HomeMy WebLinkAboutBuilding Permit 09-0276, Plmbg 09-0265
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
Harbor P(aev
I PERMIT NO.O~ 02.~s1
1. Blue File
2. Gold City
3. Yellow Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone)
Pri &r La-
~
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PL
T e of Fixture e of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavator Bathroom Sink
Laundr Tra 1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
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 $ 1r ~
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 19,fv
$ --I .50
$ j' O. rJ[)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
Paid 50, (j 0
Date S"' . 2..0 _ f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White File
2. Pink City
3 Yellow Applicant
5.2--7'1
PERMIT NO.? _ 2 7' I
i-
at bottom)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
/.
~=R ~ -k- iUl d 150'11'\; ~
L.e.v a11 '1
(Phone) 9.52~<j6.3~ 9~S2
(Address)
E..
-f
BUILDER
(Company Name)
(Contact Name) .$ ~t"')'l "-'
(Address)
(Phone)
(Phone)
TYPE OF WORK. 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
ower Level Finish 0 Fireplace
o Misc.
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
><
I hereby certify that I have filrnished mformation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
official can revoke this permit for jt t cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform necded mspections.
~ ,5 --2.7 -09
Date
x
Permit Valuation I C>CX1 . OD
Permit Fee $ ~q. 7~
Plan Check Fee $ . SO
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Pennit When Approved
Contractor's License No.
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 $ 55'. 2 S
I ~;ce~o. 5'r1~r
Paid
Date f/Z)/1J7
ThiS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
o
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS &.54-/ 11//1e.!30te- fJt.,/Ie6
TYPE OF WORK LOW6~ &-131/61- 73r:r71-1JeoOM
USE OF BUILDING taSS,4-/,e....
. ,
PERMIT NO. 09, 0 Z 7~ DATE ISSUED 5. Z 7. 0 l
BUILDER LbV.rlN~ PHONE # +-0.3. 1(,52-
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
U 6 f." e e1JG.{ Vi L- I I
PLACE NO CONCR TE UNTIL ABOVE HAS BEEN SIGNED
FRAMING Pi..- tex INS.
U)'-
INSPECTOR
DATE
FINAL
FOR ALL INSPECTIONS (952) 447-9850