HomeMy WebLinkAboutBuilding 02-0507, Fire 02-0555, Plmbg 02-0554
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l' ~ rt/1
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
'Jt~d6.-
ADDITION
OWNER
(Name)
\;\/ ~L LfJ j-j1/<) C-c
711 r1 4... J
t -:-- 1 I (v! Ie
(Address)
I //cf\ .
lJ~ttl &: /1 ;)r.
Date Rec' d
White File
Pink City
Yellow Applicant
Lj-~~ -()~
I PERMIT NO. ()2-0507 I
I/~
ZONING (office use)
3
/r
PID;25-'"
(Phone)
&-; / -+ ~~ 6 7_syoC'
BUILDER
(Name)
(Contact Name) It:
(Address) ~C 5E~ ) ( ( L~
{LS} -6 ';s Y600
~! ')? (31 7/( .~
OAltera~n
-If J/
PROJECT COST/VALUE (excluding land) $ '. ~(
e rhO C
I hereby certify that I have furnished infr!rmation 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-menti efj property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. .. I a awa -that b~ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city offi ial or a designee may
enter upon the ' e to form ee,#d inspections.
)
t.1.,,1/V
~s~/ I
TYPE OF WORK
o New Construction
ODeck
OLower Level Finish
o Fireplace
o Misc.
f) hl/Jr rc. fQ
x
Permit Valuation :?b-' (XlC> . ex:;,
Permit Fee $ (/1:< .~-
Plan Check Fee $ '3 (1 . <].le
State Surcharge $ ( 7 ~ ~-o
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
6--g - ~~
Date
(Phone)
? f...= ({Phone)
o Porch
ORe-Roofing
ORe-Siding
o Addition
OUtility Connection
Contractor's License No.
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 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 d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to comme ce. Before occupancy, a ificate of Occupancy must be
,~/te{t72-
~ Date Spec al Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~'v~ wI 02.- -osO'1
.s -ZO-07-
I. White File I PERMIT NO I
2. Pink City . 0 Z. -"'. cr--r--
] . Yellow Applicant . V ;;.J..;J j .
\'\111""""":), ~.s.,2.
ZONING (office use)
C3
I ~ S 11 OU LU,I-/. b-t - Pt2.l61'2. LJt1-k:e
LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION PR--erz;,cf VI t-f.,.-G Cf7L., 2 NO.
PID 25 - /77- tJ/ /- 0
BUILDER ~
(Name) I ~L-+IVO Loa v 1='/1'2.(..':: iJJ'2LJ f.&.~ fy.,.~
/ -
(Contact Name) y,q;r- MC!....("i~.;71~ / ()JfLb'" ~ O~
/'
(Address) II ~Z> - l~ 71? AUl5 B/~ ~Q
OWNER
(Name) M~"'t:7nr;;. 9A."'Jc:
(Address) I"
fJvw
/7
(Phone)
(Phone)
(Phone)
7~3- ~3- L.q~
~12.-a"3- Z731/-
N.
o
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe.Siding
OLower Level Finish
o Fireplace
o Addition
liIAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
:5""'",,.., -.
o Misc.
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
~ter uPj{I;; to i2:m nZI::;
~ Signaulre Contractor's License No. Date
Permit Valuation '5.00 ~ c:> C;
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
5'2o'~
Date
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 $ 31. ~ *1
,
Uaid
Date
I ~~7fl' -f-Z 06 -f-
~1.~1
.....;lO-O~
This is 10 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
Th. C.nl.r of tho Lak. Country f\
~(j
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo, O~-5'~~
Applicant: fu&/fl/t fltl/tff/3/1I/6/ rlVe- Phone: 7'c.J - f/zy- 26 ';"'/,
Address: ,9/t 73w ,1y-at/I/G N. - g;up~;:t/V/~L.- / NA/ S57"~
Signature: ~y ~~ tt. l' .. ~
Legal Description: Lot ( Block ( Sub, 'AdJ11/.J/!i~ (f:tt;),-;
Site Address: /6~ / '7 f/V'?-Vm <S~er- - /0/;1 fZ-~t/ET17F 5/!7V~
Building Permit # PID # )"!5~ /tJ1---- 001-0
NOTE: This permit will not be processed without complete information.
