HomeMy WebLinkAboutBuilding Permit 03-0157
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
J. Yellow Applicant
Date Rec' d
2-5-03
PERMIT NO. OJ -0/57
1'110
tv / fI/ OS () Ai 9
G/e~
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION
OWNER
(Name)
(Address)
W/NOJO;Jq ON '77tT; urc.C
ZONING (office use)
Pt/~
PIDz.5 - 2J~ - 001- 0
(Phone)
{?a)r~tt!y}CJtJ ~~~
BUILDER.--:-: ' ,::':<;;/11"
(Name) / ///A/O/M
(Contact Na~e)- 7 t:)111
(Address) L73CZ6 J~~I (LJI(
(Phone) q~(2 -ny-- /A? /
, -
(Phone) h /:-'2 - ? 9.P-, '7 / ~ )
/ A$tl;l/-L I //fA) /-;3aL/~
v / -
ODeck
o Porch
OAddition
ORe-Roofing
o New Construction
'f:.ower Level Finish
2 eo7Jrl.5
TYPE OF WORK
o Misc.
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Fireplace
o Alteration
PROJECT COST/VALUE (excluding land) $
ORe-Siding
OUtility Connection
. s application which is to the best of my knowledge true and correct. I also certify that I am the owner or
(l that all construction will conform to all existing state and local laws and will proceed in accordance with
Furthermore, I hereby agree that the city official or a designee may
Contractor's License No.
$
$
$
$
$
$
$
$
I Park Support Fee
SAC
#
#
I. () 0
Water Meter Size 5/8"; I";
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
#
#
4-6. 0()
cl/.r~3
Date
Other
I TOTAL DUE
I Paid /03. Z 5'
I Date 2- ~ J-oJ
,.r- ?
;:7 --~ - 0"-;
V"
Date
$
$
$
$
$
$
$
$
$ /1J3.U5
~3~e4-
This Application Becomes Your Building Permit When Approved
~f~1-
( )
Receib(No,
By"':-..
(j
Building Official
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
iss~:::;~ ~/S~3
Planning Director I 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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File PERMIT NO /. r
2 Gold City . 01 ~?- rs
J. Yellow Applicant :..:J
(Please type or print and sign at bottom)
ADDRESS
'1110
It/ /l1~ t7{fl ev.-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/"'"\
~~(!~
(Phone)
(Address)
t
1
1
I
I
1
\.
~~~~ 0 \ \
... . \)<::..k.yY1l/1l1left.- rL\,)..VV\~ \ "1 .'\' f.JLt (Phone) ~~ l . ~ vL ,... ~ (p f V
(Address) '3tqCj'2 PeN N ~1/I1v.A-N~ A..U-L c:.AqA..rJ S~ /2 '3
tIIf6III1E'"" . (Address). (Citf) (Zip Code)
(Co~Person) E;nc.'c.. &zv~kY"1lr<.~ (Phone) (, l2:-(505 -S"q8~
A~f'l(''i ^~tUl;J"ATUREJ!- _.-'l.-J A DATE ') j I 2/ (1~
/..AJ~j)e_J APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
\ Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
\ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
\ Water Closet (Toilet) Other
,(.......1
. 1
1
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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
g~;jJ
Receipt No. ,
/
.~
(Office Use Only)
Building Official
Date
/l
pai~
Date ~1 v { 1-- ?J
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
,...,.._~ '
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
,
SITE ADDRESS 4//0 tv/NO SONq ~/IC-~G
NATURE OF WORK L--Otve7~j ~6L-
USE OF BUILDING ~. r9-/ /L"-
PERMIT NO. 03 - () /57 'DATE ISSUED Z - S -0:5
CONTRACTOR '/U//\/S//CA PHONE fr;/Z- z'I8- 7/2-1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS/BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I'
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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1I1;{/
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A"/'1
J,.-I'(
w{/
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).. ~t 1
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
{Illf 4 - /(. - if:>
riff l{- ( L' (fJ
YVf t..1_1 ~ -If)
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.
"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
I 'I
I I
DATE TIME
CITY OF PRIOR LAKE )..I-I?
INSPECTION NOTICE SCHEDULED
;
! 41fO U/ifk\ S'lMJ
t ADDRESS C.,,-
OWNER CONTR.
PHONE NO. PERMIT NO. ?- /~ (
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL o PLUMBING FINAL o GAS LINE AIR TST
SITE INSPECTION j;jt MECH FINAL 0
COMMENTS: r'''4I1/
"
I
l.-/
i
I I) s:(
Jz7~
I2l" WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1;tiJ L/- / (" tJ) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSlIOTl