HomeMy WebLinkAboutBuilding Permit 01-0040
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please tvD~ or mint and sien at bottom)
ADDRESS
I. While File I PERMIT NO
2. Pi" Ci,y . 0/' _ ~.A.r I
3. Yellow Applicant '-1-J T........
BV"~ ::r; ~tVn......
l~sGO P~VI'''''''
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LEGAL DESCRIPTION (office use only)
C. V-r k
I ZONING (ofliceuse>
12-J
LOT iO BLOCK '7
ADDITION A~S.,
fl,)o
r-,
LA./C"S r Kv.e.. ~I 14 PID /'::; -3 () [:3 -0 u.,
1
-0
OWNER
(Name)
~'M-.. -::r; ~ l'\ 5".,.....",
It <{ 30 Pe.rt.~V1'", Lwcfe..,
"
(Phone) 3 r;7 ?2 {,
IJ?'3 '1
(Address)
BUILDER
(Name)
~~clh. ;:'v,~j
7/4 ff/l.... 5'1 SF h1p/S fJ'IIJ
(Phone) --.f11"l
37q ~ Isn
(Address)
,<;;<:'-flll
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofmg
ORe-Siding
OAddition OAlteration OUtility Connection
400<:'. -
PROJECT COST /V ALUE (excluding land) $ I? 0D7J .0'0
/
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
;tetupon71:;((!I!JG dnspections 20 Z5 324 ~ ~2~ LtI'tJ 1
I Signature Contractor's License No. Oate .
\8(Lower Level Finish
o Fireplace
o Mise,
Permit Fee $ 3125 I Park Support Fee # $
Plan Check Fee $ I SAC # $
I State Surcharge $ 1,00 I Water Meter Size 5/8"; 1'" $
.
I Penalty $ I Pressure Reducer $
I Plumbing Permit Fee $ 40 - I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas Fireplace P~rm1 Fee $ Other $
/) IR JI "
Tt:!;~j TOTAL DUE $ 12.<-1 20
~ I Paid /2- ru:: I Receipt No, :..;tl~8L
---. "1 I Date 1.1...,_..;- nl
By 141M.
~.
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 in.peetion. (952) 447-9850, fax (952) 447-4245
~1
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. Blue File
2. Gold City
3. Yellow Applicant
01 ~ tlo
PPNo,
Thr C.nlt, of lht Lab Counll'}'
Applicant: _ Phone:
Address:
Signature:
Legal Description: Lot (0 Block _C:;;- Sub / SF ~..,,~ ~
Site Address: /(P3~ fJ~tf-(:;H4.,Al C/4. I
Building Permit # 0 I ~ 4 0 PID # 1. ., - .;~ -0 'Z."- ...,'")
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
~
S<
"A
)(..
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
,
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ SCf,\..)
$ .50
GRAND TOTAL
$ 40-
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
Jl,ECEIPTNO, DATE
/' 11 '-'I /',_~i. M f r ATTEST
I
Call for all inspections "2!1 hours in advance,
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 (Ph (612) 447-9850 I FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
.
INSPECTION RECORD
''-6:>>~4.
..... ~
DEPARTMENT OF
, BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 01.. ..~ DATE ISSUED ~
CONTRACTOR ---".Nt~ "&.S,.,./12'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSF'ECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l-iQo:I'IUS
/-48I:JUBATI~N (PI - . 1. Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. -
.11:.11 I ~..,. ~ 1.~.~iI '::'.""'lI, ~,_;
, '..
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3. ~""
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/ - ~ -01
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FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
P'1..~nAe~
~1.8 L1U~ AlP. "fE81'
1.1
-'(
-1f.
u
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Ahl,'
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f-'\~.~'__I"'loO.l.~" l~
. (!lmu"lte. {f '.
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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:PO ~.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J(" f'.J'iJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING tJJ
o INSULATION
)it FINAL
o SITE INSPEC I
COMMENTS: L, L ,
SCHEDULED
DATE TIME
~ /tJ:OO
f?, . 6A..,.
~
CONTR.
PERMIT NO. ~ I - 1-/"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"'
'.)
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector:
OWner/Contr:
CALL ....7-9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1NSNO'l