HomeMy WebLinkAboutBldg Permit 05-0903
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
. ADDRESS
-<.[~J~ C)Vt.-\COCJ~
Date Rec' d
1/1 ~/DS
I PERMIT NO. 06"- qO~
White
Pink
Yellow
File
City
Applicant
Dr S~
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK ~ ADDITION {2 ed-- ~~
OWNER r (
(Name) l v... reJ
lor-VI lie.
(Address)
BUILDER L ~ I In lJ
(Company Name) ~ :rL "'-' r ,10 MJVS
(Contact Name) lA)v-- \;-t-'tJ ('
(Address) L ~~ ~() Ht ~ 1'(;1 W..,A,V)
/
~
PID 3CfLj- 061-
(Phone)
ZONING (officc usc)
~/
:[fl C
(Phone) ~'l 7,- '3,2,Y ....()VQ'(/
(Phone)
Prt"rJ(' L""k..-e
/"1 A.J s:S ~z....
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III IV
H I
2 3
V
M
4
A
R
5
I
E
II
F
I
o Misc.
B
S U
PROJECT COST /V ALUE $
(excluding land)
G ~r:.}( )<0
Will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
ore I reby agree that the my official or a designee may enter upon the property to perform needed mspectlons.
~+D!r! US
x
Permit Valuation
'10(XJ,- I
$ g~a,~ I
$ I
$ d_&D I
$ I
$ l./o -- I
$ I
$ 1
$ I
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TbJ. ^t:I..tion ,om" Yom BoJldin, P'nni~ :;ond
--1M l3ul dlllg 01l.cIaI Date
2DO] 10J 7-.:
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ /OL9'd S-
Paid
Date
.---
/2"1.'VJ'
- "1.A~
/J
Rect;Pt No. N'f'77
(f
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE ~ ~ t.I. oS'
ThiS IS to certify that the request in the above applicatIOn and accompanymg documents is m accordance with the City loning Ordinance and may proceed as requested. TIllS document
w. hen signed by the Cay Planner constitutes a temporary Certificate of Zonmg compliance and allows construc~ion 0 commence. Bcfme occupancy, a CertIficate of Occupancy must be
Issued
~Q oJ ~ l-tv.{ I-I-~cluui
Special Conditions, if any
Building Permi-I: '#
Site Address
Residential Building Permit Chedilist
Basemen! Finish or Imerior Altcr:uion to 5in0'le Family Homes
ill {J / - Date: '" .
1M yGJ;:: 9-/9-()cj
() I/~/~g: ~ -
Pill:
~q'79
Bv.
, .1,.
Legal: L '5
B
:2
Sub di'Vision:
E.:risring 5cru.crure: @ NO
CO~~OR:.yIS TO ZONING
ORDIN"A.;.'fCE
0"\
l~~/
NO
YES
NO
Is th1s an e;cpansior:. of d:e e;c~wg foo-q:rm.r or
building height?
Re:re:- :0 Plam:~71g
~
Is m.e proper':"'j located 7<irf.i'T"t che fload plain?
Rer"e: m Pla1"1"''T''Tg
,...,--
Does tb.e alteration include any ac:dinonal :c!che::.s?
Rer"e: to Planning
-----
Does the pro~ose:i alte:arion include any ourside
emr:lllces othe:- than patio cioars?
Refer ~o Pla-r~~g
~
Is d:e pro1Josd l.1.Se of m.e Erishec. s::ace or
alteration for anyd:ing ou.~e:- chm a nOGl2.1 single
famil~r hau:e (oEc~. grou,? Gone, c.2.y C~~, ~~,=.)?
R~f~:- ~o Plar:r~~-n g
~
THIS CREG-CIST )llIST BE COl'iL.PLETED .~'fD !NCUIDED Il'f nIT BLiLD[i'{G ?ER;,'tlIT fILE TO
l'IlAlI'lTA1N A RECORD OF THE REVIEW.
FPiJrl : FHF'r1l ~IGTO~l PLG ~l Hnj
Fr."]>< ~n : 6S1,~637835
~lot). 30 ,"2005 04: 38pr'1 P 1
Apr. 19 20(3$ 05: 24Pr\ P2
rf~'i< t.10. : 651.1637835
FPUi : FARI1 i tlGTml PLG :1 HTG
(~~
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Dllt~ Rec'l
CITY OF PRIOR LAKE PLUMBING PERMIT
'.....-- ..
