HomeMy WebLinkAboutBuilding Permit #03-1347
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
Cj /Z- .,03
PERMIT NO. 03-1347
/~t)f}~ OIGtb
~ /9'1/6 s6
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(N ame)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
~ J-"
IJ - - - --
tLO-Vl k l/ r~_
l <a..k e S tA.,-$ 4... LA..
c;cL s+/p
I n{; V
ZONING (office use)
,(2tSO
PIDzS. Oq~4 03QO
(Phone)
G\A.~(
H~/(; /Jr_
~;-... r J"17- ~.
,. . .: ,..--. :.l 5---..
:J..~ (Phone)Or-952 - 9lJ-9-2 22..;>
(Phone) 5 CL (r\.,. ~ - . 0 ., () C/;
( . jC-- ,6('/-,- ~~~c ~ r
Dl.U.i&..~<~ ~ r '3 ( "')
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding
OLower Level Finish 0 Fireplace )lAdditiOn o Alteration OUtility Connection
o Misc. PROJECT COST/VALUE (excluding land) $ i?':;QCJ(). /)()
I
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 I am aware that the building official can ~ke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
':ter nthe ~neede~~t 9112 /'0
/- Signaturep Contractor's License No. · I DaJ, :3
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
t?s;., · tJtJ
$ , B J a . 7S-
$ 532 d "
$ 37.50
$
$ 10, 0 lJ
$
$
$
This Application Becomes Your Building Permit When Approved
c--
Building Official
~ '=(~
~/, 34;r
, .
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$1~2B.#
Receipt No. LiSROb I
By ~ I
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. ~
7 --. · 101 to' 00
~E~g Di'e: Date . . . Special Conditions, ifany
I 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
V.fater Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
1Nater Tower Fee
Builder's Deposit
Other
#
#
TOTALDUE ~ fo.lI.o?
r ,J A
I Paid / Lf?ft', If Vf
I Date I . //) -11p- ~
~
White - ~uilding
C CAn:a"'l' - I=naineetUiD:>
Pink - Planning
Th~ ('tnl~r of Ih~ I.akr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~.ICANT
APPLICATION RECEIVED
(~/I5 /. ~6 G;r/iT...... (: ~ IJ' ,J7L. .
9. /'2, {!3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0084- CA6t-G UbEt::- /IV6 -s~~
I .
Accepted
x...
Accepted With Corrections
Denied
Reviewed By:
fYJ9-f)
Date: I () - C, -03
Comments: See Reverse Side for Additional Information!
See Attachments' 1) (1r~ding Pl~n, 2) Erosion C;ontrol Measures
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.1I
i
~
White - Building
Canary - En~ineering
L.. Pink -- - PI~nnin.9>
Th(' ('('nl(', of th(' Lakf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~ L-1 r- -:.~, .. 'J'L
(//1'-:> / [...t; c.tli I c-.
9. /12. u3
Ct/UJ/L ·
APPLICATION RECEIVED
The Building, Engineering, and Planning DE~partments have reviewed the building permit
application for construction activity which is proposed at:
/ h 0 84- E}-I6Jt6 C/~6EJ::.. I J l/C -J't
I .
Accepted X
(
Accepted With Corrections
Denied
Reviewed By: Q~
Comments:
Date: 0(, '~.03
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."
The Center of the take Country
C WhJte - Bui~
Canary - I:n~.I.eerlng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
M-S7l6- CiI1I ~ Vl/J S I L ·
9. )12~ 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l~o84- t716tb ~/W6 Sb
, -
/
Accepted
Accepted With Corrections
Denied
,-
Reviewed By: ~ 7~
,
Comments: /C'~ ~
Date: . ~:fAJ
{/
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."
