HomeMy WebLinkAboutBuilding 01-0947
:;- 0 0 0 000000 "'D 0 )0 -C)
III 0 ::r: ~ c z_
"0 0 ~ en'TIz'TI'TI'TI 0 0 ~~
CD 0 i: z
g n- O =4zen!:OO z m ;:0 mO
0 ;:0 ;:0 i: !!!>ciCiS m ;:0 m O'TI
~ ;:0 ;ll; Zr!;ZCZ Z en ::!"'D
t!l m en m 9 en
~ 0 > z ~ ::!Ci)~Ci) 0;:0
-l z-
t!l > -l -f m 0 - zO
l<:l 0 Cii en o Z 0 ~ 0;:0
S -l 'TI -l Z
> 0 v\l ::!!;
~ ?' 0 0
0 Z -l Z W O;ll;
'TI 0 > 0 mm
~ 0 > Z ;:0
;:0 r C :<
r
t;l -I 'TI "'D "'D
~ ::r: 0 ;:0 ;:0
~ m ;:0 0 0 000000
z ;:0 0 0
m m m
~ >< m m m iC"'Den:EiC"D
Z mr~>mr
-I 0 0 OC -IOC
~ en
:;: ~ z ~ "D ::r:iC m::r:iC "'D 0 en
~ en m 'TI2:!;:O;:O;:o2:! m 0 0
"'D ::J 0 ZZ::r:::r:-z ;:0 Z ::r:
::! ~ m 11l -I >Ci)OO Ci) iC -i m
::t 0
~ 0 () r'TIOO ;:0 ~ ;:u C
-i 0 Z -;ll;;ll; - Z c:
0 ~ zcc r
~ tIl ~"'D"D 9 m
Z m C
~ I\,) 'TI
. 0
~ ::r: ;:0 0
m
~ 0 0 - ~f~
C 0 I
;:0 < 000000
en m ~
5! Z ;:0 Ci)'TI'TIO~ ~
)0 Z >;0;00 ~
~ 0 (i) ~mmiC(i) ~ rn
~ < _"'D"D"D!:
> ~s:s:s:o
~ Z
0 >ooZ=i;
~ !'" _mm-i_ -l
;:O'TI;:O r
-i-- r Ii
enz z rn
-l~ Ci)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTI. ON (offi<;e use Onlr6Y) ~ ...J- II
" cI- ,) LIO ( aC
LOT I U BLOCK ADDITION)
OWNE
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
rst Misc.
OLower Level Finish
-'
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
PID - COcO-O
(Phone) 9 s;;; - LJ (} cf- dacf- f
~ ~/~-~sl-/I~
(Phone)
(Phone)
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace DAddition OAlteration OUtiIity Connection
~t>
TCa /VALUE (exdudingland) $ ~ C:>c:J ~
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
submitte lans. am aware th t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente pon e pe erfo inspections.
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 $
8?~'~1
Date
d)8 a3-d/
Contractor's License No. Date
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 ,fru i e-n f8r3/-0 I $. --=35. ZS
I ~;eiPt N"p'3 '1
I~~~ ~~~~y-
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
~~ ~holl)l s.P~(~a;r-t.9<-t~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CJTY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
LEGAL DESCRIPTION (office use only)
10 v.. 0
LOT BLOCK
P~1;
OWNER
(Name)
:.:f (\Je z-
5ie"12"';~
(Address)
I 5:3 3'1
1~:;~fANT :S\f1 )"Lo/ P \~~\ ,^,
- (, S t 11 ) ~ '--/1' t... )
(Address)
LtC'
7)d- W
(Address)
(Contact Person)
APPLICANT SIGNATURE
g-6~() I
~. ~~~ ~i~y I PERMIT NO~. )'-/'r?~1
3 Yellow Applicant , V,' t./2S'" ::> / ,
ONING (office use)
~b ISD
(Phone)
S~
(Phone) ~~CI
frA ~L
(City)
(Phon~f)- 5 t
DATE
APPLICANT PLEASE COMPLETE BELOW
PID
rh'A
q'S.;; ~ VII.( 1 - 3r 0
Lo-/J.
'vI (;/7 06dE;
}1j/. -r~37,)--
(Zip Code)
Quantity Type of Fixture Quantity Type of Fixture
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 (lor 2 compartment sink Sewage Ejector
J Shower Stall Backflow Assembly
I 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
Estimated Cost $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
39- 5"u
dO
LfO,O
The Center of 'he L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
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:
/
/
c./....
Accepted
~ll~-5
Accepted With CorroetiQns ~
Denied ~
Reviewed BY~~ _ __ _~~
Date:
~/2cth7
q,EX{ ~7 Fr- Ii
~ -~
~ ~Vu~"\vV.e-'
"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
ordi~ the jurisdiction shall not be valid." (l
~ ~ ~~~ IlD5't ~82- ~ ~
C ~14~) ~ 5WJ.6f't.V~..
....
.---......
White - Building
Canary - Engineering
Pink - Planning
Th(' ('f"fer of thf Lab Countr):
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L#1a-tg ~
APPLICATION RECEIVED <iJ- ~ 3 - 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
153]'7 ~,;J~Rd
Accepted~
Accepted With Corrections
Denied ~ t...--
Reviewed By. /
Comments:
~~ L~ ~;;~ {r7~ J-
Date: 8-23-- ?C!C:J/
llli ~~toJ..& ~.e\(l)<W '70'1. 9 JII1us.f he GoaJ pr:rP
"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 -153,3"2 ~e.e.?.~ ~=5L,
NATURE OF WORK f\\n".p &, \ w-eJ-
USE OF BUILDING S~
PERMIT NO. rf!s(. '41 DATE ISSUED 8,23- 41:::J(
CONTRACTOR t~ PHONE c't2 - 25/- II'! I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
- I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
I
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 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850