HomeMy WebLinkAboutBuilding 02-0963
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Pat
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK
Date Rec' d
g'J-oJ---J
I. White File
2 Pink City
J Yellow Applicant
I PERMIT NO. 02 -o9~5
ZONING (office use)
ADDITION PID
OWNER
(Name)
(Address)
(Phone) (55"1.) tt9t..., ,- 9 &0 I
BUILDER
(Name) Si.:/.... J:::"
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
o Misc.
~ower Level Finish
o Fireplace OAddition o Aiteration o Utility Connection
PROJECTCOST/VALUE (excluding land) $ -# 7 000;=
,
ODeck
OPorch
ORe-Roofing
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 aU construction will conform to all existing state 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. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr rty to pe rm needed inspec 'ons.
x
Permit Valuation ~
Permit Fee $
Plan Check Fee $
State Surcharge $ 2. DO
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ LID.
Becomes Your Building Permit When Approved
fP -(,. D'L-
Date
Contractor's License No.
51)0110;2.
Dati
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /u9zS-
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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~~
LEGAL DESCRIPTION (office use only)
I. Blue File I PERMIT NO
2. Gold City .() 'L 1/ (7; "7 2.
J. Yellow Applicant . f: L
,
ZONING (office use)
LOT
BLOCK
ADDITION
PID
l~w~V.
(Address)
_- - ~ Jf1/p -ctkD 1
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
~!.
(Phone)
..
,~
I
A
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
\v
Quantity
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Residential, New One & Two-Family $99.50 ~ .
Residential, Additions & Alterations $39.50 ,{
, it.' ,~"-
OPO
Estimated Cost $
Building Permit #
.50
(Office Use Only)
'--10 '
dLP
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 41~~~rJ",~ Cf
NATURE OF WORK ~v- -4-tM.J R'^-c-.A..
USE OF BUILDING S r:D
PERMIT NO. 67 -vq(p) DATE ISSUED 8 -ft,- o-z.
CONTRACTOR VQ,1~ PHONE '/S"'2-'i'1(., - ,/(,6(
NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~G I I
~i j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
1
1
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 1
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 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