Dee 02 03 06:42p
Jef'f' Scherer
952-447-6735
p. 1
~)
~~.J/
Date Rec'd
CIlY OF PRIOR LAKE PLUMBING PERMIT
C:-(}~\~ ~-\o ~'~:)\\~(::...\\~
1. Blue File PERMIT NO. 3-1 31/v;'.
2. Gold Cily
). Yellow AppJiunl
(Please type or print and sip at bottom)
ADDRESS
\\oa~'-\ ~C\~~C- ~\.KYl\\\:.-(- .
I ZONING (officeusc) "
LEGAL DESCRt..t- liON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(phone)
(Address)
~;;~~ANf ~~~ey V\u",\)\C\C~
(Address). C\~O ~d\\ac\ ~\'<.1L c5<L
(Address)
(Contact Person) ~5 (L \t Scl~ e..r _
APPLICANT SIGNATIJREC1u...-Lt.k-. ( ))/~i \Jl.JJ 1
I vv I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower I
Dishwasher . ,1< \\"\ ,",,:. ~
Floor Drain rf\\~d.) . JX~"
Lavatory (Bathroom Sink) \ \ ' ~1 J~ . -.ri
Laundry 'fray (1 or 2 compartment sink: r "'-" f\.\}J
Shower Stall ~....,
Sinks ..
I Bar Sink
I Water Closet (Toilet)
(phone)
C\c~~ - '-\4'1 - tc {3y
(~) S .3 '7 ~
(Zip Code)
lo\)'-lY,- 308 3
I~.)~)C 3
(Phone)
.,)
\. r\D\ la.\lQ
(City)
DATE
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other .
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 mi.nimum Resjdenti , ew One & Two-Family $99.50
Re' ntial. Additions & Alterations $39.50
Estimated Cost $
$
$ .50
$ . ~\~;M'i
Pai<eU\L9\ Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Offici.1
Date : \ By
Date ,. .llE.C 8...1aD 3 p..J-
24 hour notice for all inspections (952) ~7-9850, fax (952) 441-4245
&r
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS. llo DB&.{ EA CLEEJL ALlG. ~
NATURE OF WORK ~ :tIO~
USE OF BUILDING S.F="; Q,
PERMIT NO. 03-:1?~7 DATE ISSUED !t~~07
CONTRACTOR CA~~ ~ IfJe. PHO.NE.tl2-,--ZSZ-O"'"
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
FOOTING 0~ ~th'-t(t:f3 ~
FOUNDATION (Prior to Backfill) /? W IP ~~ kG
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ~ L2-/ ~blb'j
INSULATION tJ" if? ~ '1-1114 / e3
ELECTRICAL c9~
PLUMBING ~~ l2-ll 010 ~
HEATING (if required) .AIk L7-lt~/D3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,1/1//
3,-!lr(/lj
t/V)P ''3--/ {-d4
~ J-/I,()~I
,
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 (95?) 447-9850
T -
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/t~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAl
o SITE INSPECTION
COMMENTS:
....,...
/ f) r--R e~-?
'-.~' bJit ($<1
C)C.. 11'.) c.
-(.1"1 J-t I
SCHEDULED
(;' (;:...(., err,.,//
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP ,;)
I2J PLUMBING FINAL ~)
o MECH FINAL
DATE nME
-Z - /j,'{/l/
's -ltJC/7
o EXIGRAD/FllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
cb'~/ ,.).1'/ +
hAYf J /4' I rs
..;.., \ ( ~iI" d '-y ~
/Yt s.h/lit I
--------
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( / I ''r~ n
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._~,.. ~
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{'- I \.Q /
/
/
~
~
o WORK SATISFACTORY. PROCEED
d CORRECT ACTION AND PROCEED
o CORRECT Vt ~~R REINSPECTION BEFORE COVERING
Inspector: } /; f" OwnerlContr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTJ
~-JJ -Qj
/{(:)8 'I t~~ e,ee f.lIhM
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
r-~ ~ It.-
DATE nME
(!)~ -131/7
~ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
l'~
:V WORK SATISFACTORY. PROCEED
"O'tORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
lnspector:~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
""""0
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!