HomeMy WebLinkAboutBuilding 02-0241
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3---11- 02-
ADDRESS
-k~
LEGAL DESCRIPTION (office use only)
LOT LOCK 3 ADDITION
OWNER
(Name)
.It'u)w\tU:>
,
L;:,\i
(Address)
I. White File I PERMIT NO I
2 Pink City . /)~ _ 0 '7 A_/
3. Yellow Applicant (L?/ _~~ 4 ,
cJ,
ZONING (office use)
,l::JSL)
I t~
. .
~b
-0
(Phone) 'I q-z.-.~~, ;;-2.0 7
BUILDER
(Name)
(Contact Name)
(Address)
S~l~
(Phone)
(Phone)
TYPE OF WORK
o New Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
"'Iiil.-ower Level Finish
o Misc.
3 J2Jt16.
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Addition
o Alteration
DUtility Connection
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ 1.51
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ ~tJ. 0 0
our Building Permit When Approved
Date
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 $L5(P.25
I~O
~/5'o/
Paid
Date
/S~/tJi
3- -Cll-
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
BY!.lt,
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: -3-/4- cJ z..
Building Permit # OC ~02 4-1 PID:25 -J18 -u-f-f; -()
Site Address 67 '7 8 ~W/,U{i TZJtJ f!.;T.
L 1-::;>5
egal: L __
Zoning:
~/.r 0
3
Subdivision: Wtuot:ktv2S.! rtJfJOJ
B
Existing Structure: ~r NO
I CONFORMS TO ZONING
ORDINANCE
~I
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? l,/
Is the property located within the flood plain? Refer to Planning v:
Does the alteration include any additional kitchens? Refer to Planning
'>6
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? y
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single \..p
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED A.l'fD INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW,
L:\TEMPLA TE\AL TCHCK.DOC
White - Building
Canary - Engineering
Pink - Planning
Th(" Cenfer of fht> Lab ('oun'f")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
?ETE/2-50Al
3--/4-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
6/'76 t,,-G)t I ;VGJ 70 N C!-T
Accepted
Accepted With Corrections
Denied
Reviewed By:
~ Dale:
7J-t13;. L-OWEX- U:;V6 G
PlAI!-f H H /{1\./ Dour-
3-/4-02-
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
:3-/ tJ~{) L
I. Blue File I PERMIT NO 4-- I
2. Gold City . () '/~o 7. I
3 Yellow Applicant _ ?: (,- _
ZONING (office use)
~ /7fJ
I .1 ('.'-
l/bx / IV~ TZJ /v /1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25 - 3/0 -()4tJ- 0
OWNER
(Name)
'krE:J~_S;C) AI
(Phone)
(Address)
~~:~~~ANUJ'}/It rUohl h,~
(Address) €>b'lJ {)tl41j'.fttJM ~ ro/t.
(Address)
(Contact Person) C~;'5 ~~/Z./f/>
APPLICANT SIGNATURE _.h: 7~
- ""..."""-"
(Phone)
5'>55;;2
(City)
759-<;/7~ - d/..,;1.(
(Zip Code)
(Phone)
DATE
? ~ /Cf _Ci c.....--
APPLICANT PLEASE COMPLETE BELOW
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
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
C/2-DZ+/
---~
r- ~\O G PEP~\'~\T
.50 SUlLO'''' -
-'
Estimated Cost $
Building Permit #
(Office Use Only)
This Applicati n~if/"}es~~ur Building Permit When Approved
/Y/ .f3 3 - Iq -0 Z--
Buil g Official Date
Date",:> I /1. /.
.)- <-~I ~ U L-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .5/ 28 G- 6 XI/i.J/{)I\/ c!..-1.
NATURE OF WORK L owue L '6 L-
USE OF BUILDING 1265 A //C-
PERMIT NO. 02-024-1 . DATEISSUED 3-/L/....()2-
CONTRACTOR 257l3ES'OtJ PHONE 440 '52.06
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL W
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I f8RT - -~
,~
. C;~.-":. ::;;;;;._~~
I
~- L. I ~ RU a fill) I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
.IC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
fIR,_gnJ~_ _ ___ [ r II,)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electr~cal 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850