HomeMy WebLinkAboutBuilding 07-0236
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'3 ((P'f
LEGAL DESCRIPTION (office use only)
LOT ' BLOCK 5 ADDITION
flf(
hi I vO ~
Date Rec' d
4-, /9 () 7
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. oJ. 0230
.s (} ,.I 7}-1
ZONING (office use)
I!:-(
PID2-r. 382-. /3~. 0
OWNER
(Name) Be..~ Ot-...t (OM
(Address)
3l~Y
~ uclc:.-~ c.. k \I\..-
Lv ; lei t+o...~e- P~tk
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address) l
8~'l~k~ l3.~s.~~
9""" +~~ c... k...- 1=e. l+!.1A.-
ocL - ~.(
to M r 'l-vvy
(Phone)
(Phone) G, ( l ~ 21 fs . Lt::~Oz..
,till\.)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIon
ORe-Siding ~ower Level Fimsh
3Utf
o Fireplace
CODE: DI.R.C. DI.B.c. o MIse.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $ '701000
Occupancy Group: A B E F H I M R S U .
Division: 1 2 3 4 5 (excluding land)
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I hereby certity that I have hlInlshed mformatlOn on this applicatIOn which IS to the bcst of my knowledgc true and correct. I also certify that I am tlie owner or auth"nzed agent for the
dbove-mentlOncd properly and that all constructIOn will Cllnform to all eXisting state and local laws and will proceed in accordance with submitted plans. I am dware that the building
(lfticial can fev l'tl. pc It for Wit cause Furthermore, I hereby agrcl' that the CIty official or a deSIgnee may enter upon the propelty to pcrt()rm needed LOspcctlOllS
'-1/11/07
I I~ate
Permit Valuation .3
Permit Fee $
Plan Check Fee $
State Surcharge $ !-~-V
Penalty $
Plumbing Permit Fee $ 0.00
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$
2C)'1~ 07'7 I
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ /1 tv. z.s-'
Planning Director
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Tim IS to certIfy that the request In the above appllcatHln and accompanYll1g documents IS 111 accordance WIth the City Zoning Ordinance and may pmcced as requested ThiS document
when signed by the CIty Planner cnllstltutcs a temporal)' Certificate of Zonmg compliance and allows construction to commence BcfnH.' occupancy, a Certificate of Occupancy mllst be
i,<;SlICd
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
MAR-21-2005 09:15
CITY OF PRIOR LHK~
.:J"'>C.I.i"'-tI"""t~.....v
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 DluQ fill:
~. Ottld CilY
J y.ll~w AppL,om
t PE~IT NO D 7. 02;30 J-.
I ZONING (offlceusc)
Lot
BLOCK
ADDmON
PID
-~
I
LEGAL DESCRIPTION (office: use only)
[ OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name) Larson Plumbing and Hp::lting
(Address) 3095 - 162nd Ln NW
(Address)
Wendy Nelson
/.
APPLICANT SIGNATURE
(phone)
Andover
(City)
(phone)
763-427 -7680
55011
(Zip Code)
763-427 -7680 X 10
(Contact Person)
DATE 05/01/07
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
~ishwasher Water Heater
Floor Drain Water Softner
1 Lavatory (Bathroom Sink) Srand Pipe (Washing Machine)
1 Laundry Tray (lor 2 compal1ment smk Sewage Ejector
1 .. Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
1 Bar Sink Lawn Sprinkler
1 Water Closet (Toilet) Other
APPLICANT PLEA.SE COMPLETE BELOW
FEESCIlEDULE
Induslri<\!. Commercial & Multi-family 1% of jOb eM! with II $39.50 minimum R~sidential. New One & Two-Fnmily $99.50
Residential. Addjlh:;1S &. Alterations $39.50
Estimated Cost :& _~99.50
Building Permit #
. ~WU'H
;----~IUj~N(3 PEAMfr
$ 9~,50
PLUMBfNO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This A{>plication Becomes Your Building Permit When Approved
V;JI~
-
Bulldin~ Offici"l
24 ho\\r "",[ice for all impl/crlons (95Z) 447-9850, (ax (952) 447-4245
16200 Engle Creek Ave., S.E., Prior Lake, MN 55372-1714
TOTAL P. 02
T
PRIOR LAKE
INSPECTION RECORD
3'"'" , A
DEPA~ENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE , ~z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
...
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
---
l ______ _---..-
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 entrance.
FOR ALL INSPECTIONS (952) 447-9850