",...
I....... ',ll
I ("J.J r..,
) v#,t,,_ ~lc"'n
r PER!~,.- - -iJ~~-{/e~;$
(Pku~ rn>c oc nrint .ad 1,JP'l 'l 1>0""",)
ADDRESS
ZONING (OtTlc:1 \)'.'
(/vOr'!cx') \<_. ~r
l{l.j 1q
LOT DlOCK
LEGAL DESCRlPTION (olfK'C II.)(: ortly)
ADDmON
PID
OWNER
(l'hme) I,.,..) 0... \ ~'(""
(Addrc:.s )
c 0 V\ ') . \ ( lfi <-- -\ \\ 0 ""--_
(phone)
9r ,'co r . 1-- '-::....,
APPUCAN'T
(Name) ~~"'-Wn-i" "'- ~I <..-<. ~.JI"'t c; ~ \i \j (phon~) (05 I. C( (D'J . -78'd. Y-
('""'=) c>- \ 0 5,-< ~~r ~ ~~k ()A w"-- "" \ 7~Y(," ~~~)
-.....
(Conta.ctPcnon) D l'A '"
AlTUCANTSlGNAT1!RB -=:O ~JJ) L~,\
QlIUtlty
.;)
(
~).
_ DATE q- I C\ .~~
1
~
\
I
I.
APPLICANT PLEASE COMPLl!.ll!. BELOW
Type or .hht1llll Qua-illy
Bath 1'\1 b.with ":l'r without thaw, - ..3
Dl.abwuhcc \
floor DnUn \
Ltvwxy{&tluoom Sink)
Ltuodry Tray (I 0( 2 comp8.rtment &Ink
Shower StAll
s In.ks
Bllf Sink
WAter CIOkit-r:dIOt)
'rypt ot FUture
3
. koodJ.lnt
Wuer HClda'
- W Iter SQl\ner
Stand Pipe (Wuhln" MllOblnO)
ScwaRO Ejoctor
BlcHlow A.a.sanbly
na.ck11ow ~bly Ten
l..4wn Serinklcr
Other' '.
FEt B~JJ.J!.I) ULE
~. c. .,," _.1&' .t. Mu\lJ..(1lI\Uy I ~ of Job COIl wfth. tJ?j.() mIl\" , RaldmtJe1, Nnt Oftt A Tw-o-PIm/1y m.~
~ Ad<IItIo.u <l AJ~ liJffl-i
E.uimated Ont $ B~lldlni Pmnll' 6.UJ.LD ING PERMIT
$
s
$
PLUMBING PRRMIT PEE
3T A 1B SURCHARGE
TO:I'AL, ~ FER.
1
II
(~o..~
m ~ B<<l:Jastt V 0., B411 'ne '~t Whfta Appto\'af
.
a.Mac oakial
0...
, .
]A ....r ID~ fer .lll..~.. em) "'....~. r..~) 441..(1.4.9
':~ ~..::. .=.:,'-,=~- ..~-.-=.:-. =:::..--. ..-== :....;-.::...
I 'r. "-';"',
PRIOR LAKE
INSPECTION RECORD
~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1./-111'
NATURE OF WORK L l..",.
USE OF BUILDING & r: I~ __ ~
PERMIT NO. ~- 4o~ DATE ISSUED '-f- n-u~
CONTRACTOR - ~ ~ l-t-e.yS PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/
~
~
.
/#'1---
p~r
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
1// ?/~
/~/7/CS-
///7/or
I//?/#
///7/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
/-%J&?-
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
. I
rf-/ld~h
7/7/06
~/Jy~G,
~/1~6
BEEN SIGNED
-
ffL?
/4t'$-
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED ~~
ae,r~o~ 4",-
/ / 1'1" ,?
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.. ~ ~II ~r4 'L;/ ~r~J ~)'-z p,
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t' ~~~p ~7P)
~SA';;s;~C'Q"'~:'~.." r ~
~D CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F9R REINSPECTION BEFORE COVERING
Inspector: ~ -:ner/Contr:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/fL//9
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CONlMENT~:
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$;.v4~ ~~ /
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-I.
o-s--?as
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
" "
?/7h~
, ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI