HomeMy WebLinkAboutBldg Permit 01-0756
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~ ~ /5--0/
LEGAL DE CRIPTION (office use only)
LOT \d-. BOCK J- ADDITION
OWNER
(Name)
(Address)
L-
I. White
2. Pink
J. Yellow
File
City
Applicant
[ PERMIT NO. 01 ; 07501
Ll)~ 3 f.~~.
PlOd
(Phone)
:\1.......
ZONING (office u,,)
PUD
3/~()5D-
(Phone) (8 ~ ~ ') q~ S-S%'1
lA-tca-.J: I~ h ,.J
eck
New Construction
~ower Level Finish
TYPE OF
o Misc.
l2il Fireplace
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
DAddition
DAlteration
PROJECT COST/VALUE (excluding land) $ 2.1
..:l01 <1:, lc Qo '1
Contractor's License No,
Park Support Fee
SAC
#
#
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 age t for the above.mentioned property and that all construction will conform to all existing state and local1aws and will proceed in accordance with
submitted plan. 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
enter upon the roperty to perform needed inspections.
x
Permit Fee
Plan Check ee
State Surch
Penalty
Plumbing P
Mechanical ermit Fee
Sewer & W ter Permit Fee
Gas Firepla e Permit Fee
/bO . ClCl
It/a. 00
35 S-O
L(o.CJO
ing Permit When Approved
~ - ~,z..o
Date
Water Meter Siz
I.9JHh,
DAte '
II
I
$
$
$
$
$
$
$
$
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This is to certify hat the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and y proceed as requested. This documen'
when signed by t e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must'
i,,~ed M ,A
~1.. ~~ ~~~_,_ "1/q{~ .c.....--jo.\tr~~q.~:-rtN\~.
I 1fanning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.~._,-"-----.......~~_.--,-,.
TOTAL DUE
,
)"
unlry
White - Building
Canary - Engineering
Pink - Planning
r:
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-,
NAME 0 APPLlCANT//POY-tJlfj (IJ~
APPLlCA ION RECEIVED (;!; -/5 -0 (
.,'
'.
"'
The Buildi
applicatio
g, Engineering, and Planning Departments have reviewed the building permit
for construction activity which is proposed at:
/ ~ 'DOdd luJe;
.'
Accepted
Accepted With Corrections
Denied
Reviewed By:
/vfJ6
Date:
/-/~-{)/
Comment: See Reverse Side for Additionallnfnrm::ltinnl
J'V( '"
-Ie) /:;
"The issu nce or granting of a permit or approval of plans, specifications and
computati ns 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
ordinance of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N MEOFAPPLlCANT~a~~ tJO~
A PLICATION RECEIVED Vl -/5 -t) {
Building, Engineering, and Planning Departments have reviewed the building permit
lication for construction activity which is proposed at:
/ b / 'OoddueJc;
Ac epted
Accepted With Corrections ~
o nied
R viewed By(?Sb~
C mments:
a.\-\-CA.Ck~ ~~ au
~.
Date:
(P.26-~
-j
.
"T e 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
pr suming to give authority to violate or cancel the provisions of this code or other
or inances of the jurisdiction shall not be valid."
e
White . Building
Canary . Engineering
Pink - Planning
Thr("fnlnof lhf 1-.b('ouolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
PLICATION RECEIVED
( c:
.$(/
, ,
"I
/1
'.,-
--//
~
1/
; "
T e Building, Engineering, and Planning Departments have reviewed the building permit
a plication for construction activity which is proposed at:
I
I . . . .
" ,,,"/ v
I '_ /,(
A cepted
v
Accepted With Corrections
D nied 7'%1
R viewed By: L--J~f1 ~-
-- - :;...
Date:
7/~;m
'.
" he issuance or granting of a permit or approval of plans, specifications and
~.' mputations shall not be construed to be a permit for, or an approval of, any violation of
y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
resuming to give authority to violate or cancel the provisions of this code or other
~rdinances of the jurisdiction shall not be valid."
I
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
L "'~, FH, I PERMIT NO
2 Y''',w Cloy. . J- 7 c:- b
J. Gold Apphcant _J
Lv 000 Ol-\...C
TI'2.
ZONING (officeu,,)
uJJ
SCRIPTION (office use only)
OCK d--ADDITION wdcJL, "d
OWNER
(Name)
;l}r~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICA
(Name)
D ft t;l' JI-bz.
I~I/J :rOPL4J
(Address)
(Address)
W"f
(Phon,t "J.l) e 9.2 -( 't 0 (,
L/(tlL. SSlJLf
(City) (Zip Code)
(Contact Pe son)
(Phone)
DATE
APPLICA T SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure -=- feet.
Type of sewer pipe. D ABC 0PVC D Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at - feet from structure.
Estimated Cost $
$35.50
$17.50
c. "
860.
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Residential s wer and water line connection
Sewer conne tion only
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
'''':~~ ~~~~7/nE1
(Office Use On y)
This Appl cation Becomes Your Building Permit When Approved
I
I
Paid
Receipt No.
Bui'ding Official
Dat
(,,-01
By
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
at botttltn
~;;:'.:. ~:~ [PERMIT NO. (-7 ~ /
~ yOI'll...... Appho:;nt _ Lie:::>
ZONL1'IfG (ollk, "',)
Pt<fj
LOT /~ BLOCK.?-- ADDITION
rei
PID
--()
OWNER
(Name)
(ph-one) ''1:5"'0') qg;{- stls'9
(Addrc~s
,
(phone) (fs1j --'It;o - c;,Oc;l;;;2
:5-:'~,::;) L/
(Zip Code)
(Add,..,,)
/~ _2-c--Lf'
(phone)
DATE 7 - C:, - 0 (
APPLICANT PLEASE COMPLETE BELOW
. EW CONSTRUCTION 0 REPLACEMENT 0 AL TEM TIONS
FURNACEIIVIAKE AND MODEL Tt/B.~9...4a FUEL ,v!9-r
FLUE SlZ1 ~ fl flvc RETURN OPENINGS (;., INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
: OWann Air PI""ts 0 5'..." PLEASE NOTE:
~o ovity 0 Ho' WD!.'" Air Conditioner Units
er;hanical 0 Radiarian Cannot Encroach into
~~"nditionjng 0 Special De~i.;c~ RequiTed Side Yard
)<d'" en'. Sys'em 0 Other DeviceS Setbacks
I. 1_ - ~-'1no
FlREPLAC MAKEANDMOD .3~V.F.s
Industrial. C mercia! '" Multi.fllltlily
FEE SCHEDULE
I % of job cost Rc~id1.:ntia.l, Gas Fireplace:
539.50 minimum
$99..50 Residential, Additions & AIU:l'atiQn.s
564.50 Residential, AC Only
$39.50
Residential. eating & NC (New Construction)
Residential, t::ning Only (New Construction)
$39.50
$39.511
Estimated Cost S
Building Permir #
I
(Ornee Use On y)
This Appl <.!ion .Become. Your Building Permit When Appro.ed
HEA TlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
;~I'l~l'~"_
".;' . ..' H
.:J ;-;c:F;.;',/;iT
Paid
e'l No.
8l!~ldiDl' Ome:tal
Date
O'l'e
!
_J
24 hour /lotice for' an inspections (Y52) .&47-9850, fax ('952) 4474245
100~
lIlV 03110ll.LNO:>
9L~909tlS9 XVd 9C:Sl llld 100~/901LO
P
I
lOR LAKE
SPECTION RECORD
W~c& Dvd:::. ~ /~
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS 151 (ou,
NAT RE OF WORK
USE F BUILDING
PER IT NO. DATE ISSUED c."20-~(
CON RACTOR lit l PHONE ~2-q~S-"t.~
NOT : THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
NDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
INSPECTOR
DTE
ER I WATER I SEPTIC
FR MING tJ,-
INS LATION
ELE TRICAL
PLUMBING a
HE ING (if required) \\
FIR PLACE O~
GA LINE AIR TEST (;)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GR DING (Prior to Sodding) M
BUI DING
ELE TRICAL
PLU BING
HEA ING
I DO NOT OCCUpy UNTIL
I NOTICE
jrhis card must be posted near an electrical service cabinet prior to rough-in inspections
~nd maintained until all inspections have Deen" 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
DATE TIME
CITY OF PRIOR LAKE 1-(, AI.
INSPECTION NOTICE SCHEDULED
ADDRESS I~n~ wt\?d Ov/-olc
OWNER CONTR.
PHONE NO. PERMIT NO. 1-7S-C,
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: Soct I f /-l~
\ 9!V'L )(~ 1"1
l ~r-( (
.
-
Ar'
L--i OS~ 2- r-,- k
CSvl/c'.e/'J
;.<:;.,.
d"CPo~, 't' "...dVYl<!.
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Iff 1~ 17-()J.--, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
JNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED q)'i-oz-
ADDRESS IS 166 Wood DGldc {:>n'V(.
OWNER CONTR. 1.0/ zjc, (P
PHONE NO. PERMIT NO. 0 I - 7 [Jp
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
G~~- CJ;:"
l.vlb &0)<- C9 K...
/1/0 S rPr
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPEcTlON BEFORE COVERING
'nspector:d~(iJ -
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSHOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5/ C, /,
SCHEDULED /;lj'/~~
. ~
cJo--rQ ~
ItJ:~o
OWNER
CONTR.
Of - 75c,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MEcH Rl
o WATER HOOKUP
^-- 0 SEWER HOOKUP
-r JI( PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ~
VJ.I\CMw vW" 0 K
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'[ SAFETY!
lNSNOTI