HomeMy WebLinkAboutBuilding 01-0641
0 (') 000000 "'D 0 > -0
J: ~ 0 z_
~ 0 en."z"''''''' 0 c ~~
0 i: =4zen~OO z z "
m mo
;;0 i: ~>C:3:~~ m ;;0 m 0."
" Z'!;ZCz Z en ::!"'D
en m 9 en
>:I > Z ~ ::!G)~G) 0;;0
z-
~ ~ -t m 0 - zO
l<::l en en o z 0
:::;; ." ~ Z 0"
co ;;0 > is ::!!;
~ (ft '?' 0
0 ~ Z 0"
." 0 0 mm
~ 0 > -~
;;u ,
~ ~ ,
." "'D
~ :I: 0 ;;0
~ m ;;0 0 000000
z ;;0 0
m m 3:"'Den~3:"'D
~ >< m m
Z m'~>m'
~ C oC: ~0C:
>:I en
~ (:5 z 0 "'D :x:3: m:x:3: "'D 0 en
~ en ~ m .,,~;;o;;o;;o~ m 0 0
Q ~ "'D :J 0 -Z:I::X:-Z " Z :I:
::! m ro ~ ~G)oo G) == ~ m
:::!.. is
~ 0 () ,.,,00 ;;0 =i ~ c
~ 0 Z -"" - z c
(5 a zc:c: ,
~ to ~"'D"'D 9 ~ m
z :-! m c
~ ."
N 0
""
~ :I: ;;0
m
~ 0 0 ........
c 0 .~
;;0
en < 000000
m
~ Z ;;0 G)."."om "
> Z >$$O~
~ c G) ~mm3:G) ~
~ ~ _"'D"'D"'D~
~ ~!;!;!;c
z >ooz=T'i
0
""'l 1m _mm~_ -l
::s ;;0"';;0 ,
~-- , i
enz z m
~~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t-ZS'-Oj
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. 0/- 0 ~ 4- / I
LQ
ZONING (office use)
~/SO
LEGAL DESCRIPTION (office use only)
LOT +- BLOCK I
,
ADDITION 5()1!..L./~^, ! H()Fr:f1/tN / cr A-Dl>tV,
PID zS'-/89- 00+-0
OWNER
(Name)
(Address)
TYPE OF WORK
o New Construction
(Phone)
Y)~
(Phone) ~~-~~
(Phone) - ~ 3'0- .
Yh
o Misc.
ODeck o Porch ORe-Roofing
o Fireplace OAddition ~Iteration
PROJECT COST IV ALUE (excluding land) $
I hereby certiJy that I have furnished information on this application which is to the best of my knowledge true and correct. I also certiJy 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 offi ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
=~,"pon ~ 'P 0 _dn,,'" CjVl 0 q ~
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ C.QO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
our Building Permit When Approved
(p -'2?-7<<!J/
Date
ORe-Siding
ffitility Connection
;..=--
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 ~e;o 0-7,7-01 $ 835'. 38
I Paid
Date
%;~ ~3!1
( (
I ~PtNo~~
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, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
6r.,0 ~~(
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'n't"r or 'he t.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT FLU M BL I N (3 Bv I L.,D512-S
APPLICATION RECEIVED ~ - 25 -- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35'7/ 15LANO Vl5N ~I~ NW
Accepted
Accepted With Correction~
Denied
Reviewed By: ~;(,
Comments:
Date: ~.~? - 'boJ
Dr cb.4 SMok d-d~-<,- tots +-kx?t .,.J- -?t.I.){~~
"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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1-2-~..OJ
I. Blue File I PERMIT NO
2. Gold City .61- t) 6&1-./
3 Yellow Applicant .
307Q /JUtAlO VIE:lA/
ZONING (office use)
elf 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.,S -18 q ~ I 04--0
OWNER
(Name) (Phone)
(' "
/
APPLICAJl. r -t- f/t-~f,~; 7S~ 'i 3 f: - 37 j 3
(Name) fk IW 5 Pt~JY"" b; .'J (Phone)
1~ A. ,v /-I'l.k. :.., .~ 5"53v3
(Address)? 9 u <.
(Address) (City) (Zip Code)
(Contact Person) ~.....,~ .:s-., J .I'...I'~(J ,~ (Phone) G: J ).- ~, ;l - 3.2 3r
77Z-7 ~ APPLICANT SIGNATURE ;t'$o/'" DATE 7-;<r.-OJ
- 7 ..J;UCANT PLEASE COMPLETE BELOW
Quantity , Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
(Office Use Only)
VJ;t"n Beeomes Your BuUding 1~*~1 Approved
Building Official Date
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~\-"
O\~'
.50 flf\\ (~
eU\~O\.N""'" .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
J'
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3S7? .L;;lo-d. Vi~\.U c'1t-
NATURE OF WORK -.tlH6o.~I'a1A
USE OF BUILDING S f5A..
PERMIT NO. {J (.-00trl DATE ISSUED (.~2.7 ~2ao l
CONTRACTOR -P\uVV\\cL'^-C! ~('~ PHONE Cj5~ -133-811.3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
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
1 I
FINALS
1
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 be placed near main entrance.
Call between 8:00 and 9:6"J A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850