L Blue
2. Gold
3. Yellow
File
City
Aonlic.ant
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture I
i
!
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater I
Floor Drain Water Softner
/ Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB) I
I
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (toilet) Other
FEE SCHEDULE
GRAND TOTAL
$ 31. .f!-
$
$ -"
$ .50
$ 1(0, ~
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39,50
This permit is granted upon the express condition that said
contractor, shall complyfn aU respects with the ordinances
of the State Plumbing Code and the amendments thereof.
#/ A.;~O Hn-t>\~~
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
t
,
1
:
U4 /'" -} J, I-Iv;'. 5, E,
LEGALDESCR1PTION (0' ce use Only)'
...,
. ~ ,
LOT ,~BLOCK
"-9 -" ..' .'~. ~b'~~'
,- - ()wNER-''''.'''' -i--.-""~'~.^'1--f' .... ....
(Name.); 1ft \ \ f.'F~ ">J l\ I t -P l- J"J '\ ..-1<<: -k. "P v ctj ).- .,4. (
,. ...J t, I /',' c'. (, .,.,-' _, ',' ~
(Adchess) l.A.lc ' ~ v 'j. 1~ t
.~
~'.)'.,
IUIL]jE~
,'(Name) L- fvu \
t~.
~ontact Name)
~cr4J:e~s) 6~~~L~.c Ir t ~- ~ "N".-ti1. I.M
(phone)
..(phone)
l~ii>.,,1A .(V:.l"'"'\lt--AZ4ll.' 'J,
:. 'f ,-r, ;,", ~.),t," ';-\ i:~'1f' _
"/ b "1~S3'j..~;~'i6p ~
i ('" ;~,:.:
,..../.,"
"'.
o New C;onstruction
"
o Dedc'
o ~iI'eplace.
f
~,;'" "0/ "'"(Y "'" ba" ...., id iDfi,nna1lon 00 "''Pl!fu;a~~;; !':'$'lo/;;~!1Y~~-a:~"",.'.... . '_,'"
,."o!'1zed~ent forthe.a~men'ti'bl1ed.Rr5Wertyand.thaHtr ~St:tiJction' Wit! cCffiiStrrt' (ti ll1I eXlStlng state and local laws and will proceed 111 accordance WIth
)!'\;r>......dmitted:ril~:>.'~: ,.~' ~t die"Dun~g O~cial can revoke this permit for j~st calise. Furthermore, I hereby agree that the city (),~ota,~signee ~y
1\.: t c:nter upon the pr t e .. eeted Inspections. , . ( ,n
/ ~. !
J , >-~ -D2-
Sigoature " Contractor's License No, Date
PROJECT COST Iv ALUE
'-" .",,'," _~'~-:--'~.:Jo:::'_~ j..".~...:.,.
~.., .
.~
.. \
PRIOR LAKE
INSPECTION RECORD
D~PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS U
NATURE OF WORK :t'^\. AU..
USE OF BUILDING IJ;c.
PERMIT NO. t.l~~~7 DATE ISSUED 5- S - O'L
CONTRACTOR ~"CI t'V\-JL PHONE ~~/-6~f{-7/tJe
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I 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 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 br., placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
05/f7/2002 13:29
7634244404
BREDAHL PLUMBING INC
PAGE 02
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-----.......~...-~.......':'o~~_____,,_.________,_. :
f1..1h '-TJ, ~ J... /-
-
The ("enler or the Lake Counll')
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ \~~
APPLICATION RECEIVED '-1- (2 ~ 'Dr ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I b f/1 fJ_I.JiLtzJ-(k /'.
Accepted
Accepted With Corrections X
~
Denied ~
Reviewed :
Comments:
Date: 6-1..- 2.~c-
I. S~~, ~Mll.q ~ ~u~, ~ p\UIM\oi~ I ~L~o~ J
J:J. V AL ~ }:':'NL <;pH~\RJ<<90
z. ~e J:\{krL,,,Q aCC.eSS 110, ~'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,"
"
White - Building
Canary - Engineering
Pink - Planning
ThE' ('rnler of IhE' Lakt Countr,..
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
~
Accepted With Corrections
Denied ~
Reviewed By: . ~ ~P'~
Date: S/I~/8L
CO~
' ;e/) ~ M~MH- tI~ '"
"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,"