HomeMy WebLinkAboutBuilding Permit 05-0679
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7. IS. OS
File
City
Applicanl
I PERMIT NO. O$"o~7/1
I White
Pink
3 Yellow
(Please
ADDRESS
;;105
at bottom)
LC0/-U
Ch
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 5 ADDITION
PID -:zS: '300. Os I. 0
OWNE~
(Name) (1 (\\
(Address)
r fame (
(Phone)
(, ~tLnc\ f l1
ZONING (office use)
BUILDER
(Company Name)
(Address)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding ~ower Level Finish po Fireplace
DAddition DAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c. PROJECT COST /V ALUE $ J51 000
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
I hereby certity that I have fiJrmshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentioned property a 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 buildmg
offi i I can revoke thIS permit or Just cause Further re, I hereby agree that the CIty offIcial or a deSIgnee may enter upon the property to perform needed msp tlons.
d8J
Contractor's License No.
Park Support Fee
SAC
#
#
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
74-.7S
I.SO
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee
+0.00
#
Builder's Deposit
Other
4-0. 00
TOTAL DUE
'1
Date
$
$
$
$
$
$
$
$
$ /St,.26
Paid
Date
/5&.2-)-
'i/~.or
This Application Becomes Your Building Permit When Approved
Buildlllg Ollicial
Date
ThIS IS to certify that thc request in the above apphcallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. ThIS document
when signed by the City Planner conslllutes a temporary Certificate of Zoning compliance and allows construction to commence. Before Llccupancy, a CertIficate of Occupancy must be
issllcd
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
03: 49pr'1
r'1ATTHEld DAf.j I ELS, I r.jC .
423 3017
P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Bh.,c F;Ie;-
:. Gold City
l_ Y.ftow ""pplleant
I
I PEiIITNO'OS--O~7r J
U
LEGAL DESCRJ PTION (office use only)
LOT BLOck ADDrTION PID
i
I ~~.me~~t~ J ~ &. ~hO~:A.440.
(Addres,-,--L_ _~ ~_ -'---- "~.R< ,':111_ _,
SBo7
~:~~~w ~~~ ~.
(Address). J J
(Address)
(Contact Person) I e
A~PLICANT sldNATURE
I
I
(Phone:)
"':;"1- 423--5::
' . ",g
(Zip Code)
Rt\....p MOu.ttl::;
(City)
(Phone) ,
t,sl - 423 - \3 '100
I
I
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity ! Type of Fixture Quantity Type of Fixture
, ~ath Tub with or without shower Rough-ins
Dishwasher Water Heater
F Iocr Draip Water Softner
I I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
r-- Laundry Tray (lor 2 compartment sink Sewage Ejector,
I
I Sihower Stall Backflow Assembly
S inks Backflow Assembly Test
Bar Sink Lawn Sprinkler:
I Water Closet (Toilet) Other
I
I
I FEE SCHEDULE
'rdusl!ial. Commercial & Multi-family 1 ~'o of job cost with a $39.50 minimum
Estimated Cost $
Residential. New One & Two-Family S99.50
Residential. Additions & Alterations $3~~ J
Building Permit # () "1
~.57J : pO 0(0
./ .50'-/1 dl . Ii ~~r> V
~ .~~ - n 'fL1...tL.V
$
$
$
PLUMBING PER1V1IT FEE
ST A TE S'L~CHARGE
I TOTAL PERMIT FEE
(Office Use Only)
~bis Application Becomes Your Building Permit When Approved
, I
. i
Building ~mcial
Da~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
1
TOTHL P.01
::l:>c:q'f(qC:"-!:J
t-'.t:ll/t:ll
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~: ~ ~!~ ! PERM!. T NO.t?5 O~7CJJ
3. Yellow ADplIClIMl . L _
ZONING (office use)
LEGAL DESCRIPTION (o~ce use Qlnly)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANt
(Name) U 'I. e r-- -:,
(Address) J 3 Lf 0 5
bo
t\ 0 \.lJC0 3~p~k\
,
1:5 -r--'h fJ t./ GY1 cJ ~
(Address)
(phone)
P Ii fHOJ1-K
(City)
rJ ."
(Contact Person)
(phone)
DATE
.:k--
1
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
'ffl1rnACbMAKEANDMODEL L.e'A->v~ g:J,.>~/Y'o~ FUEL A/J;f-/
FLUE SIZE ,j71 (RE1URNOPENINGS INPUT (l:ft-&(J OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 StC!Iffi
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
o Vent. System 0 Other Devices H,ei:!'/':.A-<:'~
$39.50 _____
SF-50
dS 0& 7'1 0 B)~
()~\ O\'l
\\)0\0
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of Job cost Residential. Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99,50
Residential. Heating Only (New Construction) $64,50
C)C)
Estimated Cost $ /{:JOO -
Jndustrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
Building Penn it #
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
Building OMchll
Date d
Datr o. / 7 tJS
24 hour notice fot an insP<<tions (952) 447-9850, tax (952) 447-4245
'~"nn Ii'........^ n___,.. &u _,..... _ ___ _ .
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
zos ~ vrw.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR =--w1N I:) rl(il) PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
..-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST '" '.J tJ_(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABO E HAS BEEN SIGNED
NOTICE
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