HomeMy WebLinkAboutBldg Permit 06-0847
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
PERMITNO.O~. O~71
(Please type or print and si~n at bottom)
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147 S-'f ~ ~b.eJ,r;,..,C)lf
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
J;lUILDER
J{t'ompany Name)
(Contact Name)
(Address)
(2 It,
i<- \ elL
7101-(
Tv., ('/
N,W'
Date Rec' d
t:t 19. ()~
ZONING (office usc)
PID Z5,.3b3. 03/.0
9.r}.- V'/7--2..{4 0.6
(Phone)
Kar
I (.~ ;-
11--&{t..
~<:s
(Phone)
(Phone)
~&! IAlb
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~ I,
fA}~ J(
S J/l.. Y
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectlOn
(?~\
ORe-Siding ~ower Level Finish 0 Fireplace
g it '--
CODE: DI.R.C. DI.B.c. o Mise.
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
1fJJ., :-....
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PROJECT COST IV ALUE
(excluding land)
JbllvC-mentlOncd pro
official can revoke
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Park Support Fee
$
$
$
$
$
$
$
$
SAC
Water Meter
Size 5/8"; I";
J~
- .
$ ;:l s.- 0 () ()
#
#
#
#
/1
II
Rqoeipt No.
J"
$
$
$
$
$
$
$
$
$
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'15. zS- I
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mformation 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
a:J.'tHlctio wi conform to all existIng state and local laws and will proceed in accordance with submitted plans I am Jwa. re that the buildIng
;,' 711' er n' I "~eby agree that the City official or a deSlgnce may enter upon the property to perform nceded Inspecl10ns
Signlture I Contractor's License No. Date
I~ 000. tJO
34.75
Gas FIreplace pellt Fee
1ZhiS /} q1J1ifr' / // :ilding Permit
Ji. _ I
t'lulldllH! l tiCtal
.SD
Pressure Reducer
Sewer/Water Connection Fee
ThiS 1S to certIty that the request in the abuvc application and accornpanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner Cllnstllutes a temporaty Certificate of ZOning compliance and allows construction to Cllmmence. Before occupancy, a Certlllcate of Occupancy must be
issued
Planning Director
-I-d,OO
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
'1S. z-.S
, .>1 /JP
,
Paid
Date
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
MATTHEW DANIELS, INC.
423 3017
P.Ol
Date Rec'd
I
CITY OF PRIOR LAKE PLU~BING PERlVIIT \
I
I ~. ~~ ~~~v I PERJ.VI:IT NO./_ ~
l. Vellow "p~lic,". T ~ ~
. ZONING (offiCe IJse)
LE9AL DESCRIIrTION (office use only)
, I
I I
LOT BLOC~
I
OV';~ER u-.t 'AI) J ~\J/. :\ .~' - ~
(N4me) 7 ~ I 9-i:J ~ ,I ~ .Ii. 7Jd'; (Phone) _q!J~ - ;..JL/2 - 2ii.00
,(Ad.:1reSS),_1J.J7M .......:J~[) ~, ~.Jl;) ~; \.-}x)) SS-~72J
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APPLICANT "''L _ ~ _ '- I. I
(N1me) N1a.t1:.~evJ ~(I. I(Phone) _ 651. ~~(j
! i
(Ack1res$) ~ (! tJ.rrow;e.1 Way R05e..w10CJ1t.. M.tl
; 1 (Address) (Cicy)
I I
(cdnc.3.C! Person) :1)1\.l1.ie} E. ~'icY\. DPhone)' fcS-/. 4~l~
AP~LICANTSIGNATURE J.J..urt) W.c::Y~A? DATE \1../,,~;, Y). 2/J{J(..
, 0
APPLICANT PLEASE COMPLETE BELO\V
Type of Fixture Quantity I
B~th Tub with or without shower Rough-ins
I Dishwasher Water Heater
Ftoor Drai[l I Water Sofmer I
Lavatory (Bathroom Sink) Stand Pipe (WasHing Machine)
L~undry Tray (lor 2 compartment sink Sewage Ejector i
S~ower Stall Backflow Assem91y
S~nks I Backflow Assembly Test
Bhr Sink Lawn Sprinkler '
\\{ater Closet (Toilet) Other
ADDITION
I
PID
~g
(Zip Code)
-.---.......1
I
I
Quantity
I
I
Typ~ of Fixture
I
I
I
I I
FEE SCHEDULE
l~du5c!"jal, Comm~~d.l! & Multi-family I % of job cost with a $39.50 minimum
i
Estimated Cost $
Residential, New One & TrO-Family
Residential. Adcitions & 'i!u.'1":nions
Building Permit #
$99.50
$39.50
PLUMBING PERMIT FEE $,
I STATE SURCHARGE $
TOTAL PERNITT FEE $
~.5tJ :
. .50 PAID'wITH
i~. OtlytidfH&JPERMIT
. 1
~eceipt No.
(Oa/ce ,.Is" Only)
T~is Application! Becomes Your Building Permit When Approv~d ~aid
i
Buildine Official
Date
~~ 2 0 2006
By
24 hour notice for all inspections (952) ~7-98sO, fax (952) 4H-U45
I '
TOTAL P.Ol
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /-?-7S4- / / n tr5 /eWtJL,c ~.
NATURE OF WORK LtJW61G LeVe l.- EA-7H 1 WeT flJ1~
USE OF BUILDING /26S n/,e.,
PERMIT NO. 0". ~ayi DATE ISSUED 9. /'1. a~
CONTRACTOR Ie. A . /Co/ · PHONE 4--17. 28()h
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATI~G (if required)
~
f ~ f /f-h ~
J
~M~.~
/ v
I
I
7/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~hl
10 'Z"'I b~
~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted nea~ 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 TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS I Ll t'} sc.t TT~~ Wn\~
OWNER CONTR.
PHONE NO. PERMIT NO. fJ - 8(7
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~AL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~
Cllt4R.~~~ \Q
~ORK SATISFACTORY, PROCEED
o CORR AC AND PROCEED
ECT OR. LL FOR REINSPECTION BEFORE COVERING
Insp clor: I (; \ Owner/Contr:
CALL J9850 FOR n{E NEXT INSPECTION 24 HOURS IN ADVANCE.
~~ ARE FOR ,:~ PERSONAL HEALTH & SAFETY!