HomeMy WebLinkAboutBuilding Permit 01-0251
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Q?lease ~e or orint and si2Jl at bottom)
I ADDRESS
/ f.- Q -:<. ( r:Je.iC <.hrr~
Date Rec' d
"3.2.-1-0/
I. White File I PERMIT NO I
2.P;,k Go, '01-0251
). Yellow Applicant
D.e. 56
LEGAL DESCRIPTION (office use only)
LOT t!J BLOCK.3 ADDITION t1Aeo/Il/,fll-- .e./O(fM /.>-'
OWNER
(Name)
(Address)
. BUILDE~ ,~
(Name) ~~~...... -K~(O~~
(Address) /(, 2-.Q c -J!_,.~<U1r.. Lr.~.o
ODeck
TYPE OF WORK
o New Construction
o Fireplace
~owerLevelFinish
o Misc.
I ZO~OOffi~~e) I
PID 25-2.IfJ9- 1'J39-0
(Phone)
~"",,"-(PhOne) iI'- "I. '"\9D D
~tJIL""'" M"">
OPorch
ORe-Roofmg
(G.t:?J '1"c:>~- y'f1U
~ Pt........
ORe-Siding
OAddition
OAlteration
PROJECT COST/VALUE (exc1udingland) $ -.37..000
OUtility Connection
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
#
#
SizeS/S"; 1";
#
#
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 !'....}<...-.) and that all construction will conform to all existing state and local laws and will proceed in accordance with
su~' d lans. 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
e ler upon ~ .u ""'3r needed inspections
X, \:: Cl"-...... c:--: _ ' _ ~ c'82<"" ' ....., / q 9/G~
-- ----- 1;ignat\te , Contractor's License No. Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
8F7.2C;-
Cf'Iu.-EP
4-..!..,."
$
$
$
$
$
$
$
$
$/2.q.ZS
~b ~es Your Building Pennit When Approved
~~ ~.~-~/ IPaid /z'1...Z6 IReceiPt~p""r7
BUildin~fficia1 Date I Date ~PJ-/}I By /h
, ,'. '{'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may lri'oceed as requested. This document
when signed by the City Planner constitutes a temporaI}' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
'2 .~()
4(J.OO
-1
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
FROM
FAX NO.
yN._.__....-
.,:0.:.. _.,,~...~ ~;I;---= .
.--~
---"
Mar. 1115 21111111 11I9:I1II1IPM P1
Applicant
Address:
SignabJre: j
Legal Description: Block ~ Sub.
Site Address:_ I fD ,.;r I P (Hie c./ ( .e. ~ D'--
Building Permit # PID/I,....,/5-~qq-IJj7'-()
NOTE: This permit will not be pl~~~_J wilhout complllle information.
FIXTURE UNITS
CITY OF PRIOR LAKE t a Sr....
pl.UMS/NG PERMIT # OI-d<5 I
J4lJeC-l=- r I J 17 L-. Phone:J,)'!- y:.,v;:Y',J.~ 7
I t-A c..~' . I/YI~ {':::jY':' '---
r
I Quantity
I
I
I
~
(
t
I
Type of FIxtUre
Satt1 Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks:
Bar Sink
Water Closet (tOilet)
Rough-Ins
Water Heater
Water SClt'tner
Stand Pipe (washing machine)
Sewage ElectOr
Backllow Assembly (RPZ, Doubt. Check, PVB)
Bacldlow Assembly Test
Lawn Sprinkler
Other
Minimum F..
Unit
Amount
S 6.00
$ 6.00
$ 6.00
$ 6.00
S 6.00
$ 8.00
$ 6.00
$ 8.00
$ 6.00
S 6.00
$ 6.00
$ 8.00
$ 6.00
$ 6.00
$25.00
$10.00
$25.00
S 8.00
$25.00
SURCHARGE
Telal
I
I
.50
GRAND TOTAL $
'Ibis 'PCtD1it is J:l'lIuted u h
conaador, shalI...mpl:::.na~ :. CXPlQS :ndiuon lha'oaid PAl D \~/ .
ofth. s.... Plumbing Code and r lib lb. ordinances BUILDING P - '
~ 0 amcndmear.lhe1'llof. 1..;.1 l"~i' j
RECElPTN~. -g-O/ DATE
./ ATTEST
Can for an Inspections I ad
4629 nab:tta SSE. . rs ft vance.
,. . ,Pnot LaD, Min....... SS372 I Pb
AN EQUAl. . (612) 447-4i30 I FAX (612) 447-4245
....t ~ ........'I'UNny EMPLOYER
Or OZ6J
Thll' ClI'nlll'r of Ih. LIob COlllnl!')'
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEeART~NT CHECKLIST
NAME OF APPLICANT RfJt:lt:2E-/~' ~ l/oeN77,q-{..-
APPLICATION RECEIVED ...3- Z. 9 ~ 0 I
,
~()tJe;L-{ Ali
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&7? / ?n~VI6W Df!:- S_&.
Accepted
'7'--
Accepted With Corrections
Denied
Date:
Comments:
~ .u.o. ~ LRv-J. C....~~ h~,_~ ~
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Il.~\ ~UI'6.J Dt.
NATURE OF WORK LOUlD~t~~ \::--~
USE OF BUILDING 2F,,5 AI r2-
PERMIT NO. t,. ql-O.zsl I DATE ISSUED 4- -3-0 I
CONTRACTOR ~ b~\ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DAn!
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING rg, \::J ~);JJ)D(
INSOLATION '&\ ~/~lol
ELECTRICAL l
,
PLUMBING /!N. s ~lJ /0)
HEATING (if required) ~~~~ ~()l
~rA "b ~ fP.M-l {..\~~ l'J\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
bL
" ,
fi'/'7/~ /
fn /a,{,,,
1,/ //w
.
BEEN SIGNED
y..l,
r/Zh
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been lipprdved. 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
ADDRESS
I~ d-d- /
DATE TIME
SCHEDULED ItJ 4-1 ;> ;3 6
fJ~~..
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t - as I
o FOOTING
o FOUNDATION @
o FRAMING
o INSULATIPN, .
p1:INAL '-I--'
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f3 ~(l~
.'" ~
COMMENTS:
)q WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector:
Owner/Contr.
/
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSJ<<)Tl