HomeMy WebLinkAboutBldg Permit 01-0600
(Please .!VDe or mint and sign at bottom)
ADDRESS
I. White File
2_ Pink City
J. Yellow Applicant
ZONING (office use)
R ISD
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
AND UTILITY CONNECTION PERMIT b _ /1
3c.~'t
CU. l \ o<-J
i?~ ~+- S. u..1-
LEGAL DESCRIPTION (office use only)
LOT / D BLOCK?> ADDITION
j J ldJfJV)d- Is, t-
v
PID ?-5-, D~- 0).3/0
OWNER 0
(Name) _ (L-F:.-
f
t:A,.., (c..J c-
(StH-G€1Z..
(Phone) 9cJ.. - l./'/n. G.~':?
(Address)
BUILDER
(Namp\ /l{I?)(.,IT K.,ra+--e:W ~ ~
(Contact Name) 5~ ~l~
(Address) 7s 0 I f7 ~IC- Ol'Lf<./6'
(Phone)
(Phone)
Ys--~ . '/0/ . J I..S Y
/,..,/2 . >~S .91""'~
DLower Level Finish
/
DDeck DPorch ORe-Roofing ORe-Siding
o Fireplace DAddition ~teration DUtility Connection
PROJECfCOST/VALUE (exc1udingland) $ ~O_~
c.i'hhv~C'~ /LVIi 5>s 17
TYPE OF WORK
o New Construction
o Misc.
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 y.....y.....j 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
;terupon~~:~h~inSpeCtions LO ~"L ') Co 8 3 ~/~/ol
~.It i Si6ature Contractor's License No. / Dlte
.- I
I Permit Valuation I Pi'). tHY') f9 I Park Support Fee # $ I
I Permit Fee I $ RS~. rS'" I SAC # $ I
I Plan Check Fee I $ SSCI.'fC{ I J Water Meter Size 5/8"; I"; $ I
I State Surcharge I $ f[o - ~O I I Pressure Reducer $ I
I Penalty I $ I I Sewer/Water Connection Fee # $ I
I Plumbing Pennit Fee I $ 4tJ .0<7 I I Water Tower Fee # $ I
I Mechanical Permit Fee 1$ I I Builder's Deposit $ I
I Sewer & Water Permit Fee I $ I I Other $ I
I Gas Fireplace Permit Fee I $ I I TOTAL DUE M"'-'EO I,,-Il! 01 $1.4-88.~o/ I
-- . ,
omes Your Building Permit -when Approved I Paid 1 (1.~1f" '1 I ~~ceiPtN~O/
(p - fA - 7erJ1 I Date {Alrl-D 11\ .
I
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
,,~ii PRIGii' <'
t: ~ '~
U .\1"1
White . Building
Canary - Engineering
Pink - Planning
Th"'(-..nl",r of Ih..I.8kf ("ounll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT cn~ L~ 4--~
APPLICATION RECEIVED //)~I/-() /
q,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3 00q- 1///jI/~ &~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
/
\
"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,"
B~~
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Building Permit #
Site Address 23 r;, 0 q -
Date: ~_ /1-0 )
PID: d S---- /oc:f-?'~3Zoning:
ii/i//{ti'U/ /le~/<--' - 0
Legai: L
B
Subdivision:
Existing Structure: YES or NO
CONFORlvIS TO ZONlliG
ORDINAl~CE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
~
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside-
entrances other than patio doors?
L
~fer to Planning
Refer to Planning
N<>-I o:'-'-~~I"-~i-k-
V I
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
~
THIS CHEC1O..lST MUST BE COMPLETED ..>u'fD INCLUDED IN THE BU1LDING PER'IIlT FILE TO
MAINTAIN A RECORD OF THE REVTEW.
T \~"\ m1' A ~\ \ T "T'r"'Ur-""J'" ......flr
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
(Please !VDe or vrint and siJro at bottom)
I ADDRESS
3ft:,t..r IUIt...l PGV
(5~J..
<;;:.J..._
5'.0,
!;~w E!~i~' I PERMITNO'()/.o~ool
I ZRiIN5!J(Officeusel I
LEGAL DESCRIPTION (office use only)
LOT I~LOCK 3 ADDITION / / JLL/Lna:2--/";+----
PID~- IJf-D'J--3..:{>
OWNER
(Name)
()IC.K-. <t
Coo t::J e:;
t I I-I,.-L~
(Phone) 95'L. lfCjJ(j. (,n;;,>
(Address)
APPLICANT
(Name) frtt?fI.A"'t fdr/A-c
(Address) 7861 f1/1--zfZ..L I?IGiU<e
(Address)
(Contact Person) ('~C A / L ~
APPLICANT SIGNATURE ~.~
r
(Phone) 'in.
c~ I#1-SlroJ
(City)
Y7'1 /7 ~
,SrJt7
(Zip Code)
,
(Phone) (,1 L . ~,?fj. 91 Y' 'l
DATE
APPLICANT PLEASE COMPLETE BELO}V
DNEW CONSTRUCTION 0 REPLACEMENT 9(AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT "'3
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
~~ir Conditioning
Je....... ent. System
FIREPLACE MAKE AND MODEL
HEATING OR POWER PLANT
o Steam PLEASE NOTE:
o Hot Water Air Conditioner Units
o Radiation Cannot Encroach into
o Special Devices _ Required Side Yard
)l{Other Devices Z. /(#-r # ~ - Setbacks
1: I f/ooO
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
. ~~~\i\"\ ..,\
i ~.G pEf'-\-<'
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~
Date~./e. 01
Receipt NO~
--?,//d
By 4I-ff'^-
/
-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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)
q>lease type or orint and siJUl at bottom)
ADDRESS
'".::J U. ~ '7 l.-0; 1I 0 \.Ll ~ ee<. ~ <;:, T
LEGAL DESCRIPTION (office use only)
LOTIo BLOCK;:? ADDITION (lJl12jYUKJ I~
1D1\,ltT'"l
OWNER -;--... .
(Name) V i' c... ](
. (Address) "3 /..{ u q
( AJ ~ II-a..u..) ?,,..~ 'S T
APPLlCAN.J:..., ---:--.
(Name) - n"'I'C.IA--L.l'.-v\ ....LLil.lA \:-.~/^i'7
(Address) 1~(.o~l~~Jc-~, ,~~. ~r
(Address) -
(Contact Person) ~ h r IS
APPLICANT SIGNATURE
~e-GWc.A
AlA ~ d
I
Quantity
X
'i
~
lC
y
-;;)
1./0.01
I BI" FiI, I PERMIT NO'OI-Ot, /Y'7\ I
2_ GQld City l./U
3. Yellow Applicant
ZONING (office use)
5. L.. ) R 15[)
PID:4'l ~ ITlt- on-o
(Phone)
c::::. I.. I
(Phone) gS'} - 4~ '::>.,~u'3 (0
~d,^,Sv ,'lie.. <'->S '\ I
(City) (Zip Codi)
(Phone) ~ I'd - 3a- <;$ -<"1 '/ I
DATE "7 J i/) / of
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $3950 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Building Permit #
B PAID ,.
. UlLDINC
. .
'.it
.50
paid_
Receipt No.
Da~ /
r 10-6
By r
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JfJ,,"'f (.J,'Ilt'llLl ~eoc..k..
NATURE OF WORK ~;~ f(.. "^"cI,,,f
USE OF BUILDING ~ PD
PERMIT NO. OI-0C900 DATE ISSUED (p - (p, - 2-00 (
CONTRACTOR JUi..,;\- K;tcl....... ..I-- ~ 0 \l~ PHONE'1'S2 - 'IO/-'I..~?
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
~""~,,,,1I. n~. __
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if equired)
~ ~t1u
l
r~- a-e;./
~ \\ru.w
- \
a.1)(,f9{
q /TJ t!)/
~ c..: '
qllD or
l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
IWJ
/- 2,0-8 <;
-; ,'- 1-:;..,.tJ:?,
( -&S'-~
l-2~-o)
SIGNED
rw./
V~
OCCUpy UNTIL ABOVE HAS BEEN
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 ~e 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
ADDRESS
7eer
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION @
r;f FINAL
o SITE INSPECTIO
COMMENTS:
DATE TIME
SCHEDULED / - 2 <j'
l-v ;/1/1 fA) f!x",c 0 :;-r
CONTR.
PERMIT NO.
f)! - (" fir,)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/ () (f-
C/\
-+-"". I
t-- f t-e...
fJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~O~CALL FOR REINSPECTION BEFORE COVERING
Inspector: M/ 1- ).S..{)} Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETYI
INSNOTJ