HomeMy WebLinkAboutBuilding Permit 01-0022
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/-IZ-6/
I. White File I PERMIT NO I
2. Pi" Ci" . 0 1.- ODZ.'"
3. Yellow Applicant ~
(Please tvD~ or orint and sien at bottom)
ADDRESS
/4-(,8B eAJeJe/A e;e LANe tV ~
I ZON~~ (offin,) I
LEGAL DESCRIPTION (office use only)
LOT /(,BLOCK Z ADDITION ~telel;:Jt!!€: HILLS 2NO
OWNER
(Name)
PID 25-ZSb-03Q-O
.
(Address)
J6FF KL-6/N
14/t) ,Y R' CAft (t (A-Gt:: UfrJt::'
(Phone) (9SJ. J '147- 7530
WOI(K... (~5Z) C137- 409<1
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
~ower Level Finish
3 RMS.
D Fireplace
DAddition
DAlteration
DUtility Connection
PROJECTCOST/VALUE (exc1udingland) $
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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X fff'jt.!:!~ Contractor's License No. ,II ~tt I
I Permit Fee $ '74. '75 I I Park Support Fee # $
I Plan Check Fee $ - I I SAC # $
I State Surcharge $ /.50 I I Water Meter Size S/8"; I'" $
,
I Penalty $ I I Pressure Reducer $
Plumbing Permit Fee $ 40.0t) I I Sewer/Water Connection Fee # $ I
Mechanical Permit Fee $ I I Water Tower Fee # $ I
I Sewer & Water Permit Fee $ I I Builder's Deposit $ I
I Gas Fireplace Permit Fee $ ~ I Other aGCJJeJ C!A L- $ /.00 I
I TOTAL DUE ~ //7. ZS I
~omes Your BuildingPermir When Approved /-/t..() I $
I-/~-(!)l I Paid //7.Z5 I Rece~r~"
Bqjding Official Date I Date /-/..1,01 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 ~_......~.._~. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~
o - oO~v
Th. C.nlto, of lh. L.k. COUIIII'}'
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION D~ARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KL- (;,/ AI. ::JE:.FF
.
/-/2.-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4~?'J9J (iAKte/116[; LAAl6 NE
,
Accepted
Accepted With Corrections Y
Denied f?
Reviewed By: u;::J ~ ~.l--- Date: I - ( ~ - 0 {
/ .......
!Z:As: -
~,~5;~<-~ .\;,^I'<;~ ~~
'The 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."
03-13-2001 01:59PM
MATTHEW DANIELS. INC.
423 3017 P.01
CITY OF PRIOR LAKE ~~ 5-
PLUMBING PERMIT PPNI'-~ZZ-
Applicant 1'rItJ#},""1 ~1,l"J. Inn. Phone:~ .j~"-~h
Address: ~o 11~ >4-&( -;:_mi. MN .s~I.'
Slll"ature; ~J.r~'-- -~'~....:.:'~.
L.gal Description. lot Block Sub
Sit. Add.....: /-Yl.n (1.,,.I..;~~,,,,,)
BuDdingPermlU ()/- 1'Jt'JZ-Z- PIC.. Z5~2-l3G,-039- 0
NOTE: This. .,.., will not b. procllnd without complete infcrmallon.
FIXTURE UNFrS
11M c....,.. ~ c-w,
Quantlly
Type of FIXture
Quantity
Typ. of FIxture
I
I
Bath Tub wIlh or without shower
DIshwasher
Flcor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Show.r Stall
Sinks
Bar Sink
Waler Closet (toilet)
Rough-Ins
Water Heater
Water Softner
Sland Pipe (washing machine)
Sewage EjeCtor
BadIIlow Aas.mbly (RPZ, Double ChICk, PIJE'
eackflow Asnmbly Test
Lawn Sprinkl.r
Other
I
J
FEE SCHEDUL..!
Industrial, Commercial & Multi-Family
(1% 01 Job cost. 539.50 minimum)
Residential. New One & Two Family
Residential, Additions & A1terallons
Stat. Surcharge
GRAND TOTAL
5
5
S ..s9.~
s _~o f'P-\t> \N~:'-J"\\
. ~ .Y':.~W3
$99.50
$31i1.50
ilII. pcnnl' II ,.....c upon lbe """- CDlIlIllion <M' Hic:\
""_."'" sIWI CDlllply in III . ." ... w1dl!be ordlllal\COS
OflbeSUlePl....j!.. !be .. .. ,.. .,lIme_f.
. . 3. 'Z'Z.-Ol DATE
~ ATl'EST'
Call for all . daDS 24 hO\U$ in advance.
16200 Eagle Creek Av. S.E., Prior Lake, MinneSOl& SS372 I Ph. (612) 447-4230 I F.o\X (612)447-4245
All Equal C, r" ...' ity Emp\OyCi'
TOTl'IL P.01
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS jg1.68 (k.,,~~ ~ .
.-
NATURE OF WORK ~lI....o. !;:1",.-.:::.k
USE OF BUILDING s ~ D
PERMIT NO. {J / - ()n?~ 7/ DATE ISSUED 1-' L,-..200 I
CONTRACTOR .( ~A_ PHONE '1~f7 - 7S~
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
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~
tfu
~~
,2,///6/
~
31t Yo I
-
f?:r.
tJ:r
3//(.,(0/
,2,'j J J~]
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
..
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
9/::u I dl
. ,
..
~-
ri/
'1
UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have beltn approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
OCCUpy
.
CJI,.,//~
II~ Y / {II
BEEN - SHiNED
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1!ztJ 10 I
d--.
1~"o
ADDRESS /L.Jc"f?'9'
..
&. . .....<2...)
/
CONTR.
OWNER
PHONE NO.
PERMIT NO.
I'JI - ,f) ~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING h) 0 WATER HOOKUP
o INSULATION f.J:9 0 SEWER H KUP fi!l}
~::~~~NSPECTION @)~ :'e~~BI A~INAL~
COMMENTS: t... L t
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~.
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::CTWOR~R REIN::r:::FORE COVERING
CALL oU7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
fflSNQT,