HomeMy WebLinkAboutBldg Perm 01-0682 FP 01-689
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
,-9-9/1
//
,~1
L Whi~ FiI, I PERMIT NO.
2_ Pink City
3. Yellow Applicanl
(Please ~~ or 01 int and sign at bottom)
ADDRESS
~(57/ HfJHI'1/tv'QI3//ZO 71eRIL--
LEGAL DES CRIPTION (office use only)
LOT (p BLOCK I ADDITION
K.N 0/3 H 11.-'- 3 !eO
OWNER
(Name)
13t/,e6SH. ,eICH~R.LJ
SJ:lM 6
(Address)
BUILDER
(NamF\
(Contact Nan .e)
(Address)
TYPE OF W)RK
o New Construction
}f(Lower Level Finish
o Misc.
PID Z"'l -34'f-IJO(.,-()
(Phone) 9Sl..-i/oz-- 0(,58 (1-/;
~ I/S-S'/4z..
(Phone)
(Phone)
DDeck
DPorch
DAddition
DRe.Roofing
ORe-Siding
o Fireplace
DAlteration
Dutility Connection
PROJECT COST IV ALUE (excluding land) $
I hereby certifY t lat 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 t'n'y,,"nJ 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
;teruZ~~fo=nspections 7- 9--0/
~ature Contractor's License No. Date
I Pennit Valuatit.n
I Permit Fee $
I Plan Check Fe. $
I State Surcharg. $
I Penalty $
I Plumbing Pern-it Fee $
I Mechanical Pe mit Fee $
I Sewer & Wate] Permit Fee $ I
I GasFire~lace:'ermitFee $ ~o.oD I
~!rA. /"lecom ~ourBuiIdingpennitWhenAPProved
'1-1- ~I
-v
ngl~1a1 Date
,
.3 ..~ . (!)O
, 7 <(. "'}c:;-
1.50
</0.00
I Park Support Fee # 1$
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other eUM~,ICA L.. $ 1.00
I TOTALDUEMIuO) 'l.In -fll $ /o57.2S
I Paid
I Date
/57. z.r
-;./~. tJ I
I Rece~1};... -f'tJ1/S-
Bv J- '--
This is to certify th It 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 tht City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
IPlanning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
,~~)-It,J L: ..;,,"- CITYOFPRTORLAl<E wn ~}4S
S LJ. ~ HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
A,'NNES('('"
Date Rec' d
(Please tvo~ ~ r orint and sign at bottom)
ADDRES~ .
; ~,",:" ~:~ I PERI\1IT NO.
3. Yellow Applicant
ONING (office use)
12,1
'-T' .s '7 't
H U rYJlI/1/N fr fJ I ~JJ
---
/ f!-, N/G<
LEGAL D ~SCRIPTION (office use only)
LOTb 3LOCK I ADDITION /:.noh 1JeU\ 1~
,
PIDd3"-3 L!'1-O/~J
OWNER n
(Name)--.,leHIJ..m
(Address) 'l'.....\~ I
IJu () ~<* .
AI U fYl fill t '" tr-/l3 I R-JJ
(Phonef'?\L-(fO 2- -DbS?,
~. N.c.... P{2..IM..-,Lft~ ,S-S3'7z.-
\h~~ h ~PL7'le..."'- (Phone) qSL-V'fO -S(o?-D
AV'l.-' P(l--U>IZAII'\(.,~ "<.-':;-S3'7 L-
(Address) (CIty) (Zip Code)
(ContactPmon) ,IJm t/; _J-:;rr.V/c.AiZ.-...--. (Phone) tlS7....--YLfD--,r:::Io1-D
APPLICA]/TSIGNATUREC.. DATE 7/3/D/
7A/ -
A LICANT PLEASE COMPLETE BEl,OW
t:::;.. fl.,; ONEW CONs'tRUCTION 0 REPLACEMENT ~L TERA TIONS
Eu~er.1CE1~AN~~ODEL ~~ P-'-{L-.. FUEL JVflTI. ~
FLUE SIZE l./:!(b:sJ<b RETUR.N OPENINGS INPUT~~DOO OUTPU~ ~
,
APPLICAI -IT
(Name\
(Address) /10/5/
1"r7 19 r 1\1
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACI: MAKE AND MODEL
Industrial. Co nmercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
S39.50 minimum
$99.50 Residential. Additions & Alterations
564.50 Residential. AC Only
539.50
Residenrial. (- eating & AlC ("New Construction)
Residential. 1- eating Only (New Construction)
539.50
539.50
Estimated Cost S 3SVD-
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER.Y1IT FEE
$
$
$
.:i q "..:n5
.50
C/ 1)-06
(Office UseOn'y)
This Appl cation Becomes Your Building Permit When Approved
Bu lding Official
Date
11>~Lfo 00
I Date < 0 I
7- f(,r
I Re~~t~gq 7
IBY~
U
24 hour notice for all inspections (952) 447..9850, fax (952) 447..4245
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnl.., 01 lhrI.ak.. Counlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N) .ME OF APPLICANT
AFPLlCATION RECEIVED
Et/~, BI~
7, 9'01
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
457/ JIv /'11'1//11 q 6//20 7?;2.FI / L--
.
Accepted
Accepted With Corrections~-
De nied
(~
Date:
J- 7-~/
Re viewed By:
L,..() w 51Z-
~~~ 7h'[; t-!3V€L/b17VOOVr
Cc mments:
"The issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
anv of the provisions of this code or of any other ordinance of the jurisdiction. Permits
prl\!suming to give authority to violate or cancel the provisions of this code or other
orcllinances of the jurisdiction shall not be valid."
~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L/S-ry I /-It) IAA W\ I'I~ h"....J. (1-
NATUF E OF WORK Ale t.<'; . L. L. C17:'-.........~.c
USE 0= BUILDING SFD
PERMIT NO. /7/-0f.t&Z- DATE ISSUED
CONTFIACTOR -13cir.e<; ~ PHONE 8SS- -g/(/;:::>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
I
I
I I
F LACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J
I
FRAMING
INSUL ATION
ELEC'rRICAL
PLUM BING
HEATIING (if required) It
FIREALACE
GAS LINE AIR TEST
OIl? It'
011/1
71.nhl
7b7/1>/
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
~.
&::t,
t
~
~J~t I
Y II '/
j
GRAqlNG (Prior to Sodding)
BUILDING ~
ELEC-RICAL ~
PLUM BING
HEATING /~y - 4v ~
[10 NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
an d maintained until all inspections hav!! been. approved. On buildings and additions
wI ere no service cabinet is available, card shall be placed near main entrance.
ffJ/3ottJ 2-
~tdtJ( f)2
~ I-~{) I tJ:J--
. v '
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL 1f\'e"':lECTIONS (952) 447-9850
CATE TIME
fyho/8t-
tJvtMV1A~L~
.a.-A LL F~,
PERMIT NO. [-3i8, C-,gz \ (;,81.
o FOOTING A 0 PLUMBING.lU .
o FOUNDATION ~ ~MECHRI ~hi<.,
o FRAMING 0 WATER HOOKUP ~
~~ INSULATION J. .(\ 0 SEWER HOOKUP
FINAL ~~ 0 PLUMBING FINAL
SITE INSPECTION 0 MECH FINAL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4;;7 t
OWNER
CONTR.
PHONE NO.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
if FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-S~ ~
=
C-~J/1P_ fZ~-vq
j
P<:::RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
:S:::O:ECT WFREINS::::/::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''SNOTl