The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #03-0034 6( os e ~,'(g ;rWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED , CALL FOR REINSPECTION BEFORE COVERING 3 ,- )+...0) Owner/Contr: Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOn CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d I. White File 2. Pink City 3. Yellow Applicant I PERMIT NO'03 - iJo3 yt 1?I07 ZONING (office use) ~) LEGAL DESCRIPTION (office use only) ~ LOT BLOCK ADDITION OWNER (Name) 'VGJNtS (Address) BUILDER (Name) (Contact Name) (Address) PID s- 370- D/~- (Phone) 9'/J2 .116 . / ~ZD -rI~a ecJ~~o,j , IlUG k>AMB (Phone) b,?-.f;.r;:~()-16 (Phone) 170 5f>.ef I TYPE OF WORK ODeck ORe-Roofing ORe-Siding OUtility Connection o New Construction p(Lower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ o Misc. OPorch OAddition OAlteration 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 aware that the bu' ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the operty t erform n ins . ons. x Permit Valuation 3000 Permit Fee $ "fli1-. 7 r- Plan Check Fee $ - State Surcharge $ I.S?J Penalty $ Plumbing Permit Fee $ 'I-'(). dV Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ This Application Becomes Your Building Permit When Approved ~~~ Building Official ~~J / Date ~ ~~3 #' IDate Contractor's License No. Park Support Fee # $ SAC # $ Water Meter Size 5/8"; 1"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $ //~.z,S- I Paid I/~, ~~ Date' . - G:,-O I ~~:tI~., 73/ 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 iss~ ~~ 1/7#3 ~ #'.,.R-~ Planning Director ' 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY:~ ,.. 1~ Date: 1-- 0 -() ~ Building Permit # Site Address Pill: Legal: L B //}/cJ 7 m Subdivision: Zoning: Existing Structure:~ NO I CONFORl"YIS TO ZOl'l-rNG ORDrnAJ.~CE "YES NO YES NO Is this an expansion of the existing footprint or Refer to Planning building height? rJO Is the property located within the flood plain? I Refer to Planning tJ() Does the alteration include any additional kitchens? Refer to Planning I tJO Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? tJ(J Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single rJO family home (office, group home, day care, etc.)? THIS CHECKJ...IST MUST BE COMPLETED .-I..ND INCLUDED IN THE BT.J1LDING PERl'YIlT Fll.E TO MAlNTAIN A RECORD OF THE REVIEW. T '\T1=:\,rPT .\ TI\ALTr:HCZ.DOC -k !!::f q tJ)., - 4- lf7 - 4 d- 4 S- CITY OF PRIOR LAKE PLUMBING PERMIT . -f 1JJ)t; l. Blue File 2. Gold City PP No. ~30:' A3~ : I;I,\J <AbC, -& DC, 2- J.l., 'i ~Lf l. ?J Th. C....ft.. a' ,.... Lak. CII."',., Applicant: Address: Signature: WI YVL.Gt f, I Legal Description: Lot Block Sub Site Address: 11[07- Wu..~wT~ S E. Building Permit # O=?J- DO 5+ PIO It NOTE: This permit will not be processed without complete information. FIXTURE UNITS : Ouantity Type of Fixture Ouantity Type of Fixture i I Bath Tub with or without shower Rough-ins Dishwasher Water Heater .- Roar Drain Water Softner I Lavatory (bathroom sink) Stand Pipe (washing machine) Laundry Tray (1 or 2 compartment sink) Sewage Ejector , Shower Stall 8ackflow Assembly (RPZ, Double Check, PVBi Sinks Back1low Assembly Test I I Bar Sink Lawn Sprinkler .- f 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 $ $ $ $ .50 GRAND TOTAL S This permit is gr:ll1ted upon the express condition that said contractor. shall comply i'j, all respects with the ordinances of t~e State Plumbing Code and the am RECErPT NO. Call for all inspections 24 hou ~if ill [E~ A.TTEST ade..!ice: 9 2003 .~ -~~ , ! ct 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 ~. (612) 447-4230 / F X (612) 447-4245 An Equal Opportunity Employer ~.d{) 1 . d El.8S- 998- en 9 ~aeH F\e~ dl.l:cO EO l.O uer PRIOR LAKE INSPECTION RECORD SITE ADDRESS /7/fJrm_ j.1J1J7&~" T"-. $0' NATURE OF WORK _ . ~ USE OF BUILDING S. . ~. PERMIT NO. ~_DATEI&SUED U7Hr- CONTRACTOR mJQI~ ~$'" M, PH6NE~.'.}Il, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR I I ~IL ABOVE HAS B~EN SIGNED ROUGH - INS DEPARTMENT OF BUILDING AND INSPECTION DATE - - - -- FRAMING INSULATION ELECTRICAL PLUMBING HEATING if re I '-Z$~o:> - A ..-0:> "'~I,oJ ( -J-8"~5 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS , I BUILDING ELECTRICAL PLUMBING HEATING DO NOT -:1-2-) ....., J OCCUPY UNTIL ABOVE HAS BEEN 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. 'j--z" 3- L ( SIGNED FOR ALL INSPECTIONS (952) 447-9850