HomeMy WebLinkAboutBuilding Permit 03-1392
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1ease .!VDe or Drint and sim at bottom)
ADDRESS
:J9/~ ~/l[<.r ~rQ
<.U/.
Date Rec' d
9.30,03
l ~;:: ~:~ I PERMIT NO. /l-? -!..'?a2-1
J. Yellow Applicant l.J..-) ...J7
.
I Z~~~~use) I
LEGAL DESCRIPTION (office use only)
LOT + BLOCK ZZADDITION SpelNCj L/1~ 7lJwNJf76 PID 2.5. (33.005:. {
OWNER-7--.
(Name) +-&...J.
Yttt<l^~ <. S.
('",,,,L.,,.. e~
<LV.
(Address) ~'lT1 V
BUILDER
(Name) 1)0< 1'"'<>.", -\-
(Contact Name) \2 0"-"
, (Address) II ,~(' c e. (0 fJJ .6
"'"'t::"-. r .
TYPE OF WORK
D New Construction
DLower Level Finish
o Misc.
(Phone)
(Phone) 7/....5- ?d"S--o/'o3c)
(Phone)-KIA') -4"'7l?-IIS"/
aJL ~ ~
ORe.Siding
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 loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon~~.::: needed inspections, ~O :;);J./?'I<f 7
,..., - ~ Signature Contractor's License No.
<)l\.,"" \",k~ ~~.
U
ODeck OPorch ORe. Roofing
o Fireplace )'t-iMltion OAlteration
PROJECT COST IV ALUE (excluding land) $ ~90a,?d
I Permit Valuation qa Wi? "
I Permit Fee $ r h 7<;'
I Plan Check Fee $ ~UJ. 44
I State Surcharge $ -I t:;. -
I Penalty $
I Plumbing Permit Fee $ 4Q. -
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $ -
I Gas Fireplace Permit Fee $ ---
This Application Becomes Your Building Permit When Approved
1t../2If .
Building Officlal
/'P 1~IoJ
. Date'
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~ IO.l2.n\
I Paid
I Date
~ 061'U7
/t)./.r.tJJ
#
#
#
#
er/30/t:1 ~
Da~
$
~
$ ~
$ --
$
$ ~
$ -'
$ --
$
$~ ~C;q. /1-
I
I
I ReceiO'1t t1'~(p r ~
By ;Wi
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 .......y"'....]. Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~ \OIID~.lJ?:J Imfi-rb't~A:~:ti~~4nn(J{-
24 bour notice for all Inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
CWhite . BUI~
Canary-=-Eifgineering
Pink - Planning
Tht ('tour of lht L.kt' <:ounlry
BUILDING PERMIT APPLICATION D~RTMENT CI-lE.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
D/I/1();JT I/II~
tJ. 3 0.63
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatio~~/~ruc6e~i~c~ro~~t: JvJ
Accepted
Accepted With Corrections ..........
Denied
Reviewed By:
Comments:
f-j)w-
I ,}J6dIJ p""'..IW\.Jt ~
fo i. i 3
"P~ -r;-
Date:
"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 - Buirdi(lg .(.~
Canary - En'lineeririg
..... "IO~ - Plann~
Th~ ('''nlf'f of 'hI' I..", Counll'Y
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
.NAME OF APPLICANT
APPLICATION RECEIVED
Drl//O!J/ IIV~.
1.30.63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z g/~ tefJi7:.- k~- 100. JvJ
Accepted
Accepted With Corrections }(J
.
Denied
/\ ~r-;;, _s4(O
Reviewed By: .c..-1":.JC.rLn-J1 ,
\J\J
Date: 0{ . ~O - O~
Comments:
'-
v' V (LVI a..nQ..L ~ Ul
lfY1~I~ ~CJL'. C!...U--rtCnr
U1d..L~.ev3a.';j.qo ~
J(-. lf2G!o me 0/)+ be- YLfhozd pno. to
~c...L Df, w.
\~ q fo ~c!'t/) rt,$?LlbDJo
LUVf~
.
.
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
/0. Z-8,(;3
/
()'1ease ~ or orin! and ,ion at bottom)
ADDRESS
2- ;>' / r Cl;:7tJ T&Z- /Z-CJ
I. Blue File I PERMIT NO I
2. Go~ c;~ d'? -'3Q2-
3. Yellow Applicant ~ /- /
, ZONINGCo_usej I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.S.I.3:l. MS. / ,
!
OWNER
(Name)
(phone)
(Address)
.
~;;~~A~R'~ fltuniJ ~q ~ (Phone) tf"p A/~r ~?69
(Address) iJ-l ~ 5<<umi I ~L IljJfrfr/9, AjJ,4/,r ')"CJ"/r
(Addrlss) (City) I (Zip Code)
(Contact Penon) t:A11.,,'1 ---.TJt /74 (Phone) t/..}.-~- '7?r;L
APPLICANTSION:::TIJ~ ~~ .~ DATE /i? -,,)A?-tJ:J
. --, ..--- .
/' A~ICAI~T PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
. Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & MuIti.family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Official
Date
Building Permit # 0] -O~ 2- 1
$ · r~ IJ fl/ .
$ ...--:so "V
$ ../" fJ
P.
IP~
I Dill, U. OJ
.-
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
24 bour notiee ror an inspections (952) 447-9850, rax (952) 4474245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Rec~
"'r
--'-
Tbis Application Becomes Your Building Permit Wben Approved
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS LEt; Ib ~ ~ ~. Lv.
NATURE OF WORK ~ bO I T'\o.-.l
USE OF BUILDING ~"""... A //Z...
PERMIT NO. 03 -1'5qz.- DATE ISSUED
CONTRACTOR 't)A-W'\ t?~. I NL. PHONE c..(2~4~o-"c;-4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,..,..
, FOUNDATION (Prior to Backfill) ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
. .AI~JI.
l~
lA/IL
YW'"
IM/
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1/.7-r/3
-
M'
yy(./
/OJJorQ~
/1-4-0>
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.-
M/
/$ff/J ~~~.
fI/P
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
mle
y'~r~
./
..2%/rr ~ ler- n
DATE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t!J...? - /'s?Z
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-a-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
// / ~/.!
I'e 1'!1t1/./'t..- d, ,.73 .
~ b?IU-e. ~ V
/ A' .. /?
$/.) ~j/S (!/ /L.
r ./ /
-or'
/;' / /'
//)-1'" 6/ /c
..-----......---------......
/ /" -/~:J
..) ./- ./ ~
. //oSe. /7/c ~
/4RKS~TISFACTORY. ~ROCEE~~
P;;~ORRECT ACTION AND PROCEED
o CORRECT WORK, CJA;l; ~~YSPECTlON BEFORE COVERING
Inspector. ~ Owner/Contr:
,
CALL ..C7_9860 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
}..~~ {~L a
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
'fI SITE INSPECTION
o PLUMBING Rl
D MECH Rl
D WATER HOOKUP
o SEWER HOOKUP
/a"PLUMBING FINAL
111 MECH FINAL
COMMENTS:
A
f.5C1f IJ'.t~ -r,;'. I /'>fL
... t1'E't",..l
Olntd-
C"/k.
.f.v /'1111 PIIl;'I_/,;"...
a I1J Mol""'''' nov
1"1> d/J<;.- ..p;j,.
1f' U,'w. IA./~V f1Hds
t""?',dL f:;ur~1
tv 1.,.,
DATE TIllE
{~ Xro4
7-/s"f L..
o EXlGRADIFILUNG
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
-fo.... +: Hit /
d,/~u.-,^v .1'<-
/
f: //fa JI4!r
o WORK SATISFACTORY, PROCEED
,;tf CORRECT ACTION AND PROCEED
D CORRECT~;,C"R REINSPECTION BEFORE COVERING
Inspector. Y f/ r.-r Owner/Contr.
I
CALL 447.9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI