HomeMy WebLinkAboutBuilding Permit 01-0191
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATE RECEIVED
.3-2/-01
. DIREC1l0NS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom}
2. SITE ADDRESS
/50.;l.3 !llnel.' 8",x &.J
3. LEGAL DESCRIPTION
LOT -'7 BLOCK z..
.~.sP8~e..eA( R..In~h
14. OWNER (Name) (Addre..)
MiKe<. <<.Od,o,..... 'h-D.f,..,"".... J-2fJ23~J.O,.g~..J
/5. ARCHITECT (Neme) (Address)
6. BUILDER (Name) (Ac:ldress)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
0/- oRI
1.0ATE
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BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Heigtlt) (WICIIh) (Depth)
12. NO. OF STORIES
ADDITlON
PID 7~-YJ~J J-l')
/~
13. TYPE OF CONSTRUCTION
(Tel. No.)
.1/..6- S /.1'0
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.1
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
/YJa.A.ow,,-IJ /3u; L:,)f!r$'. :f11c.. trn rA:J ;-6lJSt-. fJ.L. '10- A 73~
7. TYPE OF WORK Fireplace LI Septic [j Deck LI Re-roofing (] Porch LJ
New Construction CI Alterations LJ Addition LI Finish Attic CJ Rs-sldlng 0 Finish Basement" 16. PR~FCT COSTNALUE
Chimney LI Misc. " /.31 6'1Hl .
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS "0. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No C. Jf Ja I
I hereby certffy thai I have furnished infonnelion on this application which Is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil~ciaI can re~ke rmlt for just cau~urth8rmore, I hereby agree that the city official or a designee may enter upon the property to per10rm nel)ded I~ons.
X ~~ 4-A!- _....1 d. "i$<L. .>/.l.//L> I
- ,Signature - LIcense No. Olite
SEAT~
SETBACKS: Required
Actual
FOR ADMINISTRATiVE USE
Amount Brought FOlWBrd .................. $.
Park Support Fee ........................... $.
SAC ............__........................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$.
Pressure Reducer .......................... $.
MeterHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid /Z"!.2S
Issued .
Dale .3 - Zt. -0 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 p
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occLpancy, aCe' .
Front
Side
..ok
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 1/. ~O
USE OF BUILDING
TYPE OF CONSTRUCTION: I It III IV V
OccupancyGroup A B E F HIM R
DMsion1234
Permit Fee ................................... C!
S U
City:
8.!L? <"""'
Plan Check Fee ............................. $
State Surcharge ............................. $
2.n/")
Penalty ....................................... C!
Plumbing Pennlt Fee ....................... $
4n.(')(")
Mechanical Permit Fee ..................... $:
Sewer & Water Permit ...................... $
CityPlann9l'
0.10
24 hour notice for all Inspections 447.9850
Special Conditions if any
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS CJ PERCOLATION TESTS LI
PLANS & SPECS LI SETS
SURVEY
PLOT PLAN
LI COPIES
LI
€~~
+'lrlfES01.""
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
3-2B-o/
cr1ease ~ or Drint and si2ll at bottom)
I~SS
~I rOJ5l3kc,k odk td
~.:.: ~::y I PERMIT NO. O/~O/9/1
3. Yellow Applicant
ZONING (office use)
1</50
LEGAL DESCRIPTION (office use only)
LOT I BLOCK Z- ADDITION
(Address)
Mr.P8~ .et06& 2.6f1)
fYhc..hccfl T Trofmal1
15'0 J-S /:/qclt Oq/r .K'd
PID ~ -Ol/-t)
aIi'lER
~e)
(Phone) L;t;)-~J $-0
.-,ICANT, J, I - 7 J
(mmp) m I LII/Uf I l--cJ rno t.-,
(Address) I 'JOJ3. I'J} 0. elL 00 j{ J( tJ
(Address)
(Phone)
PJ.-.'olo Lq/a-
(City)
'1~ /-~J yO
!;~?7J.
(Zip Code)
(Contact Person)
/.LooA. J I ~'-I-
~TSIGNATURE "7/~ ~
(Phone)
DATE
05 J J. 3) 0 I
r
I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity Type of Fixture
Bath Tub with or without shower Rough-ins ., .
Dishwasher Water Heater . ~p '<N' 'l~tt
Floor Drain Water Softner ~G f
Lavatory (Bathroom Sink) I Stand Pipe (Washi~lne)
Laundry Tray (lor 2 compartment sink I Sewage Ejector .'
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
Quantity
1
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 # () 1- D l1L . \-
PLUMBING PERMIT FEE $ ~ict w;\-l-. ~l'ld.l~ ~"""
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(~o~on
. i cation ;.comes Your Building Permit When Approved
"'" /~ 3-28~Zool
- \. BUildbf Official Date
,
Paid
Receipt No.
Date
rf1>
24 hour notice ror all inspeetions (952) 447-9850, ra. (952) 447-4245
PRIOR LAKE" ~~rtD~~~~N:D~~SPECTION
INSPECTION RECORD
SITE ADDRESS JC::O 2. ~ 1!fn,,~ ~
NATURE OF WORK . L.....-- t~A.u L.J '"'- _"";.
USE OF BUILDING . 9./=J:)
PERMIT NO. OJ-OJ'? DATE ISSUED 7-")( ~?1Jb1
CONTRACTOR PHONE 4.(<-17 - ?~~
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DAne
~ I
ckfill} I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
vJ{c.,~, c3ld9hl
m-.
A~
t?r, "I ~ 'J/M
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/1
&.:r:
III /57 /~ /
u,
~.
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electricai service cabinet prior to rough-in inspections
and maintained until ail inspections have been approved. On buildings and additions
where no service cabinet is avallabie, card shail be placed near main entrance.
t../?"/t>f
I /,,/i'/O/
BEEN 'S(GNED
Call between 8:00'and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
SCHEDULED
DATE
(, ~?--O) ItHOV
!JJ~@~~
TIME
CiTY OF PRIOR LAKE
INSPECTION NOTICE
<'
..
ADDRESS
I &{)J- 3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ ~ Ie; /
o FOOTING
o FOUNDATION
o FRAMING (f!)
o INSULATION
....er1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Jl'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: '- ~ ( Owner/Conlr.
I
CALL ..-7-8880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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