HomeMy WebLinkAboutBuilding 06-0157
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
41IW
Date Rec' d
9 2-1 of:,
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Ow. O/Of I
Q
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
i BUILDER
(Company Name)
(Contact Name)
(Address)
r
~/d-rfo~- 7L/~
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIOn
ower Level Finish
CODE: OI.R.C. OI.B.C. 0
Type of Constmction: I II III IV V A B PRO
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby ccrtify that J have 1111 Ished mttlrmation on this applicatlLln which IS to the best of my knowledgc true and correct. I also certify that J am thc owner or iluthorlzc,J agent tor thc
above-mcntloned property and lat all const IctlOn contorm to allexlstmg state and local laws and will proceed in accordance with submitted plans J am aWilre that the buildmg
omcla] can revoke s permit Ir st cause ur lmo e, I heleby aglee that the CIty offiCial or a deSIgnee may entel upon the plopetty to pertorm needed mspectwl1S
- ~-)i-~
Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Official
Date
Park Support Fee
#
$
SAC #
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
l Paid
Date
Receipt No.
By
ThIS IS to ClTtlfy that the request 111 the above applicatllll1 and accompanYll1g documents is 111 accordance WIth the City Zoning Ordinance and may pmceed as requested. TillS document
when signed by the City Planner constItutes a temporary Certifkate of Zonll1g compliance and alluws constructIOn tel commence. Before occupancy, a CertIficate of Occupancy must be
isslIed
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
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
/PERMITNO.OC. -/571
~ob Cct t ",0..: I, PI' .'or kJ:...e
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT:31 BLOCK
ADDITION
(j/;j!t1l.
6
OWNER
(Name)
'Su. bvC\. N C-\.g.a.ay Ct~
(Phone)
QS2-l{Y5-Kgg3
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace
DAddition DAlteration OUtility ConnectIOn
CODE~. .R.C. OI.B.C.
Type of onstmction:
Occup cy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that J have I1lrnished rnftlrmation on this application which IS to the best of my knowledge true and correct. I also certIfy that J am the owner or authonzed agent ttJr the
above-mentIOned property and that all constructIOn WIll conform to all eXlstrng state and local laws and will proceed in accordance with submItted plans. I am aware that the buildrng
ot1iciaI can revoke thIS perm a for Just causc Furthermorc, J hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed rnspectlons.
~ /l;~~
Stgnature
Contractor's License No.
/r/fa~h /6
]06
x
Permit Valuation 4'00
Permit Fee $ 75"
,
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fe . ''Nfr. $ GJ..----
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ .1/0,-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other UOrHI. $
TOTAL DUE $
This Application Becomes Your Building Permit When Approved
~~ ~ 3/lfo(01,.
Buildl11g Official , Date
ThiS IS to certIfy that thc request in the above applicatIOn and accompanYing documents is In accordance with the City Zoning Ordrnance and may proceed as requested TIllS document
when signed by the Cay Planner constItutes a temporary Certificate of ZOning compliance and allows construction to commence Before occupancy, a Ccrtlflcate of Occupancy must be
issued
PJanning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Perm.it Checklist
B:l.sement Finisn or Interior Alter:rtion to Single Family Eames
BY.
~
ct-JJp
Dare:
?-/~ - ~
Building Permit #
Site Address
Pill:
<:.sC'l~ L/
Zoning:
;;;yJ ./
(&l7('u..;---
Subdivision: LJ~ ~
Legal: L 3 / B
I
Emring Scruc:ur~r NO
CO~~ORyIS TO ZONL'i"G
ORDlliAl'fCE
NO
YES
NO
Is ctus an e:q:;ansion of:te e7.i~....ng rcotprw.: or R~~"e:- ~a Pl3.r:r~~g
building he:gl:rc? ,JO
Is me properrjlocatec wirt,1"'i me Bead pia:::? I Re:(~. to Plar:T'f1l'i g I I
tJO I
I Does tb.e alteration include any acidir:onal ;c-:che::.s?
Refe:- :0 Planning
No
Does me oro"Cosed al:e:-ation il:.cit.:de 1."'1'1 Outside Refe: ~a ?lar~~g
. .. ..
em:nnces othe:- than patio doors? No
Is ti:.e proposed. r.:se of me S:nisne-:. space or R~fe: :0 ?13J.....,T".,~g
alte:-3.tioI: for any::b:r:g otb.e:- than 3. r;,oGlal 5mgle f'J
,... ... 1 Gace~ 6y C2.r~.. ~~c.)'., D
~arrJ11Y no-ce (o-'~- g:':J u"9
~--'-"'"
THIS CEECXLlST ,'d1:ST BE COM?UTED A.:.'fD INCLulJED IN Till BC1LDfNG PD..l't!1T FILE TO
l'IL-Ul'IT..\JN A RECORD OF THE REVEw.
. ,~'-: I -<::J:>- <::kJkJb 0'3 : 04
CITY OF PRIOR LAkE
9524474245
P.01/01
D1tte Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
LlWAL DESCRlPTION (office U!e only)
tOT
BLOCK ADDITION
--.._.-'-'~--'~
APPLTCANl" ,}
(NameL. FA"P:-Uk~ ~.y fl/~ ~._..._.__._w-. (.Phone~ ~5'I-~":5 .:.:z.:i2.ti--...-
(Address) _.).l CJ:l" c-L~.J.JO. ..I<t to? .A...J ...., tr) h-/'c.:tLtE:::..,)vAl ~j~CJ). "I
(A.d'4ress) (City) (ZIp Code)
(Conmct Person) -11; ... &~ .._____~ (Phone)
APPLfCANT SIgNATURE ~_~., d ~. DATE '" - 'Y -,p "
APPLICANT PLEASE COM,PLETR BELOW
Quantity . ~.-""--TYf.lC o!Fixture Quantity
Bath Tub willI or without shower
~Qi$hwasher~=._._.._. .._.L-"
Floor 'Drain
l...cwatory (Bothroo'mSin~ '-., .
Laundry.Tray fl or 2 compartment sink-.'
"-,-,-". Sho~erStnll _..~~.~._..-
Sinks
Bar Sink
~ater C'i~(foilet) _.._._..
Type of }1~l,~turc
Rough-ins
Water [leElter Ii' r..,~b
Water Sottner
Sta~~ Pipe (WiShffi~Machinc) :==.,
Sewage t.jeclor
13nckOow Assembly -,,---
Bn,ckflow AS5tmbly Test
Lawn Sprinkler .
. Other."-"-
..
1
FEE SCHEDULE
l"dLJ~[rial. Commercial & Multi-family 1% ofjch con with 1'I $39.50 minfm\l/T1 Rc~idenlia1. New One &. TWD.Fllmily S9950
RI:~idrllli;&l. A.ddition! It. Alterations S39.S0
Estimated Co:'lt $ _.~ fl'tf't?.._
Building Pennit # _ '''_'_
PLUMBING PERMIT FEE
ST A TE SURCHARGE
TOT AL PERMIT FEE
~ ~U' , FlA/O WITH
$ .~. --..f/lJ)ING PE
-- RMI;
(Offirc IJ~c O"'y)
Tbl~ ADDIiClIt;on OeCQmcs Your BuilcJing rermll When Approved Paid . '.' ~eeelpl NQ,
",_, __. :'.:, [~ ~--n--~7; [: .~~- .
Building Ocndftl O,lf.' '<, !, :
2~ hour -::~.1I imp<<:!::~~~;) 447-9~fq,H~x g~T ~bi1~006 u ..'
16200 I\jI~l! C'tolt. A\le., 5.E.. Prior Lakcf1\~ 55.172-t 114
-1
~ ,__ 'f _
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
.
Trl1\IL
DEPARTMENT OF
BUILDING AND INSPECTION
3
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
'V..tr; l
FRAMING
INSULATION
ELECTRICAL
PLUMBING , -l~ Uv
HEATING (if required) _)
FIREPLACE
GAS LINE AIR TEST t\, )
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I [I J
FINALS
BUILDIN
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 shalfbe placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850