HomeMy WebLinkAboutBuilding 05-0283
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1ft, ~(P{ AJOtRwooot U
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSUU\ TJO~J
~INAL 1Nlr' .
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
~8(O~
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Ii- i{ 17 "{--
('""_..,.7 ~;~
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o EXIGRAD/FILLlNG
o COMPLAINT
o FJREPLACE RI
J4"'!=IREPLACE FINAL
o GAS LINE AIR TST
o
JlfwoRK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREfm. CALL FOR REINSPECTION BEFORE COVERING
Inspector: If ! [> Owner/Contr:
CALL~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f-. 13,-OS-
White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. ()S-. 02-631
(Please type or print and siWl at bottom)
ADDRESS
/~J(P /
tf/' OICilt #(700
/ZO.
i-/W
ZONING (office use)
,e;...u?
LEGAL DESCRIPTION (office use only)
LOT U 2nLOCK
ADDITION
J/ ()tt:THWdD 0 fU).
PID z%'. 1+1. 6 :l9. 0
(Address)
(i11+~ ~I W
/ &,? (P I
c.
~eva K
(Phone) _
9 ~2- <.Jlfr- .2 lu~
t-ftn.:; J(/t-' f-'c j;. dl ( ///111
)Ii / ri.!. II /'-/
OWNER
(Name)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Constr~on ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish
OAddition fiAlteration DUtility Connection 0 Misc.
~ 1fl1l00W /hJt:) ~er
CODE: I.R.C. OLB.C. PROJECTCOST/VALUE $
Type of onstnIction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
o Fireplace
I hereby certify that I have hlrnlshed mformation on this application which is to the best of my knowledge true and correct I also cerllfY that I am the owner or authorIzed agent for the
above.mentroned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
otficial can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspecllons.
~ t/~ '1-/3- OS
,
x
Signature
Contractor's License No.
Date
-.
Permit Valuation Tr2-500, {)O Park Support Fee # $
Permit Fee $ rl, 75 SAC # $
Plan Check Fee $ - Water Meter Size 5/8"; 1"; $
State Surcharge $ /i'2-b Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE 6flZ,u;,p 4- If- . ()S- $ 7~~tJ{)
This Application Becomes Your Building Permit When Approved Paid '7~."- Receipt No. t/y/lt)
~ ~ $/~/O5 Date t-I - J t;"- -z::;- By ,-'
. 1-
Buildlllg Otlicial Date
ThiS IS to certifY that the request in the above applicallon and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
~' "~' , "'m",om C"fi",," "~Z;2 :";;'" '"" ,""" 'oo,~"'oo co romm"" ado<, "''''P'''', , C""",," .., 0""",",, m,,' be
Planning Director --+f--L--J-.i D~; Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 7/221/
. ,,'0
lJ~ V~c2'JJL (La-
ADDRESS J (0 3C? I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S" -'1(7
o FOOTING
o FOUNDATION
o FRAMING
o ..JNSULA TION
fl FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
i. Q~,,\~
I
'"
~.Q;JirL-~.l,~
o WORK SATISFACTORY, PROCEED
)f.. CORRECT ACTION AND PROCEED
o CORREtEK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
.CALL.: 44: 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
INSNOTl
<""
.. White - Buildinp
Canary - E:ngmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!o//I,(VLl/ /\I ~~ ,eeV/l-J:::
/
4-. /3~ 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&3&/ NtJ/b/tifVOOO ~RD #N
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ /~
Comments: ~
~.~
. U
~~
Date:
#'-/~S
~~ -fo .-be 7~
~. fJ~ ~
~ ~ ~~r
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"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."
White - Building
~ c.. . eering
( ...in~. - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I/Ii;t:../l L/ /_
/
I ;-
. /-----.
/ L. 1/ 1-1 f:::--
,
--..../
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / 77-// / ' // L/ IV /' I
Accepted