HomeMy WebLinkAboutBuilding 02-0795
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7- .;L-~
,3;N-/j
~
It/dd
I. White File [PERMIT NO ~
:::;::. ;;:;;~, . C3.;2- 7'l.;J
ADDRESS
a:v
Z~G (office use)
LEGAL DESCRIPTION (office use only)
LOT~O BLOCK L/ ADDITION
~~RB' I
~., r,AN ,.
PID~-
~- Id-.~-
(Address) '.~ 2.2- 7
s~ '1h'''joS,..J
w vLJ A()f~ r tIC /lJ0
(~l'!.. 9Sl...- crt'!- 7'" Ji'
;})ER .
~) ~4.C(p..1 CbAJ~J.,i.4.J..o,.)
J8III!LIl'.atpe) ,c( ik 1~t?4""d" 1;-
'aOlllClI1..)
=
....~) 6/2 -;P.}- - J.)t~
(~) ~n-"S-r-.:2.') 2'1
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace
OAlteration
OUtility Connection
I hu,by -IY "'" I h,~ fumi,hoo i"",,,,,,"~ ~ .." 'ppli''''on which" to "', "''' of "'y knowkdge <rue md ronett I ~'" -IY "'" I '''' "" ownu '"
'o"oored '''''' fo, ", 'bo~-"',"lio",d pmp,", md.." ~I ron,_on will ronfonn to ~I ""ting "'Ie md Io,~ I,~..d will P'o'ned in ,=_" "..
'"'mitted pi..,. i '''' ''''''' that'" bOil"'ng offici~ ,.. =ok, "", """" fot io" "we. Fortbo-m~. I hereby ''''' "" "" city offici~ ot, "'-"gone ""y
enter upon the property ~eded inspections.
X
PROJECT COST IV ALUE (excluding land) $
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ 2.00
Penalty $
Plumbing Permit Fee $ .OCJ
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
~
. .. m.;
. "lIt
Becomes Your Building Permit When Approved
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 $ I J.. q, d 5'
)-) - 02-
Date
1~~: .71 f~~~ l:;ceiPlNO ~ ~
"" " 00 '""' "," ;h, """~, ;, ;he '"'" ,,,,,,,tloo ~d "wID"""iog d~~o " m 'crmd~cr w;;h ili, C;~ z_ Otdirurncr ~d m" ","",d """'"oW l1ili dow",,",
tl~ '''''''' tl, "" C;~ P,,""u wmtlm", , "mpo,,,> Cfftifi,," of Zoom, w'"'''''''' ~d "'o~ ~"""'"" 00 romm<ocr. """ o_~"'. , Certifi,," of O=P~ty =" b,
ued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3~8
I. Blue File [PERMIT NO.
2. Gold City
3. Yellow Applicant
;?-rq-r
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID-25 - <-' 6;;. - /;;S )..
(f~.IIL~ .
- /7/1 OVVJ pc; 6~-)
'3;)7 w: J
(Phone)
(Address)
/"I
,
Pic;:"" f.:J( :..)
'f IV
,..". J/; 3,- 56 C - S 53'6'
/oolc-A ~7 ,7i'fr t11IU 5'5(1;) <:.
~\ (Zip Code)
~::- 7b.~--L/3;J -3)/'-/
1\/'"
L
f
- 1 I_J~!', /t-
lJ~~,
"-
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Pennit #
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Date
Paid.
Receipt No.
This Application Becomes Your Building Permit When Approved
Building Official
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .~ 7...L? w..dd? i/&--z.<ztz. ~
NATURE OF WORK 1-.L '::;-....t-~
USE OF BUILDING = 5F
PERMIT NO. iJ:; ~'1 5 DATE ISS~ED 7- ~ - OJ..
CONTRACTOR - l{C Ct; y 60 n + y PHONE.LoS? -I(~~ .)-~ CI--- q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW.
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
~Ior to Backfill) l' 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
]
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
E
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;
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 rougll-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