HomeMy WebLinkAboutBldg Permit 01-1301
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L White File
2. Pink City
J. Yellow Applicant
11- ;3--6/
PERMIT~:~~=)
tel
(Please type or print and sign at bottom)
ADDRESS
14Z78 te081N
IZO/tD
/'Ie
LEGAL DESCRIPTION (office use only)
LOT tf BLOCK 5 ADDITION leA/oB ItII.A- 2ND
PID 2.5-331- O~O-O
OWNER
(Name)
,
713s I EriJ:::& # M~TT}l6W ~ K.R..J<<STI
5A/46
(Phone)
4-tJ3 - '1909
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
o Misc.
o New Construction
)l1Lower Level Finish
3 tU'1S.
ODeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V 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 awars/that the building official can revoke this permit for just cause Furthermore, I hereby agree that the city official or a designee may
enter upon the property prform neede ins ctJons.
X ~"'~re ~ Contractor's License No. ~L:f C L
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I Permit Valuation 3,000.00 I Park Support Fee # $
I Permit Fee $ ~4-. 7S I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; 1"; $
I State Surcharge $ /.50 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ +0.00 I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
~pr Pprml!!.:e $ I Other e- l,;(3 (!.,-7}f:..J eA L- ;:IPP. $ 1.00
(, ,2as Fireplace Permit Fee ') 7. $ I TOTAL DUE CAL(A~l) 1/-lt..I-ol $ / /7 . Z5
-- _.~
It ~ ,
. cati n Becomes Your Building Permit When Approved Paid / l..2P~ R7- @.?4-
Lhd -0 ( Date 11,/1..,/J I By
.
Date
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
Thf ('f'nln of Ihe l..kt Counl".,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (fJa f-:t:.6p/L.t) -~..c..~+~k"e
APPLICATION RECEIVED 1)-/3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is ~oposed at:
ILf:;7f Noh/"N Rei AJG
Accepted Y
Accepted With Corrections
Denied a ______
Reviewed By: _{')()~Ar~ .
~l ()
Date: /J - I t/- CJ {
Comments:
.PeaCQ ~ V2tV& L~ \~\~l"Sk '.~
"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."
12: 57PM
MRTTHEW DRNIELS, INC.
423 3017 P.01
.......~.. .....~\:.Q
CITY OF PRIOR LAKE PLUMBING PERMIT
/z-- /1-0/
l. Bl~ roll.
~,OohJ Ci,y
). Y~IIo.. "ppli~t
I PERJ.'\IIT NO. 0/- /30 I J
(Please cypc Qr )Mt md sililZl it bQl1QlZ1)
ADDRESS
11.1~ 7~ ~ ~<UI.-,
ZONING (alii... US~l -
121
LEGAL DE'SCRLr liON (ot1i~ u.se only)
LOT f ~LOC:K.s- ADDITION ~ ,,). J j) - ~
I _
OWNER 1(9 ~ ~ ' L . " I
(Name) ~ . ~ "7)lU'.,j; L \... 1o:rik.n 6J./ ) / yY ~ d './1 ~ ~Phont:) 96~ . K9~. K4IIB
(j {-
,(Address) (~II 1'4- ~. \.41.. v1,'k1.J1U~I;)! Yitt) ,sS&:5'l
APPLICAlfr _
(Name)~h~.J./) :D~nJPJ6. INt!.-. (Phone) 1aS1. ..,IJt3. ..:J7.BO
(Address) -'~~/') (lAJ"r(JIL~1 ~y . R~c,pJY)6u.rrt _ MrI .s~ 'i
(Address) (City) (Zip Code)
(Conract Pe ~son) ~ie I E. ~~'?!J'=rJn. . (Phone) ~. ~...:J15f)
APpLlCA~T SIGNA rURE }h 'f71 'VI'~~ DArE .il,hrf ",~7:J II. .;(dol
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Draip
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
PID.25-33cr- 030- 0
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Quantit)!
J I
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Typ~ of iixture
J
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly ~est
Lawn Sprinkler
Other
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FEE SCHEDULE
Industrial. :ommereild & Multi-family 1% of job cost with a 539.50 minimum
PLUMBING PERMlT FEE
I ST ATE SURCHARGE
TOT AL PERMIT FEE
Residential, New On4: & Two-Family $99.50
Residential, Additions & Alterations 539.50
Building Permit # 0/- /30/ lO 'l'J\lH ~\,.
~.~_ eU\~\~GP~ ..
*-~~
p~
"Date
/2.--J 1-0 1
$
$
$
Estimated Cost S
(Otlic:c Use: 0 ,ly)
This Ap~I~"'*1i~','om_es Your Building Permit Wben Approved
kI.N:r tz- -'II-(J I
B Jildllll Omcial Dale
14 hour notice for all inspKtions (5151) 447.'ISO, fall (95%) 447"'245
. ~
-"""
TDTRL P.01
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J:l~76 R.ob\\f'\ Roo.d.
NATURE OF WORK ~\.fJ"r- l..Q.v-& P,^,s.\A.
USE OF BUILDING SFf)
PERMIT NO. (J/-- /301 DATE ISSUED 11-\4-of
CONTRACTOR \ ~~tt~ ' PHONE 4t)~-l:iC:f3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, '
~ ~l~ Of
~ '^
\,
- -
I~G
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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1\
L~
q
'^
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
......
f();; .
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{fq-.
~
)
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 st'!aJI be, placed near main entrance.
)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy
3/1 zit; 1-
, I
3 h z../ D1-
3J i 2.16 'l..
BEEN SIGNED
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
3-, z.~O -z... 2) !vO
ADDRESS
/4-"278 ,e,ol5IN' /2LJ.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- /30 /
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION ~ 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~NSULA TlON 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTIO . tv MECH FINAL 0
COMMENTS: ~ '\.~
(~-
~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ /' Owner/Contr:
CALL 44J~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl