HomeMy WebLinkAboutBuilding Permit 03-1313
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
tJ :? 9', 03
; ';:,~:' ~:~y I PERMIT NO. n ~ -I' "2 I' 2J
3. Yellow Applicant l.,.L-J ~ J
(Please tvt.?~ or orint and sign at bottom)
ADDRESS
J.19} /J(JIJ(!./fr rli'lId. IV'W
"'/I j tJ fi i-J'f IT y> /}OJ Jt/
ZONING (offi" use)
K-/
LEGAL DESCRIPTION (office use only)
LOTI 7 BLOCK J ADDITION Wft..-OS ~Ourn
PIDZ5-.382. .67/. 0
OWNER
(Name) -?:nIJr., q. CAh..A C ollcv
(Phone) 'J~-2-.AS-(J. 'fy:A (; e.~
'15). ~;n - .A .,/ A, ""Mt..
(Address) ),9YoS LJmU#r r'AJ/' 1V.4v
BUILDER
(Name)_t-" <t/ c.~It/ ~'",l/,rJtJjr r,,,,,/
(ContaClName) 5c;Jrr (;Ol'>r/hu./
(Address) 1f9"5i:7 I//lJII-II/.'-/I 01'
AV,,""; A., r \I .lJ<1'IN {'~-/2,,"
. J
'j,U'L
(Phone)
(Phone)
(, S./- cliO.. 'i1/7~
" <;1- Ai"-- VY J )...
TYPE OF WORK
o New Construction
~ower Level Finish
oDeck
oPorch
oAddition
ORe-Roofing
ORe-Siding
o Fireplace
DAlteration
Dutility Connection
DMisc.
PROJECT COST IV ALUE (excluding land) $
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 flI-y /t I..&. .&..~ ,,~ .J{~ ao:J 3 7tW~- o/h"fh3
r SIgnature Contractor's License No. Date
Permit Valuation 4-,000.00 I Park Support Fee # $
Permit Fee $ e7.25 I SAC # $
Plan Check Fee $ I Water Meter Size5/8"j I"; $
I State Surcharge $ 2,00 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
Plumbing Permit Fee $ 4-0 00 I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other ~.. $
Gas Fireplace Permit Fee $ I TOTALDUE(' -....'\1,,1)) $IZ~S-
/ -r;r /J
Paid 12/1. II I Reeei1?i,i<io. ;-.5MiV
Date '1 30, d? Bv --t:--_
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te
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
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.424S
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: 1Y\\(\- e.",,\ ME"~~
Address: I v€'" ~'r sr. AS.
Signature:
Legal De ription: Lot Block
Site Address: .;l").,S h4,P./LT --t"l- 11I'-1
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
#
Phone:~~-1~,,"- 'tl",n
~ Li.",E hW SS"Y49
I. Blue File
2. Gold City
3. Yellow Applicant
"3 - (3/3
The Crnlu or lh., L.k" Country
Sun
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
I
Bath Tub with or without shower
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
I
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
I
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ 39. so
$ .50
$ 4',00 ~~jj
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amen~ment~ereof.
RECEIPT NO. It?" ~'J DATE
~ ATIEST
Call for all inspeetions 24 ~urs in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Zqq.5 OOal+T '//e/r/L- JJ. lA),
NATURE OF WORK _&.O~c.. /_J:;VF; (-
USE OF BUILDING ~o571/ R- .
PERMIT NO. 03 -/3/:$ i DATE ISSUED q. zq 03
CONTRACTOR rl/l/. GlOP-DON PHONE t,5/.210. 9+32-
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)
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17
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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V
1
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(1hr
I
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OCCUpy UNTIL ABOVE H~BE~N SIGNED
NOTICE
I /
2./ <J / /'Ji,
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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
2915
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l"FINAL
o SITE INSPECTION
COMMENTS:
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ok:
SCHEDULED
UJ
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
A
C (. as.t
* TIME
"3-l3J~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-i4
(',/
~:. \ ..p
,
~ORK SATISFACTORY, PROCEED
;I' 0 CORRE~T Cr!STNDPROCEED .
o CORRE W, FOR REINSPECTION BEFORE COVERING
Inspector:! \ J!.I _ Owner/Contr:
CAL~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