HomeMy WebLinkAboutBuilding 02-0257
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3--29-V -Z_
1. White File I PERMIT NO I
2. Pink City . O' Z- - O? c:. -;
3. Yellow Applicant , - c...-- ~-' -L- '
LEGAL DESCRIPTION (office use only)
LOT~ I BLOCK 3
" f.,iJ S .50 . 'k
PID 2.5. 3B2.-0
-()
ZONING (office use)
101
OWNER
(Name)
(Phone)
(Address)
~~~~~ZLAFF ~Mf$1
(Contact Name) ..j t::;ff'
(Address) '1A;
IfVO .
(Phone) 1st-1~5-411::;
(Phone)
TYPE OF WORK
~ New Construction
OLower Level Finish
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
ODeck
~ Fireplace
OAddition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) S
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 th1 uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en on the prope to erform ne ed inspections.
X ~ '2tJ1~~7 3-2.7-02-
Signature Contractor's License No. Date
$
$
$
$
$
$
$
$
4- e '02-- $ fJ ~Q. 85
~2~Jo~[ I r:::,> 4-/2?d--
#
Park Support Fee
SAC
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $ 35'.50
Gas Fireplace Permit Fee $ 0.00
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
ecomes Your Building Permit When Approved
\ Paid
Date
Q-2-o?-
Date
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 si ned by th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss ti!g-!fYl--- ~~~,~~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,. '. ~ t t. .
White - Building
Canary - Engineering
Pink - Planning
Thr ernl<< nf Ihr \.okr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/2A/ZL.-A FF
3- zCj- (;2-
-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53+fc: 6r)G;L-E~ E/DGt6
Accepted
)(
Accepted With Corrections
See Attachments: 1) Gradmg Plan, 2) Erosion Control Measures
3) Erosion Control Plan
liThe 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."
. \
i
I
. i
!
White - Building
Canary - Engineering
Pink - Planning
Thr ernlf' of thr ".kr Counll'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
JeffTUIt FF
:3 - z.-Cf -- () Z-
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1534-h
G i7 G;t-,E-.5
E-IO(;,G
Accepted
Accepted With Corrections ><--
Denied
w~~-
~~
Date:
1-2 -o~
Reviewed By:
Comments:
r4Jafl affakd
"'"
"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."
White - Building
Canary - Engineering
Pink - Planning
The Cenll"r of the Lake Counu'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,;" /
)~
~~...~...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-
I ~~.~.
Accepted
v
Accepted With Corrections
Denied
o/~~
Date:
L( /5/D2-
Reviewed By:
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
4-" /1- ()2--
I. Green File I PERMIT NO
2. Yellow City. . tJz'oz-S7
3. Gold Applicant
ZONING (office use)
'S"J l.f f: t;1 (.,'(. ~ S AI P(,-'; IV - 1.0 <
J!.--/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID7~Z:;-3BZ- /JeG-O
OWNER
(Name) ~ It T:z. L t',t:-;:..
(Phone)
(Address)
(Address)
(City)
(Zip Code)
::;~~AYk. E:J'I-I6I2. b 'XC.
(Address) 1 ~ tl J' r cfcz..J
(Address)
(5 l-\. r C i,j
(Phone) (9IJ) ~/.2-' 16t
\..U 1+-'1
LI'- i./L.
(City)
S. T C"I '-I
(Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE i 1'1 0.).
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. 0 ABC , \gj PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at -- feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ ~
$ ~
$~
/'
~~
p~lj) ~
6V1vD
t:J(;
Estimated Cost $ Cj uo ,.
Building Permit # () Z. - () 2-57
(Office Use Only)
This Application Becomes Your Building Permit When Approved
P 144--" 4- -/1 ,. ()I--
Building Official Date
Dat}j .
c.r- '1-o"L
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
PLUMBING PERMIT #
::~:::I:~~.at~fV\~~Phone
Signature: ~ · . :... D L-
Legal Description: Lot ~Block __Sub
so. Address' 153'41<0 €:=,e' f.;J.~ fLu),
BUilding Permit 1# ~ ~ 0 )..5..::1-- PID #_-
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
05-13-02 11:26 AM FROM FGTN PLG HTG
TO 6124474245
~)
. .'
.....___ _0'"
POI
1 1I1..~ "'Ie
2. Cluh\ Cily
3. Yellow i\WIic:anc
~":J57
""t (...01...... of Ih.. 1..IIl. r:o"nlr,
Quat'1tity Type of Ft:Qure Quantity Type of Fi~ure
~ Bath Tub with or without shower -3 Rough-ins
\ Dishwasher I Water Heater
\ Floor Drain , Water Softner
4 Lavatory (bathroom sink) Stand Pipe (washing machine)
1 Laundry TI'8Y (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Baddlow Assembly (RPZ, Double Check, PVB)
1 Sinks Backflow Assembly Test
Bar Sink 1 Lawn Sprinkler
3 Water Closet (toilet) Other
--
FEE SCHEDULEJ
Industrial, Commercial a~F../I}~y I. I
(1% of job cost. 539.50 minim~~c;(e~ $
Residential. New One & TWoj:2"i1Y $9g6~ $
Residential, Additions & Alt~"" ;' !oI ' $39.50 $
State surcha'g. r d R S
r"". ,
GRAND TOTAL - !Ie
This permit is granted upon the: upress condition [hat said
contractur. shall comply in all fl:spect5 with the ordinance:s
of the: State: Plumbing Code: and the amendments Ihc(l2)f.
RECEIPT NO. ~TE
A TI1:ST
Call for all inspections 24 hou
",..--
/BU!' P.D~!D tAlfiH
~ ~- ~4\"G F 1
; .i
16200 Eagle Creek. Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employef
b:;'-()~Sl
White - Building
Canary - Engineering
Pink - Planning
Thr C'tnltr of 1hf La"r Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/~! I-frZ c A FF
___ ?7Cj_ (;2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'r-' ) ..... /_ L} r --" . ,
/._':-; "I-If c.-- ;-- e-; C t:. ~ i.-:!- ! U CSl b
Accepted
)(
Accepted With Corrections
Denied
Reviewed By: IIIlJlj Date: '7-:2 -0 2-
Comments: See Reverse Side for Additionallnformationl'
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
PRIOR LAKE
INSPECTION RECORD
R.~.
DE_PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JS.1t.Jlo ?~l~.~
NATURE OF WORK J\).eu.J
USE OF BUILDING c<;FI\
PERMIT NO. (J-z, -0257 DATE ISSUED ~ -;). - Cf)
CONTRACTOR .Ba.+'2.IQ.r~ ~~ PHONE ~~ -41 t"]S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) A :24-
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS I
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING DO--
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST }t~ i/ ~ 15 \b
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTil ABOVE HAS B
NOTICE
{...:.o Of\
"-4~OZ.
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850