HomeMy WebLinkAboutBldg Permit 01-0775
(Please type or print and siWl at bottom)
ADDRESS
54'53
OWNER
(Name)
D
K
(Address)
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE \;- 20 -01
AND UTILITY CONNECTION PERMIT \ -)
PERMIT NOt') 1- 775
I. White File
2. Pink City
3. Yellow Applicant
f'at-ljU' fXkac!cJu) (]L~rUe.-
ZONING (office use)
(~~
PIogS- -313- Ooge)
\.../
(Phone)
BUILDER
(Name)
(Contact Name)
C-~ e-tJ7-- K L-\ ~,J
n'l~
I LI7 if:) $o/Kc' be/rf- I'r
(Phone)
(Phone) l,) 1- LI;)- 3 - II L/'1
!
LEGAL DESCRIPTION (office use only) C
) . ()
LOT "8 BLOCK) ADDITION l _ ~kQ ,
N-Oyto~
(Address)
TYPE OF WORK
o New Construction
DDeck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
6sc. frr;cr-+lO~ iJ1e._+c:/V PROJECTCOST/VALUE (excluding land) $
I hereby certify that I have furnished 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
OLower Level Finish
o Fireplace
DAddition
OAlteration
Contractor's License No.
$
$
$
$
$
$
$
$
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1"; (;1..'f)
I Pressure Reducer ;::::r
I Sewer/Water Connection Fee # /
I Water Tower Fee /):?)v0l # I /
I Builder's Deposit C44t2-66- ~ (/ZS/~r
I Other Do ;Jor fv~e.). !
I TOTAL DUE
40.00
Date
$
$
$&;2.5.00
$ 100 (OU
$
$
$
$
$ 'X,:;;,~ -00
This Application Becomes Your Building Permit When Approved
I Paid
I Date
<;<; d-- S ' OU
~r .:;.. Lf ---0 I
f I
Receipt No. 40/ -/~
By /A7I /
/)-
Building Official
Date
This is to certify that the request in the above application 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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PE~llT
1. Blue File I PERMIT NO I
2. Gold City . O/~ 17::-
3. Yellow Applicant -J
(please type or Prlnt and si~.at bottom)
ADDRESS _ '
C-)LI C':; ~ ; I 'LCA lA--'> G \,,--lQA CX~l LA. ", r \ VcJ ~ / tLJ
ZONING (office use)
~
1< -J.
LEGAL DESCR.1.t' uON (office use only)
LOT 2 BLOCK I ADDITION
(i;~v 11drj) :3 rd
~
PID.;?5- J 71-008'-C:;
OWNER
~ame) DR Horton Custom Homes
. (phone) 651-454-4663
(Address) 3459 Washington Dr Ste 204 Eagan, MN 55122
APPLICANT
(Name)....c.OT'\,7_1?::.pn Pl11n;W'; nCi ^. ROo <::l+- -i ~~~
(phone) h" 1 _a? ':\- 1 1 aa
(Address) 14745 So Robert Trail
(Address)
Rosemount
MN
55068
(Zip Code)
(City)
Quantity
(I ({').lone)
\,O~- ~ ~ DATE
APP~4A~~LEASE COMPLETE~tLOW
Type of Fixture I Quantity
Bath Tub with or without shower
I Dishwasher
, Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
Bar Sink
Water Closet (Toilet)
651-423-1144
-,/2J)(r'1 (
(Contact Person) Mary Olson
APPLICANf SIGNATURE' \
Type of Fixture
Rough- ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
Other 2 ".l-..eIC.-i{0ATl D ~ 1'2-11
7- ,\ \.A.-'D-..TuL ~'vLL\ CrL - Co Z 6 s:~
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
r
Residential, New One & Two-Family $99.50. L--
Residential, Additions & Alterations $39.50 /,1\
n ~ PjA fI;cU
t0P ,
L)J -1,
3~ $.;C
.50 .
t-tO 7E. ty (jJU
Estimated Cost $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
B""";p'" N'.::.
Building Official
Date
Date . . . /7: /
. 7-dt;- v
IBY~
U
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245