HomeMy WebLinkAboutPermits #03-1020,1021,1022
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIA~
AND UTILITY CONNECTION PERMIT ~~ ")
~. ~i~i~e ~::y PERMIT"Nu.- /I? --IO? 0
3, Yellow Applicant U ~ C--
(Please type or print and sign at bottom)
ADDRESS
.4 \ q:~
1 O-J I0TA (/V
ZONING (office use)
LEGAL DESCRIPTION (office use only)
t \
LO~BLOCK 2-- ADDITION i-~MI\(-^, ~~(..c..S
F6'....~ JV fl <-bs
PID ~5. JilO . 0 /tY" D ,
OWNER
(N ame)
~$.~~dN
(Phone) {o (2.' 3G ~ ~ (i 14
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
j.UeNl-. C0 t'1~~Yw( cA<-...
E:.l- Cd'" !\,v(l.'Vl-S~
'1 0 A'-E~ (Lj)
(Phone) Cot;-
(Phone)
fA.<:, AN II AJ 5 5' -z... J
_L.S"2..., _'~b~
>Cf(o
TYPE OF WORK
o New Construction
o Deck
o Porch
oAddition
ORe-Roofing
ORe-Siding
o Misc.
/) r\ o Lower Level Finish
t-- ~-.
o Fireplace
o Alteration
oUtility 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 revo~~..: ermit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed ~ns. .
X I /lJ~N~ ~e - cr
- Signature Contractor's License No. Date
I'I.I."-,,.hH.Uo,-," ;:'':'&'~':'''':''':'
No
# $
# $
rL " $ 600~ 00
$
# $
# $
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
V/ater Meter Size 5/8"; 1 ";
~
Builmng pcrmiJ 1'1;;;00
) ;I;J!
City SAC and WAC
'N'ater Tower Fee
I Builder's Deposit
Other
TOTAL DUE
PaidQOO~
Date Cj-//-/JG
3 ._;--
Receipt N o. ~ 6 :J ,,~
By C/_
O
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.
Planning Director
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
(THU) 7. 31' 03 10:09/ST. 10:03/NO. 48~
~ Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
Xf2~1JDN
FROM WENZEL PLUMBING & HEATING 651-452-0367
~.= ~:~ PERMIT NO.03--/()? I
J, YeI.,.. "wl.ocwoc t:.-
(Plnx type or J)rint IUd lip It boftoJal
ADDRESS -
. i4q~ my ~() -\t \'0 Catu-\-
I
LEGAL DESeRIr J.ION Cob UIt only) I zt!1
LOT t:1 BLOCK Z- ADOmON .-Q...:I.JrAl~ &u !--'
. O'NNER ~\ . . _ L .... ". \ I { r ..
(Name) ~~ t\1~~-t~::):'::Ut--t1/J'1--'.
(Addms)' ~ .hI iltp 'iY\ bh S CQU:'-,~
~~fANT C'JjN ~
(Addn:u) 1.l1J_ c; ~~~
(Addms)
(Contact Person) .l11.kL..
ZONING (QtIIa &Ut)
rw z5. ';QO. Ol+' .0
(phone) ~1- f1!l1
APPLlCANl SIGNATURE
"'^'
c---.
, )
~
(Phone) 81- $~
%~~ ~~l)
. (Phone) JiJ -~7 ~
~ DATH A\::'( LoO~
Quantity
Type of FixtlIn
Rou,h..ins
Watee Heater
Water sOlS'U
Stand Pipe (Washing Machine)
- Sewage Bjector -
Bac:kflow Assembly
Baekf10w Assembly Test
..f.- fer ~ J Lawn Sprinkler
Other
~f1'~\\ $(tw'Y)U(I&l*,"~ <u\..J,~. ~ ~~
FEE Sl.n1b'tCf J -. I -'l.fI ,.-" r I
Industrill. Commerci.11: Multi.funily I % of job cost with. S39.'0 minimum Residential, New O~c "Two-FaJftity $99.S0
Residential. Additions a. AhenlloRS SJ9.S0
APPLICANT PLEASE COMPLE! ~ BELOW
TypCI .f Fixture Q..atity
Bath Tub with or without shower
Oishwllsher
I Floor DraIn
Lavatqry (Bathroom Sink)
Laundry Trav (1 or 2 compa.~:iiit sink-
Shower Sulf ~.
Sink,
Bu Sink
Water Closet (Toilet)
Estimated Co,t $
Builcljaa P.... ..,it Ii
~omc' Ule o~
Thit Ap r t n
PLUMBING PERMIT FEE S
STATE SUllCHARGE S
....... TOT~ rU1 FEI .';
C5 YOllt ~ildi%"t~Wh.D Apprond
" I 'I >>.tt .
~Otice for all iRlptdio.. ~) .7.905(;, ra~ (952) ..i...Q45
(~
Paid LIO,. ~
Date / /_(p~
a-;f~8-'1
By 0.... ,
#
FROM WENZEL PLUMBING & HEATING 651-452-0367
(THU) 7.31\ 03 10:09//8T. 10:OJiKO. 4860053144 P 3
Dlt. Rec'd
CITY OF PRIOR LAKE PLUMBING PERMl1
YWer*?JB
(PI~I!C Me or orinc lad .~ It bottom)
ADDRESS
_~I t6 ~-;~V\ -I-b 'Is G~LH"-:.
LEGAL DESeRt!" l !ON ,(otlia: we only) ~
LOT I? BLOCK Z- ADD1110N Fiu~;0 Nt\.-L..5
~~~p. ~ {hJ h '~1CA.- -f~I(/V-..-
(A~S5) 'A~ ~V\~"" \-\:, \~ ~r-',
APPLICANT 'l \"'1,,-,.\1 ~",. -^A ., A/
(Namt=) ~.~
(Address). \ 11l' ~ 01
(Contaa Person) .~
APPLlCANr SIGNATURE
I Blue "'de' P ~ ...-rr NO
1. Osl" C;\r t.nl'YUA -0.1? ~ (02- ?
J. v.,..... "'ppliCll'lI :.,...;' ~
ZONING (oIIJa lair)
2~
row 25~-. -?9() . {)14. 0_
(Phone) a.ii7 - ~}- l11i
Quaatity Tl'1N' of fixtllre Q1Jutitr Type ot :tlxhlnt
Hath Tub with or without shower Roup-ins
DishW8Sher Water Heater
Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 oompa.4uent SJ~- - Sewage Ejeaor
Shower StaU- - ........- Backllow" Asscmbly
Sink, Bacldlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) >< ( Qihe~
. .. -~m.th- WB~
Indusltill. Commercial .t. Multi.family W ~ i9b 1:1I" ,.;.h .~~ ~~LE ~~ n ... $~so r'u-
;<::d co.t s Bwl~ag p~~;:"li~. Addruonl . s ~j\\j!
~,.~u ~
.30 ~
4-D_ - (~)
keceir;~f)-9 ~
~.. ,
\t ~/ Ircb1
Thi.!
=4 ho..r QotiCl for .1I10lpuI(01. (95%) 44'7.9~. OllL \952) ,,;~Z.S
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(I) /, /.')
'-' L.~-A'/
i/'
/' I /""
APPLICATION RECEIVED
7.
-:)
/ - 0--..,
The Building, Engineering, and Planning De!partments have reviewed the building permit
application for construction activity which is proposed at:
'/ . I /' /-""
/ /''/ / J ,/
_. ..r-
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Date:
0' (, ()3
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."
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ ,f;....}......-
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
(s)V~
COMMENTS:
') //
~1-
~I I '
,/ I /l~/(
LY'I V ~"1 \ /~
r....r I I '"
DATE TIME
"3'- (~
lIl'll c;
3 - 'O~t:>
<' - fa 2.(
? - (6 2'"L
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR T~1i ..
)! CU~ 5~
/"
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: {If / Owner/Contr:
CALL 447-9850 FOR THE NEX.T INSPECTION 24 HOURS IN ADVANCE.
I/iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!