HomeMy WebLinkAboutBuilding 06-0646
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
--1. (8/09
\ .:t~~ CAs+1
NvJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
OWNER. . ~
(Name) \...e tf .
~. =. ~~~y I PERMIT NO_ 0/ . (;(p ~ I
3 . Yellow AppliClnt , t.o,
ZONING (office....)
(Phone) Cft2 - 2,?3-STo1
Ni,J
BUILDER l' J.
(Name) ~,,~ tloGk- eu~lJ.~ '\ ~e.v~A(..l\~
(Contact Name) JJ. C~I^- 1'Vf.lVl€~
C~'nIL tt'liJ,
(Address)
(Phone) CRt ~- S~O 1-'iJJ'O (
(Phone) b l '2-- Zf!, I ~~ 2r-
-.
-3/7
TYPE OF WORK o New Consttuction DDeck OPorch ORe-Roofing ORe-Siding
)J(Lower Level Finish Vvl ~ )<f Fireplace OAddition OAlteration OUtility Connection
o Misc. 4- ;e, '.5 PROJECfCOST/VALUE (excJudingland) S 30 ~
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing slate and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furtl1ennore. I hereby agree that the city official or a designee may
enx ~n ,/rope'J7t~r; n:ded in~ectiOns ~_ '-7 '- t"'1 J AI
~ <<-&-'------" J. 'zJ I.f'f 7 S-81.- ~~IP
Signature Contractor's License No. Date
Permit Valuation 4, 0 () (j. 0 (J
Permit Fee $ 87 c:-
J . Z J
Plan Check Fee $ -
State Surcharge $ 2,G ()
Penalty $
Plumbing Permit Fee $ 40. 075
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 4-0.00
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit S
Other $
TOTAL DUE $ I~ f. 25
.-
This is to C01ify that the request in the above application and accompanying docummts is in accordance with the City Zoning Ordinance and may procttd .,. ""IlIestrd. This document
when signed by the City Planner constitutes a temporaty Certificate of Zoning compliance and aUows consttuction to commence. Befurl' occupancy. a Certificate of Occupancy must be
~ed.
Planning Director
Date Special Conditions, if any
24 boor notice for aU inspections (952) 447-9850, fax (952) 447-424.5
16200 Eagle Creek Avenue Prior Lake. MN 55372
08/11/2006 10:15 FAX 763 475 2566
WELD AND SONS PLUMBING
~001
August 16, 200Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(-:;;'I.l-,l~uJ ;I^, So; ,.J Rou<. (3LA.IIJ,'ej PerMt,+-)
~.:': ~ I PERMIT NO"". ~ AI.,
1. YotIew Applic8ll1 . _ ~
(Please tYI)e or ~ and siI)1 at boCscm)
IADDf~ 00 . C"'-SfI-f'jO-k W/Af /AJW
I LEGAL DESCRIPTION ("""'" ""'YI
,LOT BLOCK ADDmON
I ZONlNG(...._l I
Pro
IOWNER
(Name)
(Address)
(phone)
APPLICANT
(Name)
(Address)
Wefd & Sons PlumbIng
~1 0 KDIII. Lang NbJ lh
"a MN 55441
( 5-0298
() Lv~ J :f((. .
&M
(Phone)
(Contact Person)
(City) (Zip Code)
(phone) 6/7......:2.-1.,,1--411 ~
DATE c:1-( (-0 b
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantit!! Type of Fixture
t Bath Tub with or without shower Rough-ins
Dishwasher - Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Baclcflow Assembly Test
Bar Sink. Lawn Sprinkler
1 Water Closet (Toilet) Other
FEE SCHEDULE
IndusoiaJ, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Resi'" "
Estimated Cost $ / , 75,0 0
.
Building Permit #
PAID Wff~
BUILDING
.5 ERMIT
fAG)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offil:e u. Only)
This Application Becomes Your Building Permit Wbeo Approved
J
BuildiDg OtfieillJ
Dete
I P~d
Date
I :iPI No
24 boar nO(je@ for "all inllpecl1ans (952) 447-9850, fax (952) 447-4145
"16100 Eagle Creek Ave.. S.E., Prior Lake, MN 55372-1714
Fq i--.. tt5~ - L{~v-1{ng
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
9.,/1,0 (p
i ~i:~~:w IJ~icant I PERMIT NO. a(p, ~,~
ZONING (office use)
/44UO
tAf/(,6a~ IVAi
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs: .?f ~ ()/, ~o
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name) S"~"te-'"^",~f
(Address) .Lv \ \..J.J,
V-J}')
~&a.U' l~' \
(Phone)
9'<; 1. ' '-\ '\ l. - 1 ~ 1 ).
~)S ~\
/
/
~I~
(Address)
~'T.
~ Pt- Ll;,;. I...) \ A-
(City)
(Zip Code)
(Contact Person)
~~
\c:-.....) ll-.""-
(Phone)
<1 c;1 - '--\ '--\ 1. - '3 It ') ')
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVen!. System
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
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.
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(J (,. 0 ~ft, (J Y
pitt 0 . 1116~
$cJ/~
.50
Estimated Cost $ Building Permit #
(Office Use Only)
Buildinl! Official
Date
By
This Application Becomes Your Building Permit When Approved
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
NATURE OF WORK
USE OF BUILDING
PERMIT NO. (J
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ -' :
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
-- -.-
FRAMING
INSULATION
ELECTRICAL
PLUMBING we
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-~--
'1
~
BUILD,NG
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