HomeMy WebLinkAboutBuilding 01-0097
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z-~-D/
(Please
ADDRESS
] _ White File
2. Pink City
) Yellow Applicant
I PERMIT NO'9J~:~/6oq1 I
ZONING (office use)
f</SD
(P(,46
~U5T'1 c!., ROAD
LEGAL DESCRIPTION (office use only)
LOT SBLOCK I ADDITION OAK-LAND /3611cH ro 7H AIJOtJ. PID 25 -/40- 005 -0
OWNER
(N ame)
sfJe;q
7A Y l-O Ii?-
(Address)
.
DAVID s
Sit
(Phone)
eel'
q S.) - d-.}-liI- '1)" 1'1
(,l'2. - -Sfs4 - 7Cft{~
I BUILDER
(Name)
(Address)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe- Roofing
ORe-Siding
DLower Level Finish
o Fireplace
o Misc.
DAddition
~Alteration
DUtility Connection
PROJECT COST /V 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 p~.e erty to perform needed inspections.
X U -zL ~ .. )t " "--<- oJ i.A;(Ulf D;; -;:;"l.. - "" \
Contractor's License No. .
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ itO .Of)
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
;2- Cf-200(
Date
10,000 .00
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 ". $
,
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other e;L6t!:T1U ~'-' $ /.00
TOTAL DUE $ 345. Ob
'fa 2.- '2-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m proceed as requested. This document
~{};;;:;=m'" , ""'P<'"ry c'""';/;; ;;:'.~" '"' ,"ow, ro,,'wrt'O" '" romm'"" B,"" ooro,~". , C,rt'fiW' "r 000"'"" m,,<b,
Planning Director Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
61--ooq1
White - Building
Canary - Engineering
Pink - Planning
The Center of Ihe Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~T f\\/ LC R- I .L,i\\ 1\) ~~f\k~A
I
"-'. (~' (' ". l
L-- c./-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
G: (, 42 1< L,:r-'/ L 1<---1.../ .
Accepted
v'
Accepted With Corrections
Denied ~
Reviewed By:0~~~
Date: 2/ls- / ~ t
(
comEnts:
2JJ;eJ ~ 1ltr~~M ~ ~
. n, 2>~~ ~~~- ~~b~O~.
"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."
The eenler or the take Country
or/ooy1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
TAYLOR. I DAVLD ~ SARA
2- S- OJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~&4B r<US-n~ tGD,
Accepted -J-- Accepted With Corrections
Denied ~-).
Reviewed BYU
Comments:
Date: 2.... CZ -Loa(
llfJaie. SlNt(1~ ~te~~ {ktno~ou\-- +Lo ~u~
"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."
2-15-201 8:55AM
FROM TAYLOR MADE CaNST. 612 440 8510
P.1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i~~~ ~I:y I PERMITNO.O/_/'I/)~11
~. YcllO'Jl ....ppliQllftl UV -, _'
ZONING (olfiLoc use)
~50
~~ ~tJSTle- pO ~E,.,
LEGAL DESCRIPTION (office use only)
LOT5BLOCK I ADDITION ()"~tRM tle:71f);f-'''-nf'"'
PIn
...OD:;-O
OWNER
(Name)
(Address)
/7hf~O~l
lP~'tr P-~
,
DA'VID c; S~
k $-'
(Phone)
GJ S- J- - J.--J-y - 151 i
APPLICA~ i
(Name) (.)...... oJ Y <1\, -r 'l- Lo r-
(Address) ~ l, '1V (LJ,>H L I-A. 5 IC \
(Address)
(Contact Person) () C\ ~".\-tA- ~ ~ ~
APPUCANT SIGNATURE to .--t L.l.
(Phone)
Ce J J.. - j~ le.- '1 i '1~
(City)
(Zip Code)
~ J J. - ., ~,~ - 11't~r-
d- - 15 -Q I
(Phone)
DATE
~ ~ ur '" ,.,_.. ' ;"P'
",,:, C :,,: Jf,: .~E:~'~~~:t:Es~F.<1;., ,W
Quantity Type of Fixture QuantitY ' .:.... Type of Fixture I
, Bath Tub with or without shower Rough-ins
- Dishwasher \ Water Heater
,
Floor Drain Watel Softner
Lavato~~ (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
( Shower Stall Backflow Assembly
q Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & MuUi-fllmily 1% ofjnh eost with a $39.50 minimum Reside:ntial, New One: & Two.f.amily $99.50
Residential. Additions & Altcrlltions $39.50
Estimated Cost $
Building Permit #
Reeeipt No.
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om~t Ust 0111)')
This Application Becomes Your Building Permit When Approved
Date
By
Building Offidal
Date
14 bour notice for all inspedions (952) 447.98 fn (9S2) 447--4245
~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS (p{oC{f3 ftJ~tt\G ~
NATURE OF WORK LA ~ 1Mof'~Qt
USE OF BUILDING ~~ b
PERMIT NO. 01- 0097 DATE ISSUED 2 - Cf -20:, I
CONTRACTOR l~O' PHONE 962-;Q;t,..<-t~~
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
, "
-
BUILDING
ELECTRICAL
PLUMBING
HEATING ~ Wort.
DO NOT OCCUpy
01
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 oeE!n 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