HomeMy WebLinkAboutBuilding Permit 03-0008
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/? - .3()-OZ-
i -;:;~:. ~:~ I PERMIT NO.o.' ? 'OO,na, I
3_ Yellow Applicant .J Vl./
(Please.!VQe or mint and sign at bottom)
ADDRESS
/.5'"'27'7 ;t/;r..,ll-IC~
c,
LEGAL DESCRIPTION (ollice use only)
LOT.5 BLOCK 1 ADDITION
OWNER
(Name)
(Address)
WIfl/OSONq
4711
PIDZ.s-- 3(,,/- aos-(j
(Phone)
BUILDER
(Name)
(Contact Name)
/TlC~/hA'/Y7 S
~
0r/f,n4Je;-
(Phone)
(Phone)
4n" '3274;/
(Address)
/~~7t'
TYPE OF WORK
o Misc.
;. /J5$oC-
I I
ZONING (office use)
PVSD
f9lr- Y' 6~ y
,t/r:?-2Z/-Z5-71
Contractor's License No.
4,000.00
$ 97_?5
$
$
$
$
$
$
$
Park Support Fee
#
S.5/2Y
o New Construction
Ji.Lower Level Finish
oDeck
oPorch
ORe-Roofing
ORe-Siding
DUtility 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 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~~s~ <../r-}Z
X ,...........-- ~ _ ,_ __ I'~ /2 -30-oc..
~- Signature-
~
I Permit Valuation
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
$
$
$
$
$
$
$
$
$
/;
IfJ~
D Fireplace
DAddition
DAlteration
PROJECTCOST/VALUE (excluding land) $
SAC
#
2.00
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
4-0.00
#
Paid
Date
/7 o/,;t-!;/
j-,:;:J-(}J
TitCla7!E:. Yom Building ~z~:e~woved
Building Official Date
Dare
/2Cf. 25' ~
4-3~ /
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
~hentis' ed by th~' Planner constitutes a .......1'"....., Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
lSSUed.
(t Jr- G1-
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
(Pte:l.~C .EY.P~ .)r DnnC md S\'tJl at bottom'
I ADDRESS '. ~r". --.... I.! fl- -;---..
15~4'1 a.M.Lu.tU Ii ~
" '
I
LEGAL DESCRIPTION (otlicc use only'
, . ,
, I'
BLOCK ADDITIONl.i t:>lD
I r
~::~R &'." ~r 1]&4"..1.) (Phone) I
(Address) K;2-"fI1 'ft, ,,7, .~~ flu;dl) ,Q ~ A -:J~- L 1., . '-N J !
, ~ I ~ ~I
APPUCAN1, _ '~ I
(Name) ~erfDJ';J ill-L'rt,o) .'-<(,,1. (Phone) t..I'L_~::v',. _-f:J3ll)
(Address) )~:t'l G(')"I,,,,,"'II. -Jr~ q1l/)JriJ~I' ;-..:iJ;) -S!:)0611
(Address) 11 q (City) (Zip Code)
(Conract PerSon) JJA i. ;, d ' el, ,.J, I ~ '; (Phone)' (,~~l ~'1. ,~~
: -14' '\ ,I r4.(fj - . . ,
. APPUCANr SrGNA TURE . i. L IX '--- -Yu itA JU-I./'~ DATE I If -al5 ,.I-. :z. fZ4J(J.o
: ! -) U "r it
, ~PPL1CANT PLEASE COMPLETE BELOW .
Quantity, Type ~f Fixture Quantity I IType of Fixture
I Bath Tub with or without shower Rough-in~ i
Dishwasher Water Hqatef
floor Drai)l I Water SOIftner
i.avatory (Bathroot\l Sink) Stand Pi!!e (JW'ashing Machine)
I Laundry Tray (1 0~:2 compartment sink I Sewage iijedtor
I Shower Stall /. Backflov. ASsembly
I' Sinks Backflo' . Aj;sembly Test
Bar Sink I Lawn $" cin~ler
! Water Closet (Toil~t) I Other i
I' I
. ! FEE SCHEDULE I
Industrial. ~ommercial & Multi-fnmily f% ofjcb cost with a S39,50 minim.um Residential, Ne' lOre:: & Two-Family S99.S0
'!, Residential, Ad( itior$ & Alterations S39.50
Estimated ~ost $ Building Permit ~ !
II PLUMBING PERMIT FEE $
'i STATE SURCHARGE $
II/TOTAL PERMIT FEE $
(omcc: U~t Only) II
This Applkatlon Becomes Your Jt;.ilding Permit When Approved Pair
'I
II Da
,~.../fi\l.llding Otlicial ;J D:sr.te 1
,< II I
2~ hour not;.o for ,II insp.ctlon, (952) 441-9850, f.
'I
'I
I,
LOT
01-02-200.3 l2:S3Pr1
I1ATTHEW DAN I ELS, 1I.1e.
P.'ll
Uale Kcc'd
42.3 3017
, ,
. I
CIT~ OF PRIOR LAKE PLUMBING PEIU III
I:
I
I,
II
"
II
l.al.... F,1.e
: Colli CiN
J Yellow .\oOi.~m!
I (E~'lIT NO, 03" Oill:1"
ZONING :ol\\cc.,c)
I
I
I
By
TOTAL P,0l
.
Residential Building Permit Checklist
Bm::: Finish or Interior Alteration to Single Family Homes
r11J.. V~ Date: /L- 30 -0'2-
BY:
)
Building Permit # OL' au U()
Site Address 15247
Legal: L C) B I
Existing StructurQNO
Pill: 2.5-3(01 -000;-- 0 Zoning: ?LJsD
Nl'\tJTllj\ ~~
Subdivision: WI NOSOtJ~ 4-T1\
CONFORlVIS TO ZONING YES NO
ORDINA1~CE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ~
I Is the property located within the flood plain? Refer to Planning ~
I Does the alteration include any additional kitchens? Refer to Planning ;/
Does the proposed alteration include any outside Refer to Planning ;<:-
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning
alteration for anythjng other than a normal single r
family home (office, group home, day care, etc_)?
Tms CHECKLIST MUST BE COMPLETED ..I..ND INCLUDED IN THE BU1LDING PERIYIlT FILE TO
MAlNT..I.1N ..I. RECORD OF THE REVIEW,
L:lTEvll'LA TE\AL TCHCKDCC
PRIOR LAKE
INSPECTION RECORD
DIEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /5247 /V/'1I/Tlt!/l e/,e~
NATURE OF WORK LOW r:;Je- I EV~
USE OF BUILDING !eGJ rcr/K--
PERMIT NO. tJ3 - 0008 - pATE ISSUED
CONTRACTOR ~/('_t11IUI/JnS,' /1:-fJOcE..-.-. PHONE ~cfE3 - -f-6(pJ
NOTE: THIS IS NOT A PERMIT 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
FRAMING
INSULATION
ELECTRICAL ~
PLUMBING w I ~.e-c:-~~
HEATING (if required)
~f4-
~
~
~
II tJ,--Je5
tI n-/ B3
1/1b18~
/I I 'tho
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(;6 )
I
V
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I /
,/2t(ct
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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5at.j~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
):H=INAL L. l., I:."'",-S &....
o SITE INSPECTION
COMMENTS:
SCHEDULED ~~~~
MrI-I<C'" ~
TillE
CONTR,
PERMIT NO,
3'-~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,,"-WORK SATISFACTORY, PROCEED
/ 0 ~RRECT ACTION AND PROCEED
o CORREC7!EALL FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CAL _ ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNQn