HomeMy WebLinkAboutPermits #03-0380 & 03-0459
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
4--/7-8
I. Blue File
2. Gold City
3. Yellow Applicant
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I PERMIT NO.03- LI59 1
I
ZONING (office use)
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lease
ADDRESS
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LOT BLOCK
ADDITION
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LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Address)
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(phone)
APPLICANT c... ^ h..... 'r \) \ \.... . (\.
(Name) ,JD 'K.\ ~ \" \)..~D\~ . (phone) ,";) d. -Lll.fl- Ie, 13 Y
(Address) .l\<tCO ~ o.nO\\ Q.\\c..\e: S cc. 9r\()o Lo..k ffi0 '5 "S"3 7 d-
(Address) (City) (Zip Code)
(Contact Person) 6Q~ C>, \)~\Q. ~'"'eX{~ (Phone)q~d..-l\4/-~13Y
JxL-- DATE Y }1~lo3
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough-ins
. Dishwasher Water Heater
.~ Floor Drain Water Softner
3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry ifray (lor 2 compartment sink Sewage Ejector
;.J... Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I 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 $
PERMIT FEE
ESURCHARGE
TOTAL PERMIT FEE
$ 3Q,S-O
$ .50
$];JO.Q)
(Office Use Only)
This Application Beeomes Your Building Permit When APP~
Building Omcial Date
pa:tJ 1/0/---
Date
'1f-/~-o3
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
/Lj33/7
LEGAL DESCRIPTION (office use only)
LOT/OlaLoCK ADDITION
6fllO.HSR r- -,- 1
ar ),,; /(t2/U/2a ~ e~'tM1~~
(Address)
Oi -J~R/'tJ ~7;i.f) f1d'{AJ~-' /~~ J,
(~ ~4a-lfIrne) f2 Z> j EIZ- K' {} t c..tJI.- L
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9-/g-0 3
I PERMIT NO. OS- 0580
I
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
ZONING (office use)
~~~ 1 '1 ').. - Lj tJ ,J... --1 7 7 ~-
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TYPE OF WORK
o New Construction
ODeck
-
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
M eLL-
o Porch
o Addition
ORe-Roofing
ORe-Siding
OUtility Connection
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 lans. 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 up the proper: to perfo ~eeded inspections.
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Permit Valuation .30~OOOrDO
Permit Fee $ · ... '{ ( , 7S"
Plan Check Fee $ 2.81 ' Ilf -
State Surcharge $ \'5'.DO
Penalty $ -
Plumbing Permit Fee $ -
Mechanical Permit Fee $ -
Sewer & Water Permit Fee $ -
Gas Fireplace Permit Fee $ -
This Application Becomes Your Building Permit When Approved
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,
Building Official
Date
OAlteration
'License No.
#
#
#
#
..;};!~,.~'"
$
$
$
$
$
$
$
$
$
TOTAL DUE ~
[Paid '77;. f7'/
L Date ~9", to
+ ,~, l>
l7:fo. ~J991
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
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Planning Director I Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Park Support Fee
SAC
Water Meter
Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
Tht' Ct'ntt'f of tht' 1.8b Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED ~~/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted With Corrections
~
Accepted
Denied
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Date: .f.;-"} ;: 3
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Reviewed By:
Comments:
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liThe 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."
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anary E:"giR . g
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ PALluv~~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted Accepted With Corrections ~
Denied
Reviewed By:
~~~
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Date: 3Y..?-7'(o 3
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Comments:
liThe 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 RE.CORD
SITE ADDRESS ~
NATURE OF WORK M.
USE OF BUILDING , 1).
PERMIT NO. __03-~ _ _ DjJI, IS;SED
CONTRACTOR ~ ~ OIA PH N 0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~?t$?iJ3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L I
FINALS
ILDING
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~
OWNER
s4-o~
14337 4~dy g..","~
(
3- :!20
SCHEDULED
CONTR.
PHONE NO.
PERMIT NID.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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tl WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ':7r:1:?- FOR REINSPECTION BEFORE COVERING
Inspector: UL- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI