HomeMy WebLinkAboutBldg Permit 01-1036 & 01-1130
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NOO/_ 1036
(Please type or print and siltll at bottom)
AD~RESS . ____ __
I'!() f;L biuJJL.,d- Ird// Nc
!1io!- LAJL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK 2.. ADDITION nr:t,c.b /-I1{.,..t/ 2t;fB
PID 25-343-02-0- 0
OWNER
(Name)
bz.rl4 al1LL&~
/ '/O/J~ ZIi'R-iYifd
i~
/f-d.i/
/Vr
(~) 9;;;;"'-11/0 -(j3 97
Pr/o r L 6..). e.-
(Address)
BUILDEo/'~6",e.. .ti' _ / / ~ M
(Name) ~ tt~ ~-c~ ~
(Contact Name) I
(Address)
(Phone) 0d./11 12.-
(Phone)
TYPE OF WORK
o New Construction
~er Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 upon property to pe~rm nerd inspections.
(/ ~ 9-/j-()/
Sigiiatur~ Contractor's License No. Date
I Permit Valuation 4-, ()(jO. 00 Park Support Fee # $
I Permit Fee $ '67.25 SAC # $
I Plan Check Fee $ Water Meter Size 5/8"; I"; $
I State Surcharge $ 2.00 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ 4-0. 00 I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ I J.q'd-s'
~ J/l/1 ,~ ReceiptNo.1-fD5,b
(JtJt on OO~'YO~B-"~Z:;-~ I Paid Ll tj" ;}:r
I Date . t;..~ ::M ""0 I By ~.
V'-"
Bui~. Dare
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
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i L()~ UV6l-- ~. ~~n ~!~ I PERMIT NO.
FIL.-c;, (AI n~~ -r- 7_Yellow Applicant
(Please type or print and siltll at bottom) r~ r f I I t) I -I () 3 fO
ADDRESS
/40B2- !5LI.J68/,eO 7K:A-/ ~
LEGAL DESCR1t'uON (office use only)
LOT 1/ BLOCK Z ADDITION l'1/Jp~e H/l/L,. 2tJ.D
OWNER
(Name)
(Phone)
(Address)
APPLICANT ~ ~I ~: ~ I / , c- r:;
(Name) CU7LM I .t.Jc(!l<:::..'LJ,./C/t:::/
. ,
PID Zt.:}....3.~~ -01,O-Q
6hon~) 1/ tJ~ -1)/0,;2.
,
(Address)
(Address)
(City)
(Zip Code)
~,-~rmvr.) __ ~. , ./ _ / (P~' _
(~PLICANTSIGNATU~~,Y"~ (_.~ /f}-/O -~/
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
~REPLA~AKE AND MODEL
hA:.Jbm(l/
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ .39.50
$ .50
$ ~IOO
(Office Use Only)
This APll!!lAli atio R~i1ding Permit When Approved
/0....'0-0/
uilding Official Date
pa~.oo
Dai
0'10-0/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt N9- ~
1~('t;1
By $)--
~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS lc..f08 7 ~(V~ bt-MJ. '{ i-- ,,-
NATURE OF WORK LOt,t,!~ ~ ~~
USE OF BUILDING LZsf- -0 .
PERMIT NO. J) 1- /(J 310 DATE ISSUED {- 20 -Or
CONTRACTOR ~i?_ PHONE~-f1.lO - ~_?9)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING t?r !O-d3-o1
INSULATION h- I
ELECTRICAL (
PLUMBING ffJ I
HEATING (if required) ~
,
pp Riel ff--J Jiv y
-/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/1
P=r
lo/UJ!o/
.BUILDING
, ELECTRICAL
PLUMBING
HEATING
/7
~
(
DO NOT 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 shall be placed near main entrance.
1;2j./o/IJI
J~/~/;;I
, J
BEEN SIONED
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
/l..z,().i/ 4-:tO
ADDRESS
I ~{)8Z,86 (/6(31/2.:0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- /o..3ft?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL L... ,-.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(!jJ ~
,.
~p~
l. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL 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 &: SAFETYl
INSNOTl