HomeMy WebLinkAboutBldg Permit 01-1193
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJtll at b~~~,,~)
ADDRESS
(J 1- 03$8
I. White File
2. Pink City
3 . Yellow Applicant
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W~ ~ tlso( LOJ'\~ -fr~ oV ~
LEGAL DESCRIPTION (office use only)
LOT b BLOCK 3 ADDITION W1vOf5)e.N6SS ptJAlDS 2NO
OWNER
(Name)
(Address)
(Phone)
PERMIT NO.
Date Rec'd
PID Z5-..3:38..::.1>z..S-1.l
BUILDER \ 'V I \
(Name) v ~ t- t1lf'((\.€.5. "1::r\ C.-.
(Contact Name) - \nV"\. ~ Jp,'(\ '" t' I) ~5
(Address) \Coas~ HQV't'Y\OY\u PQ~ ~ LaknJ,"t(e-
. I
(~) ~\d-..-q~ 7-d{)S~
(Phone) C\Sz.- - ~ ,,\ - ~ n (Q g
,~ 55 mtJ
I
TYPE OF WORK
o Misc.
o New Construction
~wer Level Finish
4- !e}1S.
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOST/VALUE (excluding land) S ~~) ("\nt)~
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 th t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter uwthe p:erty:;r.o needed inspe;.tions. ~ 0 \ '30"3 l J I J 0 -- d- , - nJ
ature Contractor's License No. Date
\ (J
I Permit V'aluation
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
$
$
$
$
$
$
$
$
4-1 () 00. 0 0
917. ZS
2.00
40.00
r;//JJJatio~ecomes Your Building Permit When Approved
~/t; /O"'~~. 2A:J1
Bu/"ding Official Date
~ 10- 2~-'OJ
/;;J.fI ~
/O-~~ 0 I
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
I Other
I TOTAL DUE
I Paid
I Date
#
#
#
#
~:c~'o.
~-
. $
$
$
$
$
$
$
$
$ /d..q~
~7~/
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
!{1-30 -0 /
(Please type or print and siltll at bottom)
ADDRESS
I. Blue File PERMIT NO
2. Gold City . 01/.-//93
3. Yellow Applicant 1
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
If,. '}32- W/ND~OR-
LN.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
J ~'K- HOl1w-
(Phone)
(Address)
, /'\
t[:a~~~'AfT<:)~.fI Sf/fA;$ j/(/Wf/).'.v?
(~ddress) b:.? :;;L / 15,~r( lCf// All (,
-- (Address)' -. /
. . ~? /
(Contact Person) /7 /0' ~
~IGNA~-;;~~/
, ,
(Phone)
(City)
Quantity
,
(Phone)
rDATE ")
~
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
I Sinks
I Bar Sink
I Water Closet (Toilet)
I
I
ZONING (office use)
PID2S-33~-OZS -c,
(Zip Code)
I i
It? / ?iA) /
/
Type of Fixture
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
0/-1193
r:.:~~..~ D!W~~
~-
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This APpIi~;1~~~ecomes Your Building Permit When Approved
fAJJf'l i b - 30-0 I
B'uildi.rg Official Date
~
Date
j{)-,3()-OI
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS l(P 7'0';;2 it ),- I;J d..~ to ~
NATURE OF WORK L.n.r.J..-- (.&.-l~....., 9- ..~'\).,
USE OF BUILDING <:;F()
PERMIT NO. -OJ -l.f.r3 DATE ISSUED 1&- ""2.- 7. ~
CONTRACTOR .. \.J.- K ~ ~ PHONE ~(2.-1~/-~S7"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~
~
~.
~.
~
11/llb/
1111/1)1
I /
I( /, ICI
/1'1, i~1
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
J J / I~ ~ 1
/ I / I 0/ I
. .
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~
~
6:r,
'1I1/5/~ I
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 ehall b@ placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
I (-/S-O I / ~ ~p
ADDRESS ~ 7 3;J ( A J1..,1.L--S~~ L ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATIO"1R)
o FRAMING
o )NSULA TION
)lI FINAL
o 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 T~T
o
COMMENTS: rl.e.c1: I Ol-iCe(
- ,
I--L.. .~ -
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ '= Owner/Contr:
CALL 447-98:~IR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl