HomeMy WebLinkAboutBldg Permit 08-0666 LL
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CITY OF PRIO~ LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. Cf8~fb6 I
I I ZONING ,- =) I
1?;;W1Za;c1 "!M7( iV.tV
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
(phone) r;t~ cr<f?- /6t S-
.w.
(phone)
(phone) tJ;C:;;- 9'37- O'cJOS-
9'//~ ~Sl?crd,
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtiIity Connection
o Fireplace
CODE: ~.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
o Mise:
4f
PROJECTCOST/VALUE S 0/5DD
(excluding land) I
II mIVVAB
F HI MRSU
I 2 3 4 5
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 state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:fficial ~ rPV/1cTfor just cause. ~ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's icense Date
Permit Valuation 360f). - Park Support Fee
Permit Fee $ '1 S SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ l.50 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
Gas Fireplace Permit Fee $ TOTAL DUE
#
#
$
$
$
$
$
$
$
$
$
"'--
#
#
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. Befbre occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions. if any
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
6.2908
t ~~L ~:licant I PERMIT NO. C8 --""I
ADDRESS f r I ZONING (office use)
53st( w,tc/t4loocl ~1lIh ;1/ tN..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&-:R J)~D ~ ~ .:=I21 tc leA-
(Address) s3'SZI tJl{J~ ~/.IV.W.
(phone)
APPLICANT
(Name)
t..c.~i)r
(Address) ! 511 ~ ~ <{ '/j' Splt:er /tIM-17i
(Address)
(Contact Person) ~l J.
APPLICANT SIGNATURE
/"
(Phone) 6;5/ -~39 - K<<JY-
dj/~ . #AJ S-)"{)~::J...
(City) I . (Zip Code)
(phone) ~ 51-- <{ $9 - ~IJ 0 ~
$ -z.t, -tJ~
DATE
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra I or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $
Building Permit #
.50 ~ <.<J I '(lJIIVl i i
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
...
DateB. '~o' ()~ By
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE DEPARTMENT OF
... · ...., "... .. . ' "... .. .... BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS '"3. ~6+ ~.....o-~.,.,.1O Tt2Ac '" ~. Lc.J~
NATURE OF WORK FCr--tISt; . L.0<j; .~
USE OF BUILDING ~ I'tr (I- .~
PERMIT NO. oe.. ~~ DATE ISSUED . tr./z. (~t:>
CONTRACTOR "AU ID "1.1..'-'''-04 PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
_(Prior to Backfill) I f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH .,INS
INSPI!CTOR
DATE
II --..:-
i
~TER I SEPTIC
we..-
FI TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Prior to Soddln
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.ln 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