HomeMy WebLinkAboutBuilding 02-0486
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
\S~~(
Date Rec' d
_"m
~. ~i~i~e ~:~y I PERMIT NO. 0.<7 -/J.A:A,/ I
3 Yellow Applicant V ~ (./ -r l7 ~
-
1:=-.
ZONING (office use)
I</SD
LEGAL DESCRIPTION (office use only)
.5HO/265
LOT I BLOCK I ADDITION 61t/E.. WA
OWNER
(N ame)
(Address)
PID 25-a9 - 00/- 0
\-\ C E-(:;,
(Phone)
BUILDER \ L
(Name)"."",J \J.-.J ~(~~ Vv\A. tU
(Contact Name) ~ E...fL~~(
(Address) <Bb ,-<S L~~
TYPE OF WORK
~OV'n lL..~
(Phone) <i~l... '--\ bl ~252.
(Phone)
8lRe-Roofing
~Alteration
o New Construction
OPorch
~h"tl \'"h:.r
OAddition
ORe-Siding
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
I'
OUtility Connection
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
orized 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
sub . ed plans. I am aware that5building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ter u on the property t~ perform ne ed inspections.
X V_. .- - cO\\COiO\ _~/ \~/OZ-
Signature Contractor's License No. Date
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
# $
# $
$
$
# $
# $
$
$
$3 .0
I ~;e~ 4UgJ
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
..34-4-.0~
5-7- z---
es Your Building Permit When Approved
Paid
Date
q-?O-02-
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
:~' """d '" ili, C, Plmmcr mmtim", , "mp""ry Ccr,jfi"" "7""" z'-' md ""~ 4m~~m~"",, mo" '"
,? ~te t.92-- . ~al Conditions, ifany . ..- _'_~l,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Ret'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I...... file
%. 0aIiI Cil,
) Yc,to,.. """'H....".
[PERMIT NOt' 2-;;;lg~
j
ZONING \<,lficr I,I~.)
(Pleue ~ ar prmt 1Ild.. . ...)
i ADDRESS \ "S 3"6\
Qu.c\ Chk~ Rc)
I OWNER \AQn
\ (Name)
! (Address)
\-\~
(Phone)
~
~-\
I
I
J
I LEGAL DBSCRIP'nON (alia '* only)
I LOT BLOCK ADDITION
PID
APPLICANT SIGNATURE
(?fn~) ~.o:'")~ - L\Lt (- 1O 7 ~li
\/ r \~U~- LC,JL(. ~) <:~ '3 -) ).
(City) (Zip Code)
(Phone:) to \ ). ~ f) Li / - 3L'fC.~
DATE ~si,ID~
I ~~~;~~ANT SchGrQY ,,~Q\um,\)\'(\3c .
(Address) L\~D[) A ch \OX\ Q;\rc~ .J~.
~~)
I ,e.. Scl"\eirllY
I (Contact Person) ,
Quaatlty
APPLICANT PLEASE COMPLETE BELOW
pe of Fb~tun Quantity
or w. out showc:r
Type of Fixture
-l
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Ba~kflow Assembly
8ackflow Assembly Test
Lawn Sprm ler
Other
~
RESCHEDULE
InduSlria.l. Commercial a: Multl.family I". of job 1:0st ....ith a $39.~O minimum Residential One &. Two-hllnily 59(,1 50
Rcsi . Additions &. Alterations 5)'150
PLUMBING PE
STATE SUR
TOTAL
$
$
$
Oz.'-04-8&
".,.. PAID WlTH ,
.50 'SU\U)1NG PERMll ~
\--
BltimllleCl Cost S
lomer VK 0111,)
This Application Bcco..... Your .uUdln. PerlDlt When Approved Pai
BllthS.. 0IIIcI.1
D...
By
ZoI ...., ..... fttr alll..plldtoM (951) "7"'_, rill. (9!12) "7-41"~
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'nlf'r or the t.kt Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
T. L. V\IA9~MA f\J f-tOM65
4--{B-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1536J em OA~ (20.
Accepted
Accepted With Corrections )Z
Denied
Reviewed By: Q1) ~"l
Comments:
Date: 5 - ( - O-::z...
l. D-e\~t-e. pCltfo &or ~ d.Q..ck tC1Vv\. pl~
7-. Up&:L SMoL~ ~~dcn-s
"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."
Thr Crn'rr of the t.kr ('nunl,."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'-.._ _ 1_.._ _
/ \ ('~I E_
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f" i r; \ t\ J
J! \ \',-)
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CL-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;' r ".- j>, j /- / (.. ;. i /;. s/ ... /.-1)
....... ___.... '.- ,. '-".'_../ . I \ t...-........ I' _'" .
Accepted
Denied
/
~~~
~~
Accepted With Corrections
Reviewed By:
Date:
6/to/~
comm~
v>~ "
"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
SITE ADDRESS --15 '?8/ f2.eJ Cb.1c s f2.d
NATURE OF WORK :rV\~, AH-.
USE OF BUILDING St:'~
PERMIT NO. 0 2 ~04Bfc; DATE ISSUED S- - t -02
CONTRACTOR ~ \ L ~~ PHONE c,s2-t/~1
NOTE: THIS IS NOT A PE"MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~i~
PLACE NO CONCRETE UNTIL 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
J
C5 ~ \ ~ oy
~<1~
- 13 ~'.G-
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 sh~1I be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850