HomeMy WebLinkAboutBldg Permit 01-0918 & 01-1007
(Please type or print and siWl at bottom)
. ADDRESS
tf!iJJ
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~hes+J1)u-+
L-IJ
I. White File
2. Pink City
J. Yellow Applicant
LEGAL DESCRtt" nON (office use only)
LOT 5 BLOCK 3 ADDITION &r""'tty~ ,..-n 111 ~ fj )fqM.
OWNER JP/'V1 2-1)//a r
(Name)
(Address) 94/{ CAe5f,,~+ u,,~ ME.
BUILDER Ja JVl f a.tol/t
(Name) d5
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
I)aLower Level Finish
ZONING (office use)
R,
PIq)5 - 3JL/ - t>>.L/-D
(Phone) ('If''-) t/t/o -1 tJ 1 I
?,-.; (lr ~ k~J ).4 fJ 55577,
(Phone)
(Phone)
ODeck
OPorch
ORe-Roofing
ORe-Siding
DUtiIity Connection
PROJECTCOST/VALUE (excIudingland) $ /2,0 co (,~/rr)K.)
; ,
o Fireplace
OAlteration
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
Xenter uPofln ,the yopePf t~ p,erform needed inspections.
'A1A-~ tJWJ1t,'" !-2'1-~'
I I Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
4000'"
B1.1.~
t....
Gas Fireplace Permit Fee
/J!K !,
ThisplO 0 esyo~gperm1;&'t. en proved
-t!tlf/ . ~ f' z. . 0
Building 0 IDe
OAddition
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
'!ff., 'Z.,.c:,
~/-zA--lo ,
I I
#
#
#
#
$
$
$
$
$
$
$
$
$
91 . '2.<<;
Receipt No. 40 :;~~
By (2.-D It
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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
F/~e wi 01- 0 118 L-.c~;::;J;:ve7-
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I. Blue File
2 Gold City
J . Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
ift/l/ C~t;t~",t L&4J1t Nf
LEGAL DESCRIPTION (office use only)
LOT 5';LOCK 3 ADDmON r! .PUAA-'lCf
~~e~R J() t", 70":t V-
(Address) 4411 ~htftY1~t Lith! NE
~
PIDdS-7:jJ{J- O~LJ-()
,
(Phone)
(15"2) ,/(IP-'1tJ1/
fY'l'pr LAkt, MN 55;) 72
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
/
()~~ V4v
- -
f '
APPLICANT 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)
(Phone)
APPLICANT SIGNATURE
DATE
1- Ic.f - pI
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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
$ 3Q, ~O
$ .50
$ 4tJ (}O
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid $Lf{J .O{)
DatL1_ '4-0 !
Receipt Nl1/J57 ~
By 7J:j
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4-4- H C{~ ~V{ ~
TYPE OF WORK rV"J_ ~~
USE OF BUILDING ~ AI(~ / I
PERMITN0. o(-q\~ DATE ISSUED s(utfo,
BUILDER Jo~ "'2.o~ PHONE # #o-Cfo'il
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDI.NG AND INSPECTION
.
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING I ~-, /6/W ~. /
~.=-- ~.. /0;;>/01 ~;' I~. /d/f/cn
I FINAL I I ~fA- I' I
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
~_.__.~-~~...--. -"-"""",~._""_..",,,~~,--^,~,,'~'''''''-~='-'''''''''' .~."~~._~.."-,.,~.,...,....-,-~.-...,.t
DATE
TIME
CITY OF PRIOR LAKE (,..._/"'"
INSPECTION NOTICE SCHEDULED 91~
ADDRESS lfL( it (" ~V\..L~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
A- 0 FRAMING
INSULATION
FINAL
~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~/t/\.
t V\:.s~~~ 1i.vQ
~ c-'-~
Mt?- '\)~
3~~
O(-q,l~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,.
,- 6<.
" WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ 1LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
..... -
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl