HomeMy WebLinkAboutBldg Permit 06-0414
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND l.J IILITY CONNECTION PERMIT
(Please type or print and siJtll at bottom)
ADDRESS
I. White
2. Pink
3 Yellow
File
City
Applicant
aL/31- .5foNeC-YCS-}- f
LEGAL DESCRIPTION (office use only)
LOT~LOCK ( ADDITION
OWNER
(Name) D~n
_111&~1A)
S~l 't-I-t
(Address)
BUR..oJ:!.A
(Company Name)
(Contact Name) Et"ic-
(A~) 1'-117
c;VVI-/- -
1IJ~7fY
_dl~kYl~kf Cihk
~U.J
!)/~
I PERMITNO.~_ 41L/i
ZONING (office use)
R~
PID;:) 5.; 3 ~'-I-/)tP -6'
(Phone) Q5'L - L/9b - q 2. 30
a. M&JjJ;,-.O
V
(Phone) /j 52- -4'1- 3,-;/ ~9
(Phone) ----'.P J 2,.- 201- -I, '2- (')-
""1'1. . <5"G.3 ,Plh
V:c~,...(o...
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~~ower Level Finish 0 Fireplace
o Addition OAlteration OUtility Connection I\{
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III IV
H I
2 3
V
M
4
A
R
5
I
E
II
F
I
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$ i-/aJCJ,~
I hereby certify that I have lilmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above-mentioned 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 perm~~~)l~~/, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X .. f,- ~~ '2-0ZI(P3:~D n-z.?J-l'J~
- Signature - COntractor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
ij c.:(? 0, --
$ g~" d-~
$
$ d,G>O
$
$ Lft)~----
$
$
$
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Date
ecomes Your Building Permit When Approved
k-tJ-O(,
Park Support Fee
SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid / iPj";:),9 _
I Date ~~..." ..... 0
-- .......
# $
# $
$
$
# $
# $
$
$
$ Id-q~ B,C)
- ,_, I .{ ~
Receipt No. --=> ' '7 ~
By n
()
ThIS lS 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 constItutes 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
\~
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(,. S. 0'
(Please type or 1)rint and silDl at bottom)
ADDRESS
~"3 7 c.fit1f"Yfi-(!~T P.4T#.
~. ~~ ~:~ PERMIT NO. /'"1/._ . OAf L
3. Yellow Applicant (/V ...,-. ~
- ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
APPLIC~
(Name) ~~ flultl!3/ty'~. (Phone) _!/2. ~~
(Address) ~ /tJ.4tla (f} ZlMUF-RUAN ~
(Zip Code)
(Address) (City)
(Contact Pe=n) k,. (L" PPS. ; " (phone)
APPLICANT SIGNATURE __~ DATE
V' -
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)
h .5:fZ,
Quantity
I
Type of Fixture
I
Rough-ins
Water H~er
Water Softn~
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
J
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential. New One & Two-Family $99.50
Reo'd<ntial, Add!ti"", & All_on, $39." y'
Estimated Cost :LUMBING PERMIT F:;ildiD$$ g Permh # '" fJlt{)' ~/ ~ t? ~
STATE SURCHARGE .........-:S'O V
TOTAL PERMIT FEE $ ~
(Office Use Only) /.
This Application Becomes Your Building Permit When Approved p~
-Da~. 5.0 (p
By
Building Official
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
Basei/fnt Finish or Interior Alteration to Single Family Homes
~ '#-. Date: 5- ~ :5- ~
Building Permit # Pill: Zoning:
Site Address ;;{F/3 7 x::-7'nu...e-uo 1- p
Legal: L .~. B
BY:
Subdivision:
Existing Structure: YES or NO
/'" J
r/
CONFORl\1S TO ZONING
ORDINANCE
Is this an expansion of the existing foo~~l~t or
building height?
YES
Refer to Planning
Is the property located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to PI~""i'11g
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
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
NO
NO
~
./'
~
~.
~
/
THIS CHECKLIST MUST BE COl\'lPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
..
"..
~'~A~~~~~J?~~~.~~RRrh
NATURE OF WORK L. /, .
USE OF BUILDI!:JG 5 F _ '
PERMIT NO. (;J &. - L/ ILl O~J ISSI,J:O 5. ,... to '
CONTRACTOR ~~r M:L. HON~/.a' ~O).. '~/--
NOTE: THIS IS NOT A PERMIT FOR Ii. Y OF T: INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
kfill) I I
ETE UNTIL ABOVE HAS aEEN SIGNED
ROUGH - INS
FRAMING
I~SULATION
ELECTRICAL
, ~
PLUMBING ~i,e,.. l Pi t/~c,
HEATING (if required) ,
...--,
A
JIV)P
fo~#
wvl.
VVV/
f.t;/q~
~'~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
viP
'- ...
)
/
/
---J
OCCUPY UNTIL ABO~AS
NOTICE
I J
o 'l~
,
BUILDING
ELECTRICAL
PLUMBING
HEATIN,G
DO NOT
BEEN SIGNED
..
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 TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8- ( -oCe.
ADDRESS
~ 4 3'7
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
jg-4J:f
o FOOTING
o FOUNDATION
o FRAMING
~ ~NS. U~TI9N
NINAL L.-L-
o SITE INSPECTION
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 GASLINE AIR TST
o
COMMENTS:
Dl(+o (2b~_ t-=:--f
dWORK SATISFACTORY, PROCEED
~RRECT ACifTO ND PROCEED
o CORRE~ ,C:6.LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ r J ~ Owner/Contr:
CAU.1;:9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ '
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
~