HomeMy WebLinkAboutBuilding 02-0858
a
~
:!
g
~
~
l<::l
S
~
~
~
:a..
~
;:;
>:l
C5
Si;
~
~
~
~
~
~
Ao
~
~
~
o
>
,
r-
t
.....
.
(I)
co
UI
o
"T1
o
;;0
-I
:x:
m
z
m
X
-I
Z
CIl
"0
m
o
-I
i5
z
N
"'"
J:
o
C
;;0
CIl
Z
>
c
~
z
o
!11
:;-
l/I
~
n.
~
o D'r(
o 0 o~
o 0
::0 ;;0 ::0
;:u ;:u ;lI;
m m CIl
00>-
-I -I -I
~ ~ Cii
;:u -I ~
.;lI; (5 0
Z -I
o > 0
> Z ;:u
F c .:<
"T1 "0 "0
o ;:u ;:u
;:u 0 0
;:u 0 0
!!! Hl Hl
z c c
Ul
"'0
m
o
-I
(5
Z
OJ
m
"T1
o
;:u
m
o
o
<
m
;:u
Z
Ci)
~
:J
l\l
::t
o
o
;a.
:"!
(')
o
3:
3:
m
z
-f
en
0-'0000
Ul"T1Z"T1"T1"T1
~zcn~OO
~>ci:~9
z'S;:zcz
~ ::!Ci)~C'l
m 0 -
o z 0
-I Z
(5
Z
t'"
..
('
, "gJRfDDDD
i:"'OUl~i:"'O
mr-~>m'
OC -IOC
xi: mxi:
"T1l!!;:U;:U;:ul!!
zZ:X::X:-Z
>-C'lOO Ci)
r"T100 ;:u
-;lI;;lI; -
ZCC
~"'O"'O
000000
Ci)"T1"T10m
>5i5i0~
CIl, m m i: Ci)
_"'O"O"'O~
ifiS;:S;:S;:c
>OOZ;;
_mm-l_
;:U"T1;:U r
-1-_ r-
UlZ Z
-I~ Ci)
"0
J:
o
z
m
z
9
"0
m
::0
3:
~
z
9
~
~
~
CIl
~
o
==
Z
m
;;0
o
o
Z
-I
;:a
>
c
c
;;0
m
en
en
-0
z_
~::.1
mo
O"T1
;j"O
0;;0
z-
zO
0;;0
;jS;:
O;ll;
mm
"'-
~
~
~
en
o
J:
m
c
C
r-
m
c
,
r- ~~
r ~:
w m
Q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/63Y';Z
LEGAL DESCRIPTION (office use only)
LOT tJ BLOCK 3 ADDITION
Date Rec' d
White File
Pink City
Yellow Applicant
-1tJ1-0cY/
.*
/.'
.ff/
4j}'
I PERMITNO.~~~~I
~ fl~~
ZONING (office use)
R" r
(uU~ ,,-;t)~
PIDdS- 37!/---CQS 0
~
~}
Fo~s
SJu,Jby 1- Oe-bbL€-
(Address)
(~)
q ~2- - "11../0-2./50
:tmlt
~,', <:;e/\d
~'W~fRe) (Yla tt-
(~__) ~- i-f 6;
R. 0"1<.. 60" s "-f\A//-h~1\
M '12vL01.d
I-h It:. A/t.. 'I LV.
s - {
~~
(_fit)
tIL-5ol-S'lOI
(,12_ -s()( -1to/
TYPE OF WORK
ORe-Siding
o New Construction
4wer Level Finish
o Misc.
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
DAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 the property to perform needed inspections.
,~ ~V~""M"
~~~-:W;,'t\.ll.'.. - ~,:~,~;"~,>:t:"::',_;_
", ,'-;'~;:'f2;>>';';, . ,-::.:"._;,""t:;,l;:;!\~,"'-.':'~>
x
Permit Valuation Lf
Permit Fee $
Plan Check Fee $
State Surcharge $ 2..1)0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
lJ'2. - 0'2-
Date
LO 2.' ~OSL.
'~~t~~~_.~_
~'<t:.
.',L" ';ll','~ J,.
"" ,.....
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '''~.2.<"""
I ~;clfl' G{75/0
Paid
Date "/ -/2-02-
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, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
u;(- gs-~
CITY OF PRIOR LAKE i: ~~L ~~licant
PLUMBING PERMIT #
Applicant: /vh.,1 d- 4- 50,-,5 ,P1L/M~//1('; Phone: ?t53--7"7S-CJ::Z-96'
Address: B6.-~ .:1,,11'") ~ Lo-n-e- J p~)'".,c:> c.;l!4
Signature: . ~ 7f!zt;, -tJ-
Legal Description: Lot 10 Block 3 Sub lJJ . .3 -
Site Address: ~~-3 9~' 8/9' hcn-n Pe<..s..s
Building Permit # . v PID # t1l5 - 'i3 ?S- ();).5 -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The' Cenler of Ihe L.kr Counlry
Quantity Type of Fixture Quantity Type of Fixture
I 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 (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) Other
FEE SCHEDULE
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
$
$
$ 39.So
$ .50
GRAND TOTAL
$ Jfo, 00
~
6t
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
IPT N . ,- / b~ bJ. DATE
ATIEST
~cl
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /53 qz e/~ HO&tV PASS
NATURE OF WORK L-. ~.
USE OF BUILDING I? ---6.5 A/0
/
PERMIT NO. 0 Z .... 0 9.;~fj DATE ISSUED (.... j Z .... 0 L-
CONTRACTOR So v! 0 ~lj~ PHONE (,12.--501. %'!() /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ ~.2..-
Ie,
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 be placed near main entrance.
'"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850