HomeMy WebLinkAboutBldg Permit 01-0359
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJtll at bottom)
ADDr;(S3S ^
1'( u (A..-~Of~,.j~
Date Rec' d
-01
1. White File
2. Pink City
3 . Yellow Applicant
(!r~
LEGAL DESCRIPTION (office use only)
LOT ~LOCK I ADDITION JjJ //IIdsO/J2J..- Of\) -cite Lct~e-...
- L/
~~~R rDA-~ M6-'l~~
4l 30 (^-iNO~
~~~~R ~ r~~ Ao(};K~(,
(Contact Name) (j~H1J Pil LA,J - (
fl10 ~6r- 6o~LJolS~
(Address)
(Address)
TYPE OF WORK
o New Construction
~r Level Finish
o Misc.
~ J
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
3;a:o.oQ
$ '1Lf. (~
$
$ 1.5V
$
$ 40 .acJ
$
$
$
. rr!F~~'o omes Your Building Permit When Approved
~N~ -. lf2~ClrJI
Buildin fficial Date
(Phone)
e~ LtZ:-
r;C,/ C-
(Phone)
(Phone)
/
ZONING (office use)
PUSD
PIDc9~--- J)31o-0t)d-C.I
1(;}- 41iJ-<)f?-L
#
#
#
#
ORe-Siding
Date
$
$
$
$
$
$
$
$
I TOTALDUEeAlL-eD 4.25.01 $ //(,,25
11/ -
Recei . :JfI~~
Bv ./
, -
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~~
ODeck
o Porch
ORe-Roofing
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOST/VALUE (exc1udingland) $ ,1t ~ _ .:Jtl
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 fo the above- tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p . I m aware at e b ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon e ro rty to pe rm n e inspecti::- J f 'l ~ 4,. ;4- 0 (
Contractor's License No.
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
Builder's Deposit
Other
I Paid J / I,. 2-S-
I Date . 5- 'I. 0 I
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.
wRe - ~~n!
Canary - Engineering
Pink - Planning
The ('rDln of the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~f)eLl4-/ Ifld/h oJJS ~AJC-
I .
APPLICATION RECEIVED t.../-::J 4-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
tj/80- LU/A/c/SoJ-!i (i/r
\...)
Accepted ~
Accepted With Corrections
Denied ^
Reviewed ~/-
Comments:
~~ ~a.~_ ~"^'~~ ~d2.~,-
Date:
(I.. 2~ 2a::J(
"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."
PRIOR LAKE
INSPECTION RECORD
0(\.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4 t 30 \J l\,^~ ~~
NATURE OF WORK ~~(:),^^~~~0
USE OF BUILDING 5~..D
PERMIT NO. QI-035Q DATE ISSUED {/- 2~A200 (
CONTRACTOR ~l'o ~ ~ . -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
"II) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1?J
6 ,0 0'
, I
FRAMING
~
ELECTRICAL
PLUMBING
HEATING (if required)
I
7..'1
!;' ho e~
f
T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
/1
VU/
"
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
":)~ J,...L-( ~UJ,
~ /1 "1'" & t,{..r() ("
../1/\/ ~
r .. , " ~ J... t k (]V
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
N OllCE:!
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 (612) 447-9850
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and siJtll at bottom)
ADDRESS
~. ~~ ~~~ PERMIT NO./l'l_ 3cq
3. Yellow Applicant (>/, J I
LI/30
U)~cJ~~
( )
ZONING (office use)
PlLS/J
LEGAL DESCRlt'uON (office use only)
LOTd---BLOCK / ADDITION jlJ,t/J1J~ ~~ &Uze prr&~-.;nb-DO&--O
OWNER
(Name) (Phone)
(Address)
~:;~fAN~ u m ; tf-/(4 fo tv &J I tJ-
I . I'..." U
(Address) Gd. h 7 00 m / J1// c D y
(Address)
(Contact Person) 1< uSSr:( / _.
APPLICANT SI~NATURE f2-.47 L~
(Phone)
!tl+?~
(City) (Zip Code)
(Phone) 9{;d- <;33- /'lY-()
DATE ~ -/3 r-O }
Quantity
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)
Type of Fixture
1
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 I % 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
$
$
$
.50
, eu/~-4ll) ,...
VJV~ r~'!t1
~ lI~b.. .
. --14111-
RecelDt Na
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
-
Building Official
Date
Dat_/3-0 I
B~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L-f I~ ()
SCHEDULED ~-~~
Wit1dS~ ~__
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O(-:r~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / "1
Jt'FINAL (,/'/v.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
111-0 /kqJ-v
Or
--
-----
~ ,
//"/
/ / /)y
",-L / I v ______ ./
,".....--,.,..-,-
"
~
r/ \
fiLe )
-
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P OCEED
o CORRECT WOR I CA F REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETYI
INSNOTl