HomeMy WebLinkAboutBuilding Permit 01-0077
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
z.fJ -coot
1. White
2 Pink
J. Yellow
File
City
Applicanl
(Please!vp~ or print and siJUl at bottom)
ADDRESS
4\qb ~ .DlofaAn ~+, SJ.
LEGAL DESCRIPTION (office use only)
Z:7
LOT zJ!J BLOCK 2.. ADDITION
/...AK-EGIOe;; 9A~DE:N5
U \ \\\ik'J\J\ -r. \)DY\ ~
4-1 qS CD/l) ('(.{dD sf- S/~
PID ;z.S-OO(p- 021-0
OWNER
(Name)
(Phone) qSz. - t..f- tfD - J.3St-f
. .
~..~: llS2-'Kf.P".~'LJl.-tL
~. ,
(Address)
BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc,
~ower Level Finish
;3 ~S.
o Fireplace
OAddition
OAlteration
OUtility Connection
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 u t"~t'';' ~j,to pe orm neede1inspections.
xi; . iJ -;:}-5 -0 I
Si Contractor's License No. Date
I Permit Fee $ 74-, 76 I Park Support Fee # $
I Plan Check Fee $ I SAC # $
I State Surcharge $ 1.50 I Water Meter Size 5/8"; 1'" $
,
I Penalty $ I Pressure Reducer $
Plumbing Permit Fee $ 40.00 I Sewer IW ater Connection Fee # $
Mechanical Permit Fee $ I Water Tower Fee # $
Sewer & Water Permit Fee $ I Builder's Deposit $
Gas Fireplace Permit Fee $ I Other $
-
t#'f;.~~"-'-"'- I TOTAL DUE $ //7. z5
. 2'~'~( Paid //7 z.5 I ReceiP/l,39OOS
- Btli!d ng Ot<<"l Date Date "Z--J - () I By 11
r
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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
3- 8 -0/
5'S-37~
;~: ~::y I PERMIT NO. 01-0077 I
). Yellow Applicant
(Please type or Print and sign at bottom)
ADDRESS
,:.:.4 I (,II 95" Cc~~ S 'f5'
ZONING (office use)
~ISO
LEGAL DESCRIPTION (office use only)
LOT~LOCK ADDITION ~SIOF, ~Fil\lc,
PID z..S-DOr.,- OZ7-0
(Address)
~~ ~i'., \.)~
'1/15' ~SE
(Phone) ( 'I'-/o.:c. ~ l".-t.j
/
OWNER
(Name)
APPLICAN'V7 _ . \ '\':; \ 1;";>/ ' '
(Name) TtC<- r~ \ I~~ '1 l.\ n~ if\! f)
(Address) . 2::< 7 tJ 0 ~ " I'l ~ \' '(' ~ \ \ .
(Address)
(Contact Person) fO YY\
~~
(Phone) 3 s z- 4 ~crLj 000
L~k10 V i {J Q.... ft\l-\. c;s-o Lf ~
(City) (Zip Code5
(Phone) ~I 2.- 3~3-~S' 03
DATE 3- lo-o {
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
, J Laundry Tray (1 or 2 compartment sink I Sewage Ejector
J Shower Stall Backtlow Assembly
Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
J Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAlO Wtt1"~
61 n\.U. p .
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid
I Date
Receipt No,
By
24 hour notice ror all inspections (952) 447-9850, rax (952) 447-4245
~~
61,,0011
Thr {~.ntrr of lh.. I.a".. Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W II.A"I.l\ 11 0. VON gANK
z- (0-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
41q~ CJ]LOeADtJ ST. <S.C:.
Accepted >< Accepted With Corrections
Denied () /f) Q
Reviewed By: ~ 0 by
c~::e: -+4 ~...f-!0J ~
Date: ;J -11-7IX9/
"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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 41~5 {1to~~ St, I
NATURE OF WORK tJe.u \, }.,a.~ p."",r.v'1
USE OF BUILDING ,<\ r:-n
PERMIT NO. ()/- 0077 DATE ISSUED ;2 -l,-&-(
CONTRACTOR I/o.A. ~_ PHONE t(c.[tJ-2.'Z.S-Y
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
~
/J,}-
///J'? ~,
/ / IJ/VI
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~ /l
/~.
3/t, /0)
~/:J/O/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
t'1
&.-
,/
ib,a,
,/
OCCUpy UNTIL ABOVE HAS
NOTICE
5"/J/~ V
7/~'5/0)
^/~/4'Z../
BEEN SIGNED
\
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 lie placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL !NSPECTlm'~ '052) 4ti:-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
6-3-~ L; 7.60
tl/fS - CO/O;--qdO ~+
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/-77
o FOOTING @
o FOUNDATION
o FRAMING
o INSULATION
~INAL /.....
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKU~
IlOPLUMBING FINA
11 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(J/~ --.hXe
!'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 44~-~85J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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