI _n