HomeMy WebLinkAboutBuilding Permit 01-0719
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS \~On Co.fV'bri d~e
Print" Lrk\(p
Date Rec' d
(,-/5-01
I PERMIT NO. O/-07/Q I
I
ZONING (office use)
~I
L White File
2_ Pink City
3_ Yellow Applicanl
o rc. \~
LEGAL DESCRIPTION ~e use only)
O"'*\~ -z..., t'R.~CIZ- A-<-RSS
LOT BLOCK ADDITION
2"'0
OWNER . 1
(Name) =---S"PIJr> -l
(Address) \ (~() I")
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(Phonef9Sd..) 1.j40 - \t.j ~I-j
L'^-\:::e.
BUlLDEIY. . \ J 'f"'\ +ll I 4l \ I '
(Name),f-\,^ "t1>.r""'1 LJIP r. rn 'R I dl r:,...-\ KP>CY\[) de I.:)
(Contact Name) 'I()" '1 1) j ~+ l... \ rn
(Address) 'PO 13 OX I q- Vi e-+or. a. f'<\N s- 5"3' 1i'b
,
(q )-.;1.)
(Phone) Y 'i ~- I q 1 ("")
(Phone) (.,1:l-1...;;Z~- 'll~q I
TYPE OF WORK
*eck
o New Construction
DLower Level Finish
o Fireplace
PROJECfCOST/VALUE (exc1udingland) $ ,)5" 000
o Misc.
oPorch
'8IAddition
DAlteration
ORe-Roofing
: ORe-Siding
1, DUtility Connection
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
;ter upon the y,vY;)7~erfop'eedel?do:_ 8 C ;) 0;) I 4 ~ 51- ~ _ /3 -0 I
;- Slgnature r Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
\ Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I G; ~ce Permit Fee $
his t m Beeo s Your Building Permit When Approved
$ S:C;; &:P . C(") I
(.7 A , {<;""" I
4<J/.11 I
?7 c;6 I
.... A--
_4-:D.OO
(P-{9-2t.o/
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
$
$
$
$
$
$
$
$
$ 'l /8'7. +~
.. -~
I Receipt N oY U ( .:}..) I
By ~ . I
#
I Water Tower Fee
\ Builder's Deposit
lather
I TOTALDUE/~ /-/""'0/
I Paid III)' I' Lj/.-t
I Date '--1~ /~/'J f
I 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
=;d~ig",d by '71\ty P1mn" con,titut" a tempo,,",, Certificate or Zoning complimce md all~mmence. Befo,e DCcupmcy. a Certificate of Occupmcy mu" be
~~~;;;;~~ "114~~ . -SPC~f~yff6r r.awa-~<
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'1-4 -()/
;~~ ~:;y IPERMITNO.O/-07/Cl I
3. Yellow Applicant /
(Please type or print and siJm at bottom)
ADDRESS
/ {, 017
C4H'?P' e/ oG-E:
tf--I K:.... .s;6
ZONING (office use)
/<.-/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION PEtOK.. ~ 2,.Jp
PID7_s-oa'l- 62-0-[.
OWNER
(Name)
(Phone)
(Address)
APPLICANT
(Name)
VI e:ro~1 A
Pt..--n136
I
fhOne)G:rSJ..) Lt4 3--oCV<L
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) /l) OJ] T7<. / ~ }. (Phone) \
frPLICANT SIGNATURE~' Ct:J1 '1- I-~*E cA:-f J- 4 ~ L
i. npLICANT PLEASE COMPLETE BELOW
I Quantity ~::fFixture Quantity I Type of Fixture
I Bath Tub with or without shower Rough-ins
I Dishwasher Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I 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 $
~:~M\i
(Office Use Only)
This Ap~.~~1":,es (our Building Permit When Approved
~ q.4,O/
Building Official Date
I~
rDa~, 4-'01
~
"r
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Th~ (-~nl~r of lh~ I..kf ('ounll'}'
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ 1(;/ tt~
APPLICATION RECEIVED (tt/l5liJ /
'I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c07~u~~ 'itiVi(;;;;S X~~o~~;t: (J ~
. ~~ -
Accepted _ Accepted With Corrections X
Denied () rill. A
Reviewed By: L~Y-7
Comments:
~ .~ ~.(,eyb ~"f 6tJJ -1-l..t. }"cJo)..O
Date:
(, -I'J-4ref
"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 - Engineering
Pink - Planning
Thl' ('tDln of lht L.kt' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
T-
! / -L
. / / -'rl:l..--
/ ' I ,I
APPLICATION RECEIVED (4 b j(i /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. . , /.
/ II (. ,., !-,l-
Ii !,c, "'
,
(-.
, " "1
A-/' ,
Accepted
~
Accepted With Corrections
Denied ..--,
Reviewed By: ~ ~ ~ ,r ,. 91'1 Date:
~(i~/O (
Corrments: "
-A ) ~ ~~k ~ ~~L."'/~J;rltJv15'
~~} ~j),
}VtM;t.{.IMVIM IE) l-'
\D ~~ L(or&
>S?Uc-Tuve ~
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"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."
'; ',.~~ " ~ " :1<,\ "
'or'/ ;I:':> "." .'.!' J,. . c'~:.I.C,.:. ~
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.\,.., .
".
ThrC'rnlrroflhrl.lbCollnl1')'
White - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT ~HECKLlST
NAME OF APPLICANT ~~ 10/!t~
APPLICATION RECEIVED (,,/ ;57a I' ·
'/ /'
\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.I fa () j/7 (1/}/}7J ~c& (J ~
Accepted X Accepted With Corrections
Denied
Reviewed By:
M4B
Date:
~ - ;;? S- -0 I
Comments: ...see Reverse Side for Additional Information!
-
"ee Attacnments: 1) Grading Plan, 2) Erosion Control Measures
::l) Frosion ControlEJaD
;
"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
tJUILDING AND INSPECTION
SITE ADDRESS ~ (\ ~_,-\/\~t'i'.L.t 0)'-.
NATURE OF WORK Add;/r'l:M --L~ L
USE OF BUILDING S t='~ .
PERMIT NO. rJ/-Q7/tf DATE ISSUED ~-t-'t.-~ .
CONTRACTOR AnU-... . " HONE <kr24tf6.. t~
NOTE: THIS IS NOT A'PERMIT FOR NY OF T E INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
A
fr:h
~
h,
~-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~I~'
.-:- [....>.
I 7)~J;J
c .
1/~ /~ I
9//d-1o/
1/~111
'/1" I~I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/l
~.,
BUILDING
ELECTRICAL
PLUMBING
I HEATING
DO NOT
./
,
/ ,;2/;t-//(j I
I
/d;f~;{;/
/.)l~ fa--j
BEEN SIGNED
-
~
if:$.
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 approved. On buildings and additions
where no service cabinet is available, card "hall bl! placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
fZ,{cf.o/ 3: C50
ADDRESS
/t2?()/7
cJ.h.n ~R::../ L//'-t.h (' / /?
OWNER
CONTR.
PHONE NO,
PERMIT NO,
/- 7 ( q
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
o FRAMING 0 WATER HOOKUP@
-a-~NSULATION 0 SEWER HOOKUP ~.A
/.:':INAL PLUMBING FINAL 1'\
o SITE INSPECTION ~ MECH FINAL
COMMENTS: ;qOo/L/,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f
;'
(~'-No
1'1
K
I
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
~
j
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
---
- -.---.'- ---
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1'017 G:.W/ bnde. L C/';
-V
OWNER CONTR,
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"l!C..BNAL
o SITE INSPECTION
COMMENTS:
(,r.,dt, cJt:,.
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
TIME
J{ -N-a)
~
~XI~ILLING
o COMPI:AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)(WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl