HomeMy WebLinkAboutBuilding Permit 01-0053
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
2 Pink
). Yellow
File
City
Applicant
PERMIT NO.
(Please e or rint and 5i at bottom
ADDRESS
/5.;37 f,(//Ld5
LEGAL DESCRIPTION (office use only)
LOT 3BLOCK / ADDITION
ILD5 2tJD
PID 2.5-323 - 013-0
OWNER
(Name)
VE~~
/s;;~7
't/6'OS;7'"JN
JdL.!J5 ~~KcJ/} Y
(Phone) 95'; - Y'YO- 5~83
4/0;( L /-jKC' /11 ~ ~
(Address)
BUILDER
(Name)
ZEJ(/) eAl'~llL 6L 0/{ 5
/8~:::S7, R.J.oO/h
(Phone) 95,) -C586- ;J~J5
IA/(..T oJ /It AI,
(Address)
'-;tYPE OF WORK 0 New Construction ODeck
~Lower Level Finish 0 Fireplace
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
Y;700 ~
o Misc.
PROJECT COST /V ALUE (excluding land) $
I hereby certify that I have furnished information on this applicatiOfl w is to th st 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 conform to all existing state and local laws and will proceed in accordance with
submitted pia I am a e that the building official can revoke it for just cause. Furthermore, I hereby agree that the city offici or a des. nee may
enter upon rope erform need spectiOfl. .
x
/797
/
Date
~
Contractor's License No.
Permit Fee $ 87. 25
Plan Check Fee $
State Surcharge $ .00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ -
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
~
TOTAL DUE /-Z9-()/ $ 12H z.E)
,
mes Your Building Permit When Approved
/-ZS-'?Do1
Date
I Paid I Z. J7-j'-.,
Date," t "
I Receipt No. -Sg€>"I1-
By fUJ(Jr
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) 447-4245
The Cnter of the t.kt Counlry
Applicant:
Address:
Signature:
Legal Description: Lot
Site Address: IS.::l 37 Wi I cl $
BuildingPermit# 0/00 S5 PID#,;;lS-3....3- DI<.-O
NOTE: This permit will not be processed without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
We I fe~ t' l3/o..y lock. -me... Phone: 95.:1-8''8;), - 8' 10 'a' I
S-o E Hw /3 Jr u~/le. 337
r
I. Blue
2. Gold
3. Ye1\ow
File
City
Applicant
PPNo.
01-005..3
SublJ;l..ls ';<nJ. add,l-IO'.,
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
.;;... Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (lor 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
/ Water Closet (toilet) Other
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
$
$
$ 3. r. 5"0
$ .50
GRAND TOTAL
~W\i\-\
$ c'-ro~~rr
eU\I.D\ G rc:. .
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C d nd t e amendments thereof.
2--'1-0/ DATE
ArrEST
Call for all in pections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
BY: 1. .4
Date: /-25-0/
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Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
PID: 25-323 -013 -0 Zoning: PU.D
WI L.D.5 PI::- wy
Subdivision: fI'IlLOS 2/l1D
Building Permit #
Site Address ISZ37
Legal: L /3
B
I
Existing Structure: YES or NO
,c9l
I CONFORlVIS TO ZONING
ORDINANCE
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? V-
Is the property located within the flood plain? Refer to Planning vi
Does the alteration include any additional kitchens? Refer to Planning V
Does the proposed alteration include any outside' Refer to Planning
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 V
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW,
L;\TEvlPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15;;l.3lt LJ lias f~\;(wcr
NATURE OF WORK 15a.~...~ h'IA''<;l...
USE OF BUILDING SF D
PERMIT NO. ~~o~ DATE ISSUED /-2S--2oof
CONTRACTOR ( C -"l,S~ PHONE . 8BB - 2;1 ~s-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
-
_11)1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r--=-------
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~,
'E.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
-
- _....-
BUILDING q, ~l" ~hl"l
ELECTRICAL \,
PLUMBING I' 'I
HEATING tl II
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical '\Jervic$ 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
ADDRESS
/5237 NILOS
OWNER
CONTR.
DATE TIME
5~3 -0/ ~
PK.INl(
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.A-'ild' FINAL f..... c....,.
7 I 4:J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Of-O/53
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORREpt9RK. ALL FOR REINSPECTION BEFORE COVERING
Inspector: D",,--- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/