HomeMy WebLinkAboutBuilding Permit 05-0887
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 If'- vS-
File
City
Applicant
I PERMIT NO. Os. () ee 7 I
I White
Pink
Yellow
at bottom)
ADDRESS ~ 4-t3
~aL-.r er.
ZONING (office use)
/01
LEGAL DESCRIPTION (office use only)
LOT f BLOCK.::? ADDITION ~~U:-/ Jou7l-l
PID 2"~ 3'1~. 04>1. 0
WNER 12_ -
(Name) I Jtl./W f/tZJt11fP---- (Phone)
(Address) 37LI.. _1B-P-j"?lJ L'r.
Y5,J -t;I.;l.I.- 3 (()(i ~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
Lower Level Fimsh 0 Fireplace
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S U
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 authonzed agent for the
Jbove-menl1oned property and tha onstruction will conform to all eXIstIng state and local laws and will proceed in accordance with submItted plans. I am aware that the buildIng
offiCial ca~oke thIS per fa ust use Furthermore. I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed InspectIOns.
X ( Ci-ll.(~() 5"
Contractor's License No.
Permit Valuation 3 otJo_ 00
Permit Fee $ '7/f-, 7-_5
Plan Check Fee $
State Surcharge $ I.m
Penalty $
Plumbing Permit Feet$i ~~ I/Tk:- $ rtJ. () cJ
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
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
This Application Becomes Your Building Permit When Approved
.~~
-;u1--
Buildlll!! Oftieial
Date
Date
$
$
$
$
$
$
$
$
$
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. TIllS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
MEMORANDUM
DATE:
Tuesday, March 20, 2007
TO:
Janet Ringberg
FROM:
Lynda Allen
RE:
Building Permit #05-0887
3748 Jeffers Court
The owners of the above referenced building permit have opted not to complete their
building project. Please refund their permit fee as follows:
Permit Fee ($74.75/2)
Plumbing Permit Fee
TOTAL REFUND
$37.38
40.00
$77.38
Mail refund to:
Brian Thompson
1127 Vista Ridge Lane
Shakopee, Minnesota 55379
Thank you.
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
ijo. Q)
~.:~ ~!~ I PERMIT NO. OS.O. atr7l
3 Yellow Applicant . . uo ~
ZONING (office use)
Ffers C
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2;5-. 3'1 s: O(p I. 0
I OWNER ~ \, .'\ ~.
. (Name) I'-t,~:' ~'(Y\ r~()Y1
. (Address) ~ ___ _~f(J:(_ (-t.
~~~~ANT ~2- l2-t.!ClV\
(Address) 1-200 VV.. Ht V fA
(Address) J
(phone)
1..3
( Duc)
S5337
(Contact Person)
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
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 Permit # 050&87
$ ~q 50 PAlDWfTH
$ . , .50 BUILDING PERMfT
$~O .00
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
~
Dateq 22.05
By
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING 'AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE (J(J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I I
~I
PLACE NO CONCRET TIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
------ --
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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 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