HomeMy WebLinkAboutBldg Permit 01-1336
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Phone) 35;)- 435 - CL7d-~
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 upon the property to perfo~ nJ1ed inspections. I//J
X :;-t'gn' Yatu.L J c:vn?if 1I~-1t · j afte-;;'t:,-Oj
~ IF Contractor's License No. ~al
Z, 000.0 0 I Park Support Fee
$ ~. rfshi.251 SAC
$ _ I IWaterMeter Size 5/8"; I";
$ J. 0 0 I I Pressure Reducer
$ I I Sewer/Water Connection Fee
$ 4-- o. 00 I Water Tower Fee
$ I Builder's Deposit
$ lather 6 L/5e" I I?-/ t!Al-
I Gas~ePe~itFee $ , I TOTAL DUE
/ )fi ~
(?fJ!1;;tomBWI7-~71 I ~~~ 1O'j/~~-OJ
/G~ial Date
I. White File
2. Pink City
J. Yellow Applicant
(Please type or print and siJtIl at bv;;"u.)
ADDRESS
PK-WV
,
/~472- NIl-DS
LEGAL DESCRIPTION (office use only)
LOT J tfBLOCK 3 ADDITION -rHl3-
~WNER
(Name)
W Ii-O.s
(Address)
/\//J.tl r:J
. I
/L./47:J
5 kl/'l{ ,-<:,fll1
w:JJs Pkw 'J
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
)(Lower Level Finish
Z- R.t15.
o Deck
o Porch
ORe-Roofing
o Fireplace
DAddition
OAlteration
,OMisc.
PROJECT COST IV ALUE (excluding land) $
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
PERMIT NO. to 1- /33 10
ZONING (office use)
PUSD
PID 2.5 r 2-'17 - () 3lo - 0
ORe-Siding
OUtility Connection
#
$
$
$
$
$
$
$
$ /.00
$ /D4-.Z5
Receipt No. '1cJ f sf)
By r.r
#
#
#
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
12- ( D -OJ
~. ~~ ~!~ PERMIT NO'OI_ I"l.. ~_ I
J. Yellow Applicant J"") 0
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I i/L! 7.2 W i Ids 'Pr; rlaAJct.->J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25- 2!l7- o,3h- fL
OWNER
(Name)
Don .J- /II a t1 ('~'f
/44?~ (A) tIde
kl4. s serl
P~r kUJa_t
(Phone)
Cj5'd -Lfi/S- Cj7d-h
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE ~ &ytfq ~/7 DATE
A~PLIC!NT 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)
I j-d-R'-o I
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
I
I
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, New One & Two-Family $99.50
Residenti~ A/dd~/tio;S~. f-Alterations $39.~: I ,111
Building Permit # v - -; ';;J Vv
fA' OO,,Jq
.50 fO. 51i~ri'
$
$
$
Estimated Cost $
(Office Use Only)
Tb;, Ap ~~mes You, BuUd;ug ;;W:~ t'OVed
building Official Date
~
Date
tl,.,/O.,ol
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION. RECORD
SITE ADDRESS I\.{yt)a W(~ ~rk~
NATURE OF WORK "&.~ ~~. "-
USE OF BUILDING SF I)
PERMIT NO. ClJ- L3 ~ ((') DATE ISSUED 1\-27--6/
CONTRACTOR J:II'C'~ PHONE 9~l..{(/5'-7n~
' ~ . --
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
~ ~ t.UfA
\t\ r
r::J'r./, 1 !
t.t.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-
""
.A
'^
w
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ 71 f1r.r1
I
-t, 1- l ,p V'
I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
j
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
2-- 2/-02- 4: () 0
ADDRESS
/4-4-7 Z. vV I L--OS pIG wV
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I -- 1~3'=-
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
d7ANL-~
o FOOTING
o FOUNDATION
o FRAMING
^ p/INSULATION
~ FINAL
o SITE INSPECTION
.,- . I'"v" /J - ("' " . 1C)
(0 .....~~ '{..'-/'
. .-
/
PORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK,~ALL FOR REINSPECTION BEFORE COVERING
InspeclOr~ <-\ ~ Owner/ConIc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNOTl