HomeMy WebLinkAboutBldg Permit 05-0547
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
C, . I.? (IS
White
Pink
Yellow
File
City
Applicant
1 PERMIT NO. 05.0541
(Please type or print and si2l1 at bottom)
ADDRESS
3.3S9 lV1tA::JWOOD
ZONING (office use)
TleA' / L--
t:rdJ
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCK
( ADDITION
fYtJ()OS ~ 7Jf6t.//vO..r
PID zs: 383_011.0
OWNER
(Name',
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(L'fr. JlJr ~ r
IL\ ;.It
'7c. ~ '-II/..- g~ <;r
(Phone)
(Phone)
tJf~VZ3 ~O~l.'-O
vJ
./' LJ..~~
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing DRe~Siding )6iower Level Fi~i.Sl~ D;:';'~F:('''\'' J '~~ '
DAddition DAlteratlOn DUtilityConnectlon &v-. ~~b ~ elL ~ A.J "'If!!.
CODE: ~LR.C. DLB.C. 0 Mise"j A n/ Tt",.. l_'<-c '; ~A,(
Type of {.';"nstmction: I II III IV V A B PROJECT COST IV ALUE S
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that
aboV('-mcnl1oned
official can revoke
!J
V
x
Contractor's License No
Buildil1!lorficial
--ilqids
D,lle
Paid
Date
/t:? ~ 2,f
(,./t:- .OJ-
Date
# $
# $
S
$
# $
# $
$
$
$ 1109- 2~
./
R~O 4'-~.J'? r I
By ........ I
I Permit Valuation .i' ~OO ,()O
I Permit Fee $ <;;>7. zs
I Plan Check Fee $
I State Surcharge $ rl,d 0
! Penalty $
I Plumbing Permit Fee $ fd,oo
I Mechanical Permit Fee(;,,,, tUJ,; $ 40,00
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee f1.(J"l1eb $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fec
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ 7.eJJ{-
ThiS IS to certify thaI thr rrqurst in thr abuve application and accompanying documents is in accurdance with the Cily Zoning Ordinance and mJY procct'd JS rrqut'slt'd ThIS document
when signed by the City P1Jnner constltutes a tcmpOfJry Certiticate of Zoning compliance and alluws construction to commence Bcfore llccupancy, a Certificate of Occupancy must be
issut'd
Planning Director
D'te
24 hour notice for all inspections (952) 447-9850, fax (952) 447~4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
.
.
Residential Building Permit Cheddist
Basement F"mish or Interior Alte1'1luon to Single Family Homes
BY: ~
. b/,..V.-. .:
~~ Date: (" Ir .s/o:r
Building Permit #
Site Address :3 "3 ~
Lep.l: L;r B I
PID:
Zoning:
tJ~
~~
,
Subdivision: ~ (E ft..- '0 ~
Exlsting Structnre~r NO
CONFOR1VIS TO ZOi'11N"G
ORDlNAl'KE
YES
NO
Is this an e:tpa1l.Sion of the e.-'....sting footprint or
building height?
Yl:S
Refer to P1.amring
NO
I Is the propc::t'/ IOQtc::l within the flood plain?
I Does the alt=tion include my additional kitch=? I
Does the proposci alteration include my outside
enn-anc=s other than patio door.;?
Refer to P1.amring
f.J?:J
~O
IVD
Refer to P1.amring
Refer to Planning
Is the proposed '.lSe of the finished spac: or
alteration for anything othe:- than a n=1 single
fa.'Iliiy home (occ:. grou;l h01:::. 6y cue. e:c.)1
Rder to P!=i:ug
fJd
tJO
THIS 1.."u:.CXl.1S7 )11:57 BE COMPLETED ."'-''11) Ii'lCL!JllED Ii'I Th"E BlllD[;"C PER,!!7 F1~E TO
)(AL'I'T..;JN A RECORD OnRE REVTIW.
.
.
.
06-16-2005 09:26AM
~~<'
SW:)
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I "-NesO
i II
(Pl~ tV'D~ or; oriD.[ ar d siJi at bottom)
AQD::JS ':
I . sq Jlf,;J,~~.,,:D ~
i i Ii
LErAL fESCRI m~N (olliee use only)
LOT i BLOCl,: II ADDITION
I I I ii
~'t:~~c::? ~ii ~,.-c '-~--<I)
I, 'I -') .
(Adct.ress~ 7t..<tJ,: -1,/i!).~1J.tI \tJ.h ~, IL. {, _ Yo /I "rJ . '71 r'l
: I 'i ~"'J
A~PLlq..NT I II _'
Ct4a!lle)+h1"~l~11 Th-'1,~I~ I",,..
(A1dress: ~ I (\"'~t.'I"~1 """';"'J
I :i (Address)
I, Ii
(C~nlact rerson) n. (phone)' t.sl - "-l?"I- ,.'1'1-.'v.!
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NlPLlCANTSI(NA~URE ' LL ~.M.~-'niJ/".A. DATE C),,'~, 11.....!J.cot>"
i 1 II' 0 v i
i! !, APPLICANT PLEASE COMPLETE BELOW : I i
Qu~n~ty II Type 'ofFixture I Quantity Type of Fi;durie
I I ljathlifub with or without shower I Rough-ins i
~ishi!'asher Water Heater i
rloor, DraiJl Waler Softner
I I avarory (Bathrool11 Sink) Stand Pipe (WaShing Machine)
I I auridry Tray (lor 2 compartment sink' Sewage Ejector!
I i ~ho\'j(er Stall Backflow Assembly
I ~ink.i! Backflow Assembly Test
I , I}ar Sink ' I Lawn Sprinkler:
J ! 'faler Closet (Toilet) Other I
I I'
, I
I .' i I, . FEE SCHEDULE
Industri~l. Comrnc 'cial'~ Multi-family 1% of job cost with a S39.~O minimum
I i Ii '
I: I' ',I,'
Estimated CostS
i I II
)) i;
i.1 I!
'. 'I
L i.' I,
(O~(jeeU~Only) ::
Tbis Applicatio , OOomes Your Buildlftg Permit Wben Approved
~ - H' ' ,
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I I Bu;ldlng Qffi<i~l
I "
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!
MATTHEW DA~j I ELS, ItL
423 301 7
P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
Ii
1.6ll,l.8 Fill;
:.GoI4 C-'1Y
) y,IJ,o..- AP9lj~"1
1 PE~IITNO'05.tJSW
"
;ZONING (offie. UOe)
,
PID
(Phone) -M'rJ-
I
i .:
.;~. iA~20
,
ts"..57;;L.4-- '
(Phone)
i
"'5/- 4215-~"'M
1 ,
~'i>l1
'(Zip' Code)
1?"'~1:a ,.....,o~
(City)
,
R..idCtltial. New On. &. Two-Family 599;;0
Jw.;id<ntia~ AdditiOn> 8r-:Alteratioq.;S39-S0
Building penn it #
PLUMBING PERMIT FEE
I STATE.SlJRCHARGE
TOTAL PERM:tt FEE
$
$
$
Dou
-~.~",~-~-"~-'~'" .
Iil; l>.'d'~ I \'1 '1' '.i
, '1~ i~' I' ',':, r' :', i
'.'. I, '.. " ", '.' II"
.._ '...,.' L__.. cO .. ,- . l
JIDf 2 4 2005 .
By
"
"
:1
!
Z4 hour notice for all inspections (951) ~~-98Sl1. fax (952),447-4:45! _[
.__..._---~_. ._.---_..__._..~_..
I
,
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 335'1 {lV/ L-O 11/ 000 .77t---L--.
NATURE OF WORK L.-tJ We-K- t--EV6L
USE OF BUILDING IZeJ I"'T/j(....--
PERMIT NO. as-" () 5+7 DATE ISSUED to. O. 0 s-
CONTRACTOR ,e:j). /UH PHONE (pSI, -I-z3, OsZ-O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
uc-
lVv
!?~ I
I
I I
.~ / z~/o<'
I
(h
GAS LINE AIR TEST (u~w"""~" V
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
$1
.1+
OCCUpy UNTIL ABO~E HAS
NOTICE
I I
Nh/tJ'7
/ I
BUILDING
I ELECtRICAL
PLUMBING
HEATING
DO NOT
BEEN SIGNED
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(~52) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .13 S9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
B,.ANSULA,TION (...-
/.1 ~~NAL LL ~.\I'---
o SITE INSPEc!T10N
COMMENTS:
"Ie +-11
DATE TillE
SCHEDULED It'~
'-~
CONTR.
PERMIT NO.
.5 -!;;'-/ f
,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Q~ .~.+-, i~
^L'I +:>..J~ ql~_
)If' WORK SATISFACTORY. PROCEED
o CORREC I N AND PROCEED
o CORR CT K CALL FOR REINSPECTION BEFORE COVERING
Inspeetc. I Owner/Contr:
CAL~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ ~
WJ(~ ~I
ADDRESS
3-35Cf
OWNER
CONTR.
PERMIT NO. Y - (J s-<f 7
PHONE NO.
o FOOTING ;Et PLUMBING RI
o FOUNDATION )l:f MECH RI
~RAMING 0 WATER HOOKUP
~NSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
L L C\-/
COMMENTS: K
o EXIGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASI,INE AIR TS:n
o FuriuN;> 7=.,..-,
~
(, 17t-e Pla.-U ~"^"'\t---
"2. ~~ ~t'.:..
~
c.;./
+11~ )q..-ec.
-
u
.?~l:t- ~<;(.)\anC4. ,f1.~ a,trl~ 'Elc,
I ~ ); /l..DS
(}, I~rn: ~ 12 Lc /
- ;--" )(
~k2 flaCJ"'~ V ~v-\l>\'..Q kt-e. f~ ~
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORREfY1RK. CALL FOR REINSPECTION BEFORE COVERING
InspectorJ'/ ~ OWner/Contr:
CAVJ.7.JS50 FO~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~U~TSARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
~-