HomeMy WebLinkAboutBuilding Permit 04-0770
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1, White
2, Pink
3 Yellow
File
City
Applicant
I PERMIT NO. tJII- 'i"76 I
(Please ~ or mot and sim at bottom)
ADDRESS
510/
jJ{rJ1dt~ LA.)
~,.
ZONING (office use)
LEGAL DESCRIPTION (olliee use only)
LOT r BLOCK (ADDITION
,
PI~- '3qq-OOt~()
OWNER
(Name) F~ro<l< ~-\-Pr (Phone) 1llZ-bI6 -h~,S3
(Address) SkLl "DCY\A<c; ~~nt=>.'Vt\<Y lr..Ke~. .')5372-
BUILDER . I " -'"
(Company Name) Nc;.1tJ ~ll\n\~'" Ccn'\-trvc.IIC:)n
(Contact Name) ,"\ mumv' L M" ~ c.c.r-P/lo \
I
(Address) i\D Ij? O("C"'G!cYl {' rl rile. D Ioo.-n" ~
v ~:
(Phone) q,")2-LJS7- :>/7_'1
(Phone)....1'l2- kl~-.2.307
H/J. .,sS <f3~
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
ORe-Siding f-ower Level Finish 0 Fireplace
PROJECTCOST/VALUE S ~()()O <ZI-
(excluding land)
TYPE OF WORK 0 New Construction ODeek OPoreh ORe.Roofing
DAddition DAlteration DUtility Connection 0 Misc.
I hereby certify thai 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 authonzcd agent for the
above.mentloned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can revoke Ihis permit for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections.
x.:::d-O"'~' r?? 4'/",-,..... f\ (-~.116IL<; 7/2'104
Signature - Contractor's License No. Date....
I Permit Valuation I Park Support Fee # $
I Permit Fee $ 74 7~ I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $
I State Surcharge $ I ~v I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Feet&1III-Y $ qO (JO 1 Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Pee $ lather $
I Gas Fireplace Permit Fee 'A;O $ I TOTAL DUE $ /11&,0-5
~tiof!?BuildmgpunUt;~P;d I Paid Ifi, / d"S Receipt No, {//It..l;}.//
I Date rJ-:J....(. -l-( By C ,
(j
BUIld. gOtliclal Date
ThIS is to certify that the reqllest in tbe above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as l'equt.'Stcd. This document
when signed by tbe City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before OCCllpancy, a Certificate of Occupancy must be
issued
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
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
f!'1ease ~ or orint and sion at bottom)
ADDRESS
.5/0/ ~;1d
e:'dfC-
J.IV
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
APPLICANT Z . r--
(Name) J--c.o U.A?c..t...;t.-117Lr
(Address) :r~O '/ /7o...yc.r ~
(Address)
(Contact Person) ,~/~vc., Z;- ..... c...r-
APPLICANT SIGNATURE~ /.,~ -
'-----' ./'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
, Water Closet (Toilet)
OWNER
(Name)
(Address)
Quantity
/
/
I
BLOCK
;::'r e..d
JIO/
;1/(" it rLr-
,,0'0... d. 6C!.rc.
i~: ~:~ I PERMIT NO. L/- 1J'10 I
3_ Yellow Applicant - I
ZONING (officeu..)
PID
(Phone) ~/.t - ~/'" c.:J'.rJ"
1'....1
(Phone) J':.I..t- 7r:J>p..J J 'JfJ
d~k f.rYlP'
(City) (Zip Code)
(Phone) ~/.?- 9YO -.r9~ 0
DATE 7~ ;(;>'0'1
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
, Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential. New One & Two-Family $99,50
Residential. Additions & Alterations $39,50
,,-; Q~
Estimated Cost $~.J DO -
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
81~PtNo,
(Omee Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 6 L1
, oats, ~;N{"- Lf
By ~
24 hour notice for all inspeetlons (952) 447-9850, fu (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372.1714
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~,((,.. (ZL Date: '1- d h - (j Lf
Legal: L y-
5/0/
B I
Pill: Zonm<:r;
Po-nckJ.J!f'-e L-~
SUbdivisionD,..~/c{ ~1'1
Building Permit Ii
Site Address
E.Iisting Structure: "Y"ES or NO
CONFORlvIS TO ZONlNG
ORDINA.l~CE
@
NO
Is this an expansion of the existing footprwt or
building height?
YES
Ref~ to Pla.n.."ling
NO
~
I Is the property located within the flood plain?
I Does the alteration include any additional ki!chens'?
Does the proposed alteration include any outside
entrances oth~ than patio doors?
Refer to Planning
v--
V"
V
Refer to Planning
Ref~ to Planning
Is the proposed use of the finished space or
alteration for anything Otl1er than a nonnal single
family home (office, groUll home, day c:rre, e!c.)"
Rd'~ co Planning
y
Tms CID:ClG..IST MUST BE COMPLETED "'Z'I'D INCLUDED IN TID: BU1LDfNG PERi'f!1T mE TO
i'flAlNT.-IJN '" RECORD Of' THE REVIEW.
."'""""":':\ll-PT ..\. -::',.1 T ~,~;-=r( --(-(-
." .
- ,
PRIOR LAKE
DEPARTMENT OF
,
BUILDING AND INSPECTION
USE OF BUILDING. . IJ.
PERMIT NO. 04-. 0710 DATE ISSUED
CONTRACTOR Igtu U. l()t1lsf'WI.... PHONE~
NOTE: THIS IS NOT A PEIfMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
pft~
/11#
, .-
9'/;U /fYI
. ,.
'l/~~/~.
1/23/0f
t/ E'f:t/
SIGNED
.(
','
f'U/?
~
-.
':;J
'(;, ~i",
COVER NO WORK UNTIL ABOVE HAS BEEN S'
I I
FINALS
, /K,JJ
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
mUlt be POlted nelr In electrical service cabinet prior to rough-In Inspections
Inld until all Inspections have been approved. On buildings and additions
",' _C4bllltt II available, cerd shall be placed near main entrance.
. ' ;I~~PECTIONS (952) 447-9850
"",
i
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'- )/0/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,iH'lRAL
o SITE INSPECTION
DATE "TIllE
SCHEDULED 9'mfi~
/1'tds e ~~
i
(
~
..---
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
~H FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS; _
~_h'~e/ h1..L/
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rt/':;(,
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.YWORKSATISFA~l:'i~
~ORRECT ACTION AND PROCEED
o CORRECT WORK: c::;t 7REINSPECTION BEFORE COVERING
Inspector. ? j/'f- Owner/Contr.
.".
,,~'-
~j;~
------- '
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
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