HomeMy WebLinkAboutBldg Permit 01-0014;Plg 01-0670
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/4332
q'lease lVDe or orint and sion at bottom) 00' 022. I
ADDRESS
8LU6/3I;eO
LEGAL DESCRIPTION (office use only)
I 7; l;?
I. White File I PERMIT NO 4 I
2, P;,k c;~ .0'- OOf
3. Yellow Applicant .
77e.
N. E,. I ZONRGtfficeuSO) I
LOT IZBLOCK / ADDITION
KAlOB Hlu, 47H
PID 25-3(PZ-O/2-0
OWNER
(Name)
CO~I/
(Address)
BUILDER
(Name)
5,q1'1~
(Address)
LUNN
I
TYPE OF WORK
o New Construction
ODeck
(Phone) 4 0 ~ -'(::1. 7'"1 OJ)
'141-).1 'Ii c,,-1
(Phone)
OPorch
ORe-Roofmg
)g(Lower Level Finish )1 Fireplace
2 ,eI"1S.
o Misc,
OAddition
OAlteration
PROJECT COST /V ALUE (excluding land) $
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 age~t r the above. entioned property and that all construcnon WIll conform to all eXIsting state and loca11aws and will proceed m accordance with
submitted plans am aware at the building official can revoke this permIt for Just cause. Furthermore, I hereby agree that the city offiCial or a designee may
;ter upon the erty to perfi needed mspections, 1_ 7-o(
I ,J1- , Contractor's License No ~
v
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
r;,Z.zs
1.00
40.00
This Application Becomes Your Building Permit When Approved
Building Official
Dare
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other et.6c;r,e/ CA- L.
I TOTAL DUE ~
I Paid 10#-.25
I Date 1.10.0/
$
$
$
$
$
$
$
$ 1.00
$ /04-.2.5
I ReceJ!$J:-38F3~
Bv YI. _
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 .......y".....) 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, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue File
2. Gold City
). Yellow Applicant
q'le _ _
ADDRESS
14332-
$(...(/681,eo 772- AI G.
LEGAL DESCRIPTION (office we only)
LOT IZ,BLOCK / ADDITION K/V013 #1(.,(", 4-?lI
OWNER c,oeG'I J...J/ N 11/
(Name) (Phone)
.
(Address) $",&/1'11;;
APPLICANT WIJ}J
(Name) OJ /U9.I (Phone)
,
(Address) ,~AH~
(Address) (City)
(Conta~\ /) 11 (phone)
APffJCANT SIGNATU~ I ~ . /J ~_ )
...........v \j 'fJ v- ,
APPLICANT PLEASE COMPLETE BELlm'
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Waler Closet (Toilet)
Quantity
Date Ree'd
PID 25 .$f,2..-0/'Z.4J
(Zip Code)
7/~
" .
Type of Fixture
Rough-ins
Waler Heater
Waler 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 599.50
Residential, Additions & Alterations $39,50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39.50
.50
"'1-0.00
I
ecomes Your Building Permit When Approved
Paid 4-0 ,gO
Date
7 ." D I
~
"1. q. 0 (
Date
f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Rece~tNo".$'i 11'1
BYfJ'<-
.
Residential Building Permit Checklist
/asement Finish or Interior Alteration to Single Family Homes
BY: 1JtL Date: I- 8.0 I
Building Permit # PID: 25'3(,"2- _ of2 -0 Zoning: /e../
Site Address
Legal: L 17, B I
Existing structure~ NO
Subdivision: /CNOl> II/Lt.-- 4-!?
CONFORMS TO ZONING YES NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning V
building height?
I Is the property located within the flood plain? Refer to Planning V
, Does the alteration include any additional kitchens? Refer to PlllllIling V
Does the proposed alteration include any outside Refer to PlllllIling
entrances other than patio doors? V
Is the proposed use of the finished space or Refer to Planning ./
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Tms CHECKLIST MUST BE COMPLETED AL'ffi INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
~/( ~_ bt\t-r-J.
~~L
DEPARTMENT OF
BUILDING AND INSPE,CTION
, '
SITE ADDRESS I~ S ~
NATURE OF WORK ~. . ~
USE OF BUILDING ~~t)
PERMIT NO. _pi - 00/4- DATE ISSUED
CONTRACTOR .II >IAI^"-- PHONE_IfO~-9'27(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
j ,.-..- ~
INSPECTOR
DATE
'--
I
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ \)~ , I(.
HEATING (if required) ~ \ \ ~ I'" )
FIREPLACE ~"7 /30/) t
GAS LINE AIR TEST ~,~.d().t.Nl_ -7/ mOl
COVER NO WORK U~TIL ABOVE HAS BEEN SIGNED
<"~ JfWf{
-r;7!n)(!) (
, t
"
I
FINALS
i1it I
J I
(J.
Y
t/-)~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrlcalllervJcO 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nME
4-I{,.o1.{
ADDRESS I C.1~'5,- "t\\)t,Io\\"~ 'Tr
OWNER CONTR.
PHONE NO.
PERMIT NO.
61-ro/<f
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o EltIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEEO
o CORREC~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ ' OWner/Contr:
CALL ~ - 0 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
...,.."