HomeMy WebLinkAboutBuilding Permit 04-1146
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
II. /. 04-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. M . / /t!-fp
(Please tvoe or orint and si'W at bottom)
ADDRESS
5(PSO ..R9/~;</WN SH()K.-6S ~/L-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER j 'J/
(Company Name) f.. e7 Tlf ~ ~/(S lli"'"'-
(Contact Name) K t:l77-f tI-1tN 1./ 1'rSl#
(Address) d-eJ if 3L) BOONe 11,/[
ZONING (office use)
JeI.r.C>
PID ?-b. ().71 ,0 13. 0
(Phone)
IkiJ/U. :r...-
l.r12- -Cill /-0& it(
Pt tOt: l-JHt.e'
(Phone)
(Phone)
y/;ltJ r;s 1,7 L
TYPE OF WORK. 0 New Construction DDeck DPorch ORe-Roofmg
DAddition DAlteration DUtility Connection 8 Misc.
CODE: ix1i.R.C. OLB.C.
Type of,f;;'~stntction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
DRe.Siding o Lower Level Finish 0 Fireplace
.]:.N7'tI/'4<;;(I... ~."'I't-T""';
PROJECT COST IV ALUE S 3l',0</,..}
(excluding land)
I hereby certifY that I have nlmished information on this application which is to the best of my knuwledge true and correct. I also certify that 1 am the owner or 3uthonzed agent for the
above-mentIOned property and that al1 construction will conform to all existing state and local laws and will proceed in accordance with submiHed plans. I am aware that the building
'xlfficial ~a/voke ~th1per for Just cause Flllthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed/m/s:c/tiO:O I
~ ,9-ooiI1'//.......-
Signature
Permit Valuation
#20, tJOo.O 0
$ ~ ~CLoo
$ 2-7-0. "35;
$ (O. 00
$
-....$ 4d.lJ/J
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee ~w-r:
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~~
Build1llg0tlicial
II !'i!{,~<I
Contractor's License No.
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
II. ~ .04- 1$ /, Oq. 3S-
I
I ReceiPt No. ,-/'><'01'1
By /'
c/'1
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTALDUE ~
Paid 0(j'1- ~_')
Date I J~ 9~i?,--!
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 ~ty Planner constitutes a temporary Certificate of Zoning compliance and aLluws construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ /(4i.<i ~ ,~,i~4J,;J;~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 I
16200 Eagle Creek Avenue Prior Lake, MN 55372
&~~
C-White - Buildi~
eanary-. "ng,""ering
Pink . Planning
rhr(...nl... nflhrl..!.;.. Counl'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/Gf, ITHs k.U5WH 5Lot2-5
11-,1.(J4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f)(q 50 1= A ( tl.t.A W,J ~(){lk; 5
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments: ~
~
~
9-~ Date: f~)~
./~~-
/'
tJ~
,
"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."
~~
White - Building
Canary - Enqineering
C-Pink ,_ - Plann~
Th~ (-..nl..r "1Ih.. 1.8k.. C'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRt
NAME OF APPLICANT
APPLICATION RECEIVED
(
,
,
;' L (._, 1'___
Ii
r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1 \ I f +--/ ({~ L ~
Accepted
/
Accepted With Corrections
Denied
: , ~ Date~ IlltT~q
~ ~~ 7' /f~. --jl/?~ '
~~'
Comments:
Reviewed By: ~
No
~
"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."
10: 47AM
MATTHEW DANIELS, INC.
423 3017 P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PER1\11T
1. lIlt.oc 'il~
:_ Gol4 C'17
J. "0:110... "PP'~tU
I PERi\UT NO~
ZONING (oll\ce...)
(Please rv::E! or Drinc and sum a.t bottom)
ADDRESS
SItS) ~ ~~'6.l.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmor-<
PlD
O~ER ~
(Name) -JJ.,. J(j' L , J iJ .
U
(Address) ~5(l ......4,." ~ J. n. -:J "-AI. A .. J.:;) ~,_
(phone) q~ ....;..;.7_ ,-"!t-.qJ
Q~...~)~.~..
I
I
I
I
r
I
I
I
I
APPLlCA."lT. J ~
(Name) ~lQ}7) [1/1'Jlh,J.-...AJ,jJ., (Phone) 1aS1.-!.:J.."5...3:j3n
(Address).....t.5J}..:vJ (l,,;,;, A'I"" 4. ..J:;;11-.. q\fJ} riA'}' r, 1..fJ;) ~068
(A~ ; (Ciry) (Zip Code)
(Contact PetSon) [:14 1 ; j J) ,t:. \. 4~ ') (phone) - t,5'J - ..Jus . _:?;gLJ
APPLlCANTSIGNATURE tJ'''J'LI~c''J.jJnjJnlJ'''.4./"' DATE L;{....,l.~. ~4
U
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drai!1 Water Softner
Lavatory (Bathroom Sink) . Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
'-
Quantity
Type of Fixture
I
.:L
I
I
J
FEE SCHEDULE
Industrial, Commercial & ~[ulti-family 1 % of job cost with a S39.30 minimum
Estimated Cost S
Residcn,isl. New One & Two-Family S99.50
Residential, Additions 8< Altcrations Q39.5C!)
Building Permit #
i'AID V~:;"'l
$ ~.4Z2''1'i'';'''''', "'>oiIf."
$ .50..,i".Io.Iit'ru'I"i:J':, "
$ ';IJ.,,(}~ ~ .
.1 r~d!, . ..( \ ,", !. Receipt No.
llrrrroV 1 5 2004 ~ By
PLUMBING PERMIT FEE
STATE SURCHARGE
I TOT AI. PERi.'fiT FEE
(OIliee Use Only)
This Application Becomes Your Building Permit When Approved
Bulllli"ll omel.1
Date
14 hour notice ror.n iaspeetioas (952) 447.~.'r~x.(95~ 447_-424$.._
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 5'5.9 f=A,ic.L.AwA oS) __~ 7Z/,
NATURE OF WORK K~'" A-"~~ Arii;:r~ - .
USE OF BUILDING Silfifj) 6 r .... .
PERMIT NO. J.~ ~,!.I/4:~ DATE ISSUED G
CONTRACTOR ~ i18171^ ~ PHONE 7!L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
IIW/
~
vW:
vW
1,-/'1 -(,l\
/r7 .2Z~<j'
, I-( ~ '(/lj
( r-(fIj'C/.-1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
rvyJ d. - j/'~
,7/7/oS
~ .",2//0ftS-
~ ~~e7ftJ
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
.,---"".-~~_._--~-~._'----'-_._'-'---"'-_. .--
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
..$(15.;
y--,!)[) kf-i4-M ,5J~'<-s ~/
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o~-//yc.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
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
COMMENTS: 1
_ (...M..n, k ,0
A ) J
d ~n/"YJ
f'" Ji/
/.....lJ:'l. _ / /' - /. / - -
~/V.eed. /''-;M/~';)00 /,.4.-...lr-r,YL.
~__ .hjLJ h5 ~ ~~ ?e4
Eft; iijoih:i~~~~~7 ~ ~~J8c
~y..t~ ~ /' ~/'- 7'0 ~ " J
/-k~) ,,4;r _~5T OL. ~ ~,-:';-L-
.----r ?' ) A '.
( / J /)....::,.~ l--tlt ;1/(/ 2-I'}-OS
,,'-/" L-~ '-' - ~
/) // --. i? / r
(/, 0/1 ~ ~/~~ch/v,",-
o WORK SATISFACTORY, PROCEED
.LRRECT ACTION AND PROCEED
fiORRECT WORK, CALL F R R PECTION BEFORE COVERING
Inspector: #. ~ner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn