HomeMy WebLinkAboutBuilding 02-0791
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER
(Name)
Date Rec' d
b - /;L~CO
1. White File I PERMIT NO / I
2 Pink City './r7 -O-'!/:J
3 Yellow Applicant , (,/V 1V'f - .
ZONING (office use)
If<
Crt r
PID ;;.s--..3;: {,,. 0 2. 7 - 0
(Phone)
(Address)
BUILDER
(Name) tJ~NJ /111f,A//V
(Contact Name) G 4 r ~
,
IJ 0 rnf7.f'
(Phone) (;,j-/- ~O t -- .yyo (,1
(Phone) 6,;2- 3~' - 7(,/2-
(Address)
TYPE OF WORK
ew Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ J 5'0
OPorch
ORe-Roofing
ORe-Siding
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
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
enter upon t e property to perform needed' spections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$."J'Z:>
LlO.oO
s Your Building Permit When Approved
{P-[PJ *02-
Date
$
$
$
$
$
$
$
$
$.5; 84- . I
I ~~eiftP771
o Addition
o Alteration
~ .- /.,2 - 0 '2-
Date
~
/"y1)r
Contractor's License No.
Park Support Fee
SAC
#
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.
#
Water Meter Si
! '; 1";
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
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Planning Director
TOTAL DUE
~ ~::e 5 4~j~'{L
White - Building
Canary - Engineering
Pink - Planning
Thf' ('f'nerr or Ihl' I.akf' {'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!iJJArAYJIJ ~/}'t.J
10- (if-ad--
kJ~
The Building, Engineering, and Planning Departments have reviewed the building permit
__ ..~,. application for constru.ction acti~hich is propos~ at:
o 8L/tf . 1~~9o.-f f/~
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
MrB
~(<. ff/e,(/I Fi{~
Date: ~--~--OZ
/
"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 ("fnter of Ihe Lake Coun1r)
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:
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ Az- C"-<",...,..-~
Co ents:
Date:
& (J-D 102-
"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
Thf ('fnlrr nf the t.akt Counl!")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!iJ~~ ~
b-Id---Qd---
The Building, Engineering, and Planning Departments have reviewed the building permit
application fO~8~qn acti~';;~PO~~
Accepted
Accepted With Corrections
ex;
Denied
0-2t)
Date:
c'-/tJ .(J<-
Reviewed By:
Comments:
~ ttt ~o.~ Qt~
"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."
"".
10124/01 WED 11~Z2 FAX 6124414245
Cl1Y OF PRIOR LAKE
~OOl
Date'Rec'd
CITY OF PRlOR LAKE PLUMBING PERMIT
I ~';;i:s~ ....' ",d '"'" "~ ""
33~9 ~~~\ '\~~ ~~.
;, :'Id ~:~ I PERMIT NO. ~ -7cl' J ]
J, ".IIaw A.WlC... . d_
- I I ZONING ~"'_l I
LEGAL DESClUP'TllN (affta u. anly)
lOT BLOCK ~ AD~IUON
PID
OWNP
(Nama)
(Address)
(Address)
(Cantilu Person)
(phone)
:DATE
FLICANT PLEASE COMPLETE BELOW
"lIdty Type 0 III"
FEE SCHEDULE
l!1duSlti.1. Com....ercll.1 &. ~\llri.fvni')' w. of job c:ost ...it.h 11 539.~D minimum Rcsidc:ntlal. Nc:... One II. TWOoFlIJftit,. '99_.50
Ilfsidenlill. Additions 4. .lrtnliOfts $J9.SD
EstimlRed Cost S
Buildirtg Penni! ti
r-
PAI~ ,<.
~, U. '-"
~ If?)~i(I~,D.~ 1;-,
PLUMBING pERMIT FEE S
ST A'IE SURCHAllGE S
TOTAL PDlMlT FEE S
..50
(omu Vie Onbi)
ThiJ AI'pliutiun BeEDllleJ Your Build.n. Pennit When -'pppow..t
!
BullclJ... om.i.1
D.l~
I::
1 :~~{f
j
,)
~4 h1fti~':- 1nI'L":"L (hl#/>.1I :n........i.... ,.,~ ~.,...i.:J!:~ r........ ;.Q.,,, .tA....~.,.d"
wou~
gig d L681 g819gS 'oN/gV: s 1 'ls/Gg: S 1 GO ,GO 'LO (3nl)
-"
-.tvo . I'IU!
".\,.I.Q'" - ....,.1.J~.1'
GoDoU:! . crT of
C!~y OF P~IOR ~KE
S~\rrR lo...ND WATER ?:S~IT
NOTt::
NO. .2~'791
"
SeYe~ and Water
contractors must
pe re~istered
\Ii th the c::i ty.
~ :C;~1~.':'~':-?:::
PHONE ~:Sf1f' 1sz.5'
DA'I'::: : I ~ 0 5J-
,
3::,;:';C= _ ?:::?~1!':' ~
ADDR~SS:
:3 _
F!LL iN TEE 3L~~~S
30
Es":.i~a.tac lenc;th of w-ater se~.rice feet-.
siz~ 0= ~ater se:vice / inc~(es). 4lM1A
Location of any co~plinc;s from 5t~~c:":.ure~feet.
~~~e of se~er pipe. ApS____ PVC~ Cast !ron____
3CJ
~sti~eted length
of
se;....e~ line
fe€~ ~ Jvl..
at ~feet
from
1.
2. .
4.
5 -
S.
Clean out
s~=~C1:.u=e.
(if
requirec.) I
loc~~ec.
=~==~~~=~_~_~===~~~~S~=~=~~~~:~=~_~~~~~=~===~~~~~~2~~=~=~o~==~=;=
Th~s a;plic~tion oecomes ~ou= pe~~~ ~hen approved.
BY'
OAT=::
~~=~=====~~c~_~~~~~~~~-=~~-~~~;~=~=~~~~==~~~~~~----~~~~~-~~-~~~==
FE~S:
$
5
5
35.00
.50
35.50
SeYer and wa~er line c:onnection pe~it_
Surcharge
TOTAL
* Fee fo= either sewer or ~ater incivicually is 520.00 pluS
S .50 5u:::charge.
*
5e~e= and uete= pe~its issued for ne~ con~truc~ion must be
:ec::;,=c.ec: on t~e buildin~ permit ce.::-d ~t .the :irn.e of ~l!5suance
,:-0 l:1~u:::e -cha,- no c.u?l).ca~e !Se....e= i!.r.c. tJa,-erJ?'~!!~~.. u 3.ts are
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3!5'i1 ~ ~
NATURE OF WORK AJeu..J
USE OF BUILDING JF~
PERMIT NO. 02 ,0 7t1 ~ DATE ISSUED (/ -/8 ~02-
CONTRACTOR W~5~""- 5" PHONE ((){7.- -=?C-1- -X/7 -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILD!NG AND INSPECTION
l ~ ~:- ~\.(
I FOOTING
INSPECTOR
DATE
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I)v
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-r/J--()d-.,
f-2..~
?/?
7-3CJ
6k
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
0'2-
--
---
GRADING (Prior to Sodding)
BUILDING .C.o.-tJ.1 t ( 03
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
f Y) I - z- 0
/~ '~(J tJ'l--
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, car~ s'-'all be placed near main entrance.
/~23
FOR ALL INSPECTIONS (952) 447-9850