HomeMy WebLinkAboutBuilding 06-0911
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/O.lo.Ofo
1. While File I PERMIT NO I
i :;I:w I:~iCOnl . 0 (, . 0 9 / J
'/.1L f'j! ('J ~~ ' "'-t~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID 25.372-.031" 0
BLOCK
OWNER '1)ucJ{, ~
(Name) I
(Address) I
(phone) ~..\2-W-dOq2
[ _,_ O\>((hOne) ; 2 __ g,,-~-d.a12-
JJ c'J
TYPE OF WORK 0 New Construction ODedc OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
Lower Level Fimsh
CODE: OJ.R.C. OJ.B.C.
Type of Construction:
Occupancy Group: A B
Division:
ill IV V A
H J M R
2 3 4 S
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
II
F
1
o Fireplace
J (9, tJm
/
pf~
I herrby certify that I ha~ furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzcd agent for the
above-lN'ntlOned prop<' and that aU constructio 11 conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offi' can e Ihis p it for just cause. Fu ore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed Inspections.
~C)r gOb 0.5
Contractor's License No.
x
"3 Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ - Water Meter Size 5/8"; I";
State Surcharge $ ,JO Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ +0 . () () Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
$ TOTAL DUE
#
#
#
#
//)11)- 0&
Date
$
$
$
$
$
$
$
S
$
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 requl'Stcd. This document
when signl-d by the City Planner constitutcs a temporary Certificate of Zoning complian~ and aUows construction to commen~ Before occupancy, a ClTtificatc of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (9!12) 447-9850. fax (9!l2) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372
i='FiJl1
FRX NO. :9524473327
Oct. 25 2006 09:52AI1 P2
Date Rcc'd
CITY OF PRIOR LAKE PLOl\1BING PE~fIT
. I
;. ~~ ~:y I PERMIT NO. /~ 1___-.L_Ll_I_./ 1
J. Yt:lkn.v J\pplr.:.~t ,,_~ . 1 .
rint and !!gn at bottom)
-------.--..-l
I ZONING (()fH,i'
u,,,,j
17322 Deerfield Dr.
-
LEGAL DESCRIPTION (officf! u~e only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Harriet Johns-,?_n
(Phone) 9 5 2 - 2 2 6 - 542 4
(Address)
17322 Deerfield Dr.
APPLICANT
(Nam~ Dana Ho!qland Plumbing
(Phone) ~~2-447-3326
(Contact Person)
Dana Hoag~.9-~nd
(Phone)
55372
(Zip Code)
651-755-6528
(Address)
21061 prairie Hills Lane
(Address)
Prior Lake
(City)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
! Quantity Type of Fixtur~._ Quantit)t TYllC of .Fixture
1 Bath Tub with or without shower Rough-ins
_..... -,---
Dishwasher Water Heater
Floor Drain Water Softner
1 Lavatory (Bathroom Sink) Stand PiP~JW a~!?j.n~ M_achig':2-____
\ Laundry Tray {lor 2._comDartment sink. ! Sewage Eiector
I 1 I Shower Stall Backflow AssL-mbly
Sinks Backtlow Assembly Test
,-.....
Bar Sink La\Jm. Sprinkler
_L-___~~ter Closet (Toilet) - ..-
Other
--
FEE SCHEDULE
Jndustri~l. Commercial & Multi-family 1 % of job cosl with a $39.50 minimum
Re.sidmlial. New One & Tw~Family $99.50
Residential, Additions & AlterMion.~ $39.50
Estimated Cost $ Building Permit #
PLUMBiNG PER..l'v1lT FEE $
STATE SURCHARGE $ __.c~Q
TOTAL PERMJT .FEE $
(Office Vie Only)
This AppllcatJon Becomes Your Building Permit When Approved
Paid
Receipt No.
~
I
Bulldln(! OtnclJll
Date
Date
24 hoor notice for Blllnspocdon~ (952) 447-9850. (ax (952) 447-t2.1S
16200 Eagle Cr~k AH~.. S.t., Prior Lab, MN SS372-1714
OCT-25-2006 11:24
r ~1-i1'1
CITY OF PRIOR LAkE
9524474245
P.02
Daie Rec'd
CiTY OF PRIOR L4.KE PLUMBING PERMIT
IOj~~, 60
17322 Deerfield Dr.
t ~~.. ~:l_ \ PERM)T NO. {p. q Ii.J
".--------l
I
ZONING (,IftiCl'
Il,~)
LEGAL DESCRIYTION (officI< US~ O1\!y)
LOT
'BLOCK
ADDITION
PID
OWNER
(N;)m~)
Harriet Johnson
--.-
(Phone) 952-226-5424
(AddrcS3)
17322 Deerfield Dr.
.
APPLICANT
(N3m~ Dana Ho!qland Plumbing
(Phona) ~2-447-3326
(Contact Person)
Dana Hoagh~nd
(Phone)
55372
(Zip Code)
651-755-6528
(Address)
21061 prairie Hills Lane
(Address)
p..!'ior Lake
(City)
FEE SCHEDULE
lo(juslri~l, Commercia.! & Multi-family 1 % of job coal with. a $39.50 miDim\Jm Ri!sidcotial, N~w On~ & Twc>-FAA1ily 199.50
({es.idc-(ltia1. Additions & Ali.mtion.~ S39.50
C oC Fixture
APPUCANT SIGNATURE
ROll h-ins
Water Heater
Wat~r Softnl:r
Stand PiP~ (Wa~~iog M~~
Sewa e E' ector
Backflow AssCTDbl
Bsckflow Assembly Test
Lawn S rinkler
Other
1-._
E6tiro.:!.led Co~t S Building ?ermit #
PI~UMBING PERMIT FEE $
STATESURCHARGB $
TOTAL PERMIT FEE $
l'A\O wrrH
__.<~U\LO\NG PERM\T
(Offlcr tllC Only)
Bulldll\lI omdlll
Da"
Receipt No-
Thl~ A.pplicatlon Becomt>t YOUI:' Building Perm~f When Approved ,I
II
I'
;;
1
Ii
24 boar a.otkc for oil tMpocdon. (951) ~. -9850., (all". <'52) 447~2.1S
16200 ElIgle Cr~ "'''c., S.t.. Prior ,MN 55372-1714 I
J --- ~________..___:.::.:::::==]
By
TOTAL P.02
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILO'iNG AND INSPECTION
/7322- O&6fC+/Gcv
L~ ~l/67--
USE OF BUILDING ff.'. A-
PERMIT NO. .O&' I 091/ DATE ISSUED 16, /0, db
CONTRACTOR P'c776 PHONE biZ. Z15Z 12-09"6
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
__ r~- I
I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
~--
"'"'
. ,
} i-, ~i.
-- -- --
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
/r- D( '~{
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(L ~.'Vt
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