HomeMy WebLinkAboutPermits 01-0486; 02-0077
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. Whice File
2. Pink City
3. Yellow Applicant
A~a;;;s;n~;S;70;f/r,'N1 ~ teN (fjr /vuJ
ZONING (olllce use)
R~
LEGAL DESCRIPTION (ollice use only) ~
LOT~(BLOCK:l ADDITION I/VlIJJA'r1J;,.-JJ..J hI /
- 'l. I -,
S-I-oh
OWNER
(Name)
Va-riAl
~<V> mp ~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
PID;:).5.... ~ /- 0;)/- 0
(phone) S 01- t:.'-3 - ff('5 ~
(Phone)
(Phone)
o New Construction
~ower Level Finish
ODed
o Fireplace
OPorch
DRe.Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECfCOST/VALUE (exc1udingland) S
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 t the building official can revoke this permit for jwt cause. Furthermore, I hereby agree that the city official or a designee may
en~thepr~, p needed inspections.
~ . ~- :u.-(}/
{ Contractor's License No. { D~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
./I {I
I7!~Wding~=rit~:"" --
~~fllici~ ~
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
.. ,Woed.
Planning Director,,",
$
$
$
$
$
$
$
$
5..
7lf. '7 ~
Park Support Fee
#
.00
$
$
$
$
$
$
$
$
,&;-Z,/' 0 I $ 1U, z..5"
I ReceiJltNo.&~y~
Bv ~
SAC
#
/ . ,0
I Water Meter Size 5/8"; 1";
I Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
I Builder's Deposit
Other
TOTAL DUE tJItU,t!:J/
I Paid
I Date
-
7~, '7b
~-~ d.-S-C>I
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
1- 16-07..
q>lease ~ or nrint and
ADDRESS ..33 q /
G(O_use)
le2...
OWNER
(Name)
(Address)
O~/ IJ ~J () J-r..
S;::rfr1 &-
PID 25~61- tlZ/- d
(PhO~~? 507-~"3-t.l,rtJ
(11) 1./47- 7(,01
LEGAL DESCRIPTION (office use only)
LOT"Z-IBLOCK Z. ADDITION GLlINfV/f~ Wf;z.!. I
APPLICANT
(Name)
(phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) /\ ,/} ~(Phone)
APPLICANT SIGNATU~<=--,V.J. ~ DA~ /-1 f - () z..
/' "7 /
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 Water Softner
Lavatory (Bathroom Sink) ~ b Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink ~ ~age Ejector
I Shower Stall _ \ 11,:/ ckflow Assembly
'J Sinks C V A~ ackflow Assembly Test
Bar Sink ." ..' 1 Lawn Sprinkler
J Water Closet (Toilet) III. Other
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit # -.1J2.---00 71
31.5"0
.50
#OOrJ
$
$
$
Estimated Cost $
(Office Use Only)
This AP~omes Your Buildiog Pi:m; ~~ ;roved
Building Official Date
I Paid 4-0 . cJ()
I Date
1- -z...z.. -() 1....--
Rec~iPt N~ II Co ~
BI~
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
;t
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :s3'l1 sp\iJ~ Cleuo. C;r
NATURE OF WORK L~ l :;-! ~ ~ \:::-"'..1 '"""^:-
USE OF BUILDING S'F" 11- _ _
PERMIT NO. 01- 0 4:f2f, DATE ISSUED .,-ll-UO(
CONTRACTOR S -b-.f-7_ . PHONE ~C17-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING "6"1, ~\ 11\()~
INSULATION " ~.
ELECTRICAL
PLUMBING ,\ \'
HEATING (if required) \\ \\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~~~:l
(~~{ ~
~'\J .\(
OCCUpy 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
3~?1
DATE TIME
SCHEDULED t, - 7- ~ L/ ;bi)
~~ft.~
, }, (/ -
CONTR.
/4t"4:.
PERMIT NO.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
^ Q. ~SUt"TIOt.. L-
~ INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
[J
COMMENTS:
~-eI- t"J/v/IJe,r
;\'
-
....... /
r J~ -+=.:-Lo,
~RK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ~ ~~ Owner/Contr:
CALL 447-9850 FOR IHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSfWtJ