HomeMy WebLinkAboutBuilding 06-0235
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-,5, Or;
File
City
Applicant
I PERMIT NO. O~. () z. ~5 I
I White
Pmk
Yellow
fJo,rL/JJ<L MN
5537
LEGAL DESCRIPTION (office use only)
ZONING (officc usc)
LOT
BLOCK
ADDITION
PIDZS 39
00 I. 0
OWNER
(Name)
(Phone) _~5l) 220 ~.51olo
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlon o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C. D Misc.
Type of Constnlction: II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: F H I M R S U (excluding land)
Division: I 2 3 4 5
x
Contractor's License No.
Permit Fee
~ 0 0,00
67. 2S
#
#
Park Support Fee
SAC
Plan Check Fee
Water Meter Size 5/8"; 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
2.0
Pressure Reducer
Sewer/Water Connection Fee
#
#
fI, 0 0
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Buildlll!! Ofticial
Date
$
$
$
$
$
$
$
$
$
,Z5
S12-1
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 Zonmg compliance and allows construction tn commence Bcfl)fe occupancy, a Certificate llf Occupancy mllst be
issued
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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~::y I PERMIT NO. A / _ rJ. .~:u1~''''
3_ Yellow Applicant U1t2- rZ....E
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
G/N~e~
(Phone)
9S-..2- :1-12- 7(,<10
(Address)
APPLICANT LJ .
(Name) //.-r ~W(!'#~ C~_
(Address) ~ J ~ c.f;;Y39?~/ ~L-"f/2'/ JLj E:
(Address)
(Contact Person) ~)'(fi)/ ~~5t7d/":;
APPLICANT SIGNATURE ' /...?,a/~~
(Phone)
(9~) ~9-&89"8
~~/)j? ~t794
I (Zip Code)
p..~) 1"0"9.-~t?
~ . ---0'
I (City)
(Phone)
DATE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
1- V Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
:l- V-' Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
-1 ~ Bar Sink Lawn Sprinkler
~ V Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Q
Estimated Cost $ ~?tJ;;J Building Permit'#
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
~
Date
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Building Official
Date
By ,5-11~
24 hour notice for all inspections (952) 447-9850, fax (952) 7 245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
5f>' J
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r-a I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
---------
lo.... ~_ _~ A /J
FRAMING j,///y / f.~,!O
INSULATION I v VJ'
ELECTRICAL
PLUMBING
HEATING (if required) i
FIREPLACE
GAS LINE AIR TEST v1 \)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
~ ---- -
BUILDING ~ 1-- rtrf
. J
ELECTRICAL
PLUMBING ./11
HEATING v --.J
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