HomeMy WebLinkAboutPermits 00-0965,01-0995 & 0996
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
White File
Pink City
Yellow Applicant
(Please !We or orint and sign at bottom)
ADDRESS
5335 140TH STREET
LEGAL DESCRIPTION (office use only)
LOT 4 BLOCK
ADDITION NORTH SHORE OAKS FIRST ADDITION
PID 25-066-004-0
OWNER
(Name)
STEPHEN C. THOM
(Phone)
(Address)
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
OPorch
DAddilion
ORe-Roofing
OAlleralion
ORe-Siding
OLower Level Finish
o Fireplace
OUtility Conneclion
o Misc,
PROJECT COST IV ALUE (excluding land) $
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
Signature ft;,ocL;
x
Contractor's License No.
Date /1~/-t:1L1
I Permil Fee $ Park Supporl Fee # $
I Plan Check Fee $ SAC # $ 1,100.00
I Stale Surcharge $ Water Meier Size 5/8"; 1"; $ 125.00
I Penalty $ Pressure Reducer $ 45.00
I Plumbing Permit Fee $ SewerlWaler Connection Fee # $ DEFERRED
I Mechanical Permil Fee $ Water Tower Fee # $ DEFERRED
I Sewer & Water Permit Fee $ 35.50 Builder's Deposit $
I Gas Fireplace Permil Fee $ Olher $
Pt4X' 0 W 1,305.50
This Application Becomes Your Building Permit When Approved TOTAL DUE I1r~ II. I. fJ{) $
I Paid ;,305.50 I Recei:i~<J 3~7/
Building Official Dale Dale .; / - / - (J 0 By r '-- ~-
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
GREEN - FILE
YELLOW - APPliCANT
GOLD - en.,
CITY OF PRIOR LAKE
SEWER AND Wl\,TER PERMIT
S.W.No. OI-09'?.s-
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: S ~ fl);
ADDRESS: jOlt IHA.<J~~'i,,,
SIGNATURE:~~
U ~
SITE ADDRESS: 5"53D 1+'0'(.::,'
DATE:
9ff2~alr--1/ / l.ffj'
9-/a- c:r J
PHONE:
BLDG. PERMIT #
PID# Z-5-()fo(P-004-0
FILL IN THE BLANKS
1. Estimated length of water service
70
feet.
2. Size of water service
I "
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
$
$
$
-----------------------------------
----------------------------------
----------------
----------------
This applicati
BY
============L=
FEES:
your permit when approved. I
DATE: t:j-II~O
I //~-'"
================;,===============================~ '"'
Sewer and water I ine connection perm' . d (,(1 yj "
Surcharge f>/ b
TOTAL
*
individually is ~j7~
"'-0
~
-"----~/V
Sewer and water permits issued for new construction (must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
Fee for either sewer or water
$ .50 surcharge.
*
DATE PAID
//au
H~4-
AMOUNT PAl Dj"A / fJ.fXJ
REC I D BY /,V7/'
/
RECEIPT #
16200 Eagle Creek Av. S,E,. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opporlunity Employer
fW:
.'JVNESO"t-
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
9-1/- 0/
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NOf)/_tJfj!/117
(Please tvEe or Drint and sign at bottom)
ADDRESS
5335
J 40 !l!
Sf.
ZONING (office use)
RI
LEGAL DESCRIPTION (office use ouly)
LOT ~LOCK
ADDITION ;VOR:i1/ .s1lt'J,e,~ C//,K..:5 1ST /lOON PID 25-0Ur 004--0
OWNER
(Name)
s7c-M6N 7JlOH
(Phone)
(Address)
_ /' U(.. 7110 v?
-- C4'f"T..., , f (Phone)
.5.335 /-I"tJ77'I' ~ -p ,_ L-_
(Address) (City)
',Lnlact Person) ...5:'L IJ! (Phone)
tl?PLICANTSIGNATURE ,Jf;/"-r1\ ~E q~/J-/
APPLICANT PLEASE COMPLETE .6:Zow
Type of Fixture I Quantity
Bath Tub with or withoul shower Rough-ins
Dishwasher I Water Heater
Floor Drain I I Water Softner
LavatDry (Bathroom Sink) I I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I I Sewage Ejector
Shower Stall I I Backflow Assembly
Sinks I I Backflow Assembly Test
Bar Sink I. I I Lawn Sprinkler
Water Closet (Toilet) 1HZ J) J .t,'I"./1 ptJleD
. I .lIvv v(-
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
APPLICANT
(Name\
(Address)
(Zip Code)
Quantity
Type of Fixture
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Eslimaled Cosl $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
::37- 50
.50
4-(J, 0 ()
(Office Use Only)
ur Building Permit When Approved
4' 1/ -; f
Date
I~
I bale,...:/
,-/(- () I
R~~
BY? I
24 hour notie. for all inspeclions (952) 447-9850, fax (952) 4474245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 5'~ '3 S-
/46 ~ AJ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
/!II WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
~-~-
~ ....J:i.-...
~ e:-
DATE TIME
1(llj6( A, T7 S,OO
,J,_ C; &,S
~ '-"
,l!_ Qq/~
() 1- ct' q. r;-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o P<i/. '
ND~-~
~c..:rJU In- w-dP ud-,
,..-.... (/
{/~~
'f. WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/HSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SQHEDULI!D
DATE TIME
q-//~tJ/ / ;/5
/I/{) ZA S7-
ADDRESS
533S-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION ~~, 0 MECH RI
o FRAMING EXIG ~WATERHOOKUP
o INSULATION ...r "yA-:~D SEWER HOOKUP
o FINAL \ /-.".., 0 PLUMBING FINAL
o SITE INSPECTION ~ 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:(D
rJ~ b"
!,k,'~j?
f~ ~~ in \~ ,
-2B ~ ~"-h ~
r I \J V
4 ~--"....,..
-
No lA~- +~v 'Af rj'"L
0~~ ~ .,Q~~ 'l~'
Nr&iL tn 0~,. IAfl.U ~ ,'\L- 4'C~
wd.) ~'A-"'- ~j L~ ~JrJ'
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK~ FOR REINSPECTION BEFORE COVERING
Inspector: " ~ r ' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/'lSNOT1