HomeMy WebLinkAboutBuilding Permit 06-1009
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/1, fJ, Ob
1 White
Pink
] Yellow
File
City
Applicant
I PERMIT NO. cP. /007
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25: J/~ OJZ 0
OWNER
(Name)
Xiloyt r!.A..nltiI(JI1.Lm""" 1-/'II- Cw,""1Jh~ (Phone) Cl6z.--lfif1-IU1-
t1-~ C/JM.A,h\i.A'\ ~AJeJ fn~ ~J MJJ 6(fa7~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAdditlOn OAlteration o Utility ConnectIOn
Lower Level Finish 0 Fireplace
3 ft;tJ5
CODE: DI.R.c. DI.B.c. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrnlshed Information on this application which is to the best of my knowledge true and correct. I aISt) certify that I am the owner Of iluthorlzed agent for the
abllve-mentlOned property and that all constructlon will Cllnfllrm to all exlstmg state and local laws and WIll proceed m accordance with submItted plans. I am aware that the bUIldmg
official n revoke thIS permIt for Just cause Furthermore, I hereby agree that tile CIty official or a deSIgnee may enter upon the prnpe11y to perform needed lnSpectlons
~ ~ II-t -Orb
Signature Contractor's License No. Date .
Permit Fee
3 060,0 0
7".7r
Park Support Fee
SAC
#
#
Permit Valuation
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
. .)0
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
-
L/O" 00
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit
LfC) 0
TOTAL DUE
This Application Becomes Your Building Permit When Approved
'- ,..
~,o~ l'AlOh
'"
ThiS IS tu ccrtlty that the request in the above applicatIOn and accompanymg documents 15 In accordance with the City Zoning Ordinance and may prnceed as requested ThiS document
when signed by the City Planner Cllnstltutes a temporary Certificate of Zonmg complrance and allows constructll1n to commence. Before occupancy, a Certificate of Occupancy must be
Isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447"9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Feb 06 07 o6:o7p
MASTER PLUMBING INC
9522264545
p. 1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rcc'd
I. Olll~ ri;~
'2 Gold City
J \.cllo..... AppliciJfll
II'ERMITN~
I
ZONING (office use)
ADDRESS
L-) Y OS
COat
Lo.YI~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name)
(Phone) G )). - d-. 90.- C( 6 s'/
Or+k (;l'cU( ,')5"605
(City) (Zip Code)
G/)~ d9)~ 939 '7
DATE ;;<. ~ S--o '7
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of }t'ixture
Bath Tub 'rvith or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backf10w Assembly Test
I Bar Sink Lawn Sprinkler
j Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELO''''
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with" $39.50 fTlirnmurn
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
<(6 / ~ .....,
Estimated Cost .$~. [/ V _
Building Penn it :;
(Ofliee Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID \iVITH
Bl j11 r"i Pi"::R' ..~I!'T
-.,. "~5'CP '...... l '" I
This Application Becomes Your Building Permit When Approycd
Paid Receipt No.
m o 8 2007 By
Iluiltlin!: OtTieinl
Dale
24 hour notice fo.- all irl.'l'i:lior..; (952) 447-9850, fax (952) 447.4245
162UU Eagle Crel'l.: Avc_, S.E., Prior Lakc, MJIi 55372.1714
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
ADDRESS
L
D,S-
~tlf1
Date Rec'd
I- .l3,D?
~. ~~~:w Jl~icant I PERMIT NO. (fl- / 00 9-
r
ZONING (office use)
b
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
V .)l 1 C/- L /r:; 01.
4-_0/11 - ,-
tUJ1h{:9AOf11
(Phone)
tj'5~-L)L)/- /;))')..
(Address)
APPLICANT E J
(Name) ('\1'12. S /' e/
If fJ~(1 Y' f), <1- lid M e-
fq r'V' 1I " P- W J1v L
(Address)
(Address)
7J(}tJ
(Contact Person)
APPLICANT SIGNATURE
(Phone) r;.~p. - Lj tj 7 - /;<I:.z.
~ttk ~(/ /J I~ j fJ1j{/r ,5"5"", J 3
(City) ( (Zip Code)
(Phone) (j;S 1- UJ 3 3 -( 0 L.{ ,,{
DATE J '5fh '
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
INPUT
OUTPUT
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
'-
it When Approved
.50 ,PD w) f~ lj
I P,;d
Date
I :;"Pt No
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS +4-05 CJ)/te/-f;t?/lA/ L.-V.
NATURE OF WORK t-OWDt-- t./61/6?--
USE OF BUILD.!NG 12&:' rC
PERMIT NO. O~~ / (}(;9 - ATE -ISSUED II ((J, 0 b
CONTRACTOR vU;JA./IIVCilrYlfl1 PHONE +4-7, (2-IL
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- I I I
_1 =-1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLO,CE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
[ I J
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE 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 e:otrance.
FOR ~,. !~J~PE.r:""'f",. ~ l~~'::')' 447-~nr:;n..
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