HomeMy WebLinkAboutBldg Permit 01-1215
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/().- J-S-o /
I. White File
2. Pink City
3. Yellow Applicant
ZONING (office use)
'Kl SD
(Please type or print and siM at bottom)
ADDRESS
35Y5 IslanA. Vt'LW Ctr~Q.z
PID (;JS-/f1... ()O;;-6
(Address)
11,1 d e C"lL Lan~.L.
35Lt5 I.5~\a.I)~ Vi u.,...) C, rr 0 '_
(Phone) tiS-) - 4Lft>- '" 7 L:.~
BUILDER
(Name)
(Contact Name)
(Address)
~aKk'.f'J"\. lJ..L.J".R\' TJOi'
. .-
LJ ~ A. - & K.J<.u....
)'io1o Cern rY\..Lr-c:.<.. ~
(Phone)
(Phone)
C.~15). - 4L.J.1 - S.J,.r,;;, ry
(., D - 3"'~1 - j 8''-11
N e: ~3c()
o Lower Level Finish
ODeck OPorch ORe.Roofing ORe-Siding
o Fireplace DAddition '-'AlteratiOn OUtility Connection
PROJECT COST IV ALUE (excluding land) $ ~ 5' oC . CD
I
TYPE OF WORK
o New Construction
o Misc.
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
enter UPoI~rty to perform ne. eded 1.'nspections.
X _ t ~d\.l.rn.J.U.,,- fttO'7 I V".). 5--c I
l\ Signature Contractor's License No. Date
I Permit Valuation ,;2.0 ~ O. 0 D I Park Support Fee # $
I Permit Fee $ oJ, J,5' I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $
I State Surcharge $ 1((.,'10 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ '10 ,0 <.:) 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 1'AU43D IO-Z~-o1 $ Ii) 3 (J./:;-
Building Official
~ t;;/o I
Date
I Paid
I Date
/03. z,,5
If), ~~ - 0 !
Receij/f,f ./ 4t}7~
By r-
This Application Becomes Your Building Permit When Approved
_~ .1~~
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
White - Building
Canary - Engineering
Pink - Planning
The Cf'nlf'r of fhf' L.kt Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /)::tJ7 f-'~ iden~
L
APPLICATION RECEIVED 10""'" d-5'-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~-::J5'1!:J-\j)~cl U~ ~
Accepted
X
/ .
Accepted With Corrections
Denied
Reviewed By:
Comments: ~
~_ :f ~j;J
~ j::.,. L~ ,~~,
v
~j} rA~~~1 r ~~~
<~P-t~ _~~ -/~< ~ ~ ~.Jl aJ-- ~
rL.-,::; ~ ~17.i;-.J J (M/ ~ ~J),
Date: loh ~Io I
,
"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."
CITY OF PRIOR LAKE PLUMBING PERMIT
10; 30 ~
Date Rec'd
12-i2-0/
I. Blue File I PERMIT NO
2 Gold City. '0"-/'2 I~
3 Yellow Applicant , I~
(Please type or print and sign at bottom)
ADDRESS 3 C- LJ ~
.:> .-J --1 S' ,~~
ZONING (office use)
v\ 'tovJ
rJh1
c'.J\rrJe
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
i)a ( l~tV~ La4"1'€
{5tJ5 -:Is Jo,vV y,"~ C( rG e
APPLICANT c ^ , Pin LL'
(Name) ~.Qr ~ C
-0SL/9 JL/7fL~l- lJ
&;dreSS)
., rVQ..
(Contact Person) {j" (Phone)
APPLICANT SIGNATURE 7~ ~_ DATE
pi"""! F;-~~~' '
-- ) APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
Dishwasher I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
OWNER
(N ame)
(Address)
(Address)
BLOCK
PIDZ5 ...../e9' . h /J7- i)
(Phone)
W
C;<;)- ~crr;- -V7G9
. ~
, . i/C/~J!~
"1 (,/7 so;> '(I L/).iL
yV}r/" 5'/ J7:1.
(Zip Code)
/,1;) 3C( lJ1/i J
/J.. O~ ~\
(Phone) 1t>J
Pr (~ ~
t (City)
({~} Ad)
Quantity
I
I
Type of Fixture
I
I
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 $
tJ/-/Z/5"
Building Permit #
---~~,.-"
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.~~O~,..';1
. r .,..r; f ~.'
~ii v:",j r,' . ._,~
(Office Use Only)
This APJlJ1jf~O~ ~c~our Building Permit When Approved
IJf/llJY 12 "J Z"ty \
!uilding Official Date
paid~
~ .
1Z,~I7,-~(
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 35L/5 ~ J~ &d2..J
NATURE OF WORK ~_t7 ~ - &-:t:-L ~ ~~ ~ ~ '
USE OF BUILDING s: F: D I
PERMIT NO. 10/- ):L/!J DATEISSUED J()/,;),S/ol .
CONTRACTOR ~- ~ 95z-1L{7-5;J~7 PHONE 952-Ljo/fJ - 6 'lb(o ~)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
1>0"1
r~ 10>\01
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
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.
I
, tS D)...,
\.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,; ~\p..
t,'\'~
EN ~'GNED
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
ADDRESS
)oJ /5-- J-;
3(;;'-15' rJdMd (/~~~
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
li' FINAL
IT SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r.JL.
/, '7 ;. I'
([I (D('. ~
/' , I
- 1//
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK) CALL FOR REINSPECTION BEFORE COVERING
Inspector: t5 /;o/J/vl Owner/Contr:
, I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI