HomeMy WebLinkAboutBuilding Permit 03-0274
CITY OF PRIOR LA](E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
. ADDRESS
/57/<jtJ
EI4I ~1l..~hJ S~~~
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(N ame)
$"' e.O . I /
/5'2-CiO
"P,fl~W\.~
~~'tZ.LA'wVL
t
(Address)
75t1-l
TYPE OF WORK
o New Construction
o Deck
OLower Level Finish
o Fireplace
PROJECT COSTlY ALUE (excluding land) $ 2-tJ J OUO
o Misc.
Date Rec'd
If ' 1-).. -01'"
PERMIT NO. Ii 03 -021:!f
ZONING (office use)
RISD
I. White File
2. Pink City
3. Yellow Applicant
PIDd5- 9310- 037-~
(Phone) ~ -'1<ftJ - J'_.~2
~
(Phone) c,S?, - c.I~ 1- ~~ 3~
(Phone) ~~L - ~ ~ - 2>! D -- 5C1 0;
L~';Il_U,_ " VI/t..... ~ '( t
E~
o Porch
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 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
eote i the perty 10 penormiJ~ 33 I / I / - "27. - t) <-
( SigTIat/re L Contractor's License No. Date
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< 1::iP-n-<~
BUILDER 1Z 0. , ........., /iI ..L ,
(Name) ~ y j~A.J ~1/\<:~ultff'J
(Contact Name) 1?~ ~
(Address) <6'/ i ~ I d
(1'1~t") J _~ ~
~ ~
-Ie
Permit Valuation 1I1f{() () () ~ t:JO
Permit Fee $ ,
~~~S
Plan Check Fee $ / ?I), " I
State Surcharge $ 9, ,,(J
Penalty $
Plumbing Permit Fee $ 411 () (J
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace PCHuit Fee $
This Application Becomes Your Building Permit When Approved
~~
Building Official
8J1~/(j3
bate
~ddition
OAlteration
$
$
$
$
$
$
$
$
pai:?S8Jr ~
Date ;Icj:- J t)-ff!3
cw-uez:; :g"t3'D3 $532. f3~
. Receipt No. it~(Jb35f
By ~/ :
.~
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
~Ian~,~ J'1i?~a; ~ ~Cim~
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
#
#
\Vater Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
'Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
I -
~
.
~
White - Building
Canary - Enaineering
~ .:Plannin9)
f.
r
I
I
i
Th, (",nl" of Ihl tlllt founlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~ . t..- L .'-.,
NAME OF APPLICANT ....;>C-0' / / . J I ,.~o fl.,! ::~~ "
APPLICATION RECEIVED / J - ;;? ::;.- --~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,-0'J
/ '~"-.~,:;
0/" /,
" 0.0 I
.. '
-..._J"
-/-'-, /.' ,ot j..., "\
..-..---.... .
Accepted
Denied
Accepted With Corrections
Reviewed By:
Date:
Comments:
,:..,o;:/~E~~
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 vaJid.1I
C'^(bi1a . - Buildi!!SD
Canary - Engineering
Pink - Planning
Thr C"rnlrr of Ihr tab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ScLJff 6 re-/11 ~y-
APPLICATION RECEIVED I J - c;( ~ -DoJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~ proposed at:
15~ r'6 /-~Sh~
. I
Accepted
~
Accepted With Corrections
~
Reviewed By:
IZtJ '--
-
.~~~~
~ ~-~~.
Date:
S/rJ3
Denied
"
Comments:
(:;l --i1 ~
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."
It
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(p, '1:07
(Please type or print and sign at bottom)
ADDRESS
/52-90 ?A/~frl/VN S/~I~J'
I. Blue File PERMIT NO *
2. Gold City · ~I '3 .. {I Z,
3. Yellow Applicant U
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
'iI~./fJ -- ~
(Name) (~: , "" I. ~ ~ I€ 1/ (C .4. ~
~. a/;/ tYb IJ1t!JJrJf~e~ ~ /4-/<-
(Address)
,p..~~W~I~:t-.cC;. fSd - ~~/- 501~ I
L(l,~e(/, t-L-.t!. .5:::>-0 ~ 'f
(City) (Zip Code)
_ni~on) {! A (/ r k'
~~~I<;t~~TURE'P'~ 9 ~
. 5. APPLICANT PLEASE COMPLETE BELOW
.~jt
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compallluent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Phone) --.J lOt - 3;;78- ~79S-
C:"~t~~~"X"~ ~ - r - tt:J 3
Quantity
Type of Fixture
Rough-ins
Water Heater'
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCIIEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Addition~ & Alterat. iO~S $39.50 eJv
Estimated Cost $ Building Permit # ():? - 0 Z I {fit I 0 (5
PLUMBING PERMIT FEE $ ~ 0
STATE SURCHARGE $ ~ .50 U' L/
TOT AL PERl\tllT F:E:E ~ e
(Office Use Only)
Building Official
Date
~
D& ' 1'.03
Receipt No.
-/"l
BYf
-..:>
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
White - Buildina
(~ - c!!9lneerinb
fJlnk - Planning
Th~ ("rntrr of Ihr Lakr Count!').
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
_ l .. ~ ___.
NAME OF APPLICANT ,~>(~:~(~~> II
APPLICATION RECEIVED I j-
lk! ,;4' Y'-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed ~!:
"
./
::;-) ti~~)
~,-"'~" .
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
fVf+J3
Date:
3- ~-c3
Comments: See Reverse Side for Additionallnfnrm~ti()nl
See Attachments. 1) Gradine Plan, 2) Erosion Control 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
PRIOR LAKE
INSPECTION RECORD
~
SITE ADDRESS 152.10 IAVLiA-JN S(,......(Z$s .f2AIL
NATURE OF WORK .A.QD 1"1'""1 O/'J
USE OF BUILDING ~ES A/$Z- ~ I
PERMIT NO. 03-o~r;+- DATE ISSUED ~/o~
CONTRACTOR RA~~ (2.H-GiI'J r~S~e.TloN" PHONE9.e;z ~Z.4o-5"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 fl;f S"'~/-~
FOUNDATION (Prior to Backfill) I/Vr/ $/ ~1>-O~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
IVf/
fvV1
c -' (~--0"5>
G> 11 --0-;
FRAMING 5h-t"Jlr ~ V1,tY? ~- (,-() )
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-
fIl/(l _
Y/4/
~- IJ.--c;r">
6'1'(--0>
."
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
_ GRADING (Prior to Sodding)
BUILDING
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 shan be placed near main entrance.
rl>
i
Po
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t{ - zt
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE L{~
INSPECTION NOTICE SCHEDULED
ADDRESS /52'0 ~~-~ S~\
OWNER CONTR.
PHONE NO. PERMIT NO. ) -?74
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
MNSULA TION o SEWER HOOKUP o FIREPLACE FINAL
INAL KPLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
-J/lbJl~~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC _L FOR REINS FlECTION BEFORE COVERING
Inspector: -..--, Owner/Contr:
CAL 9850 F~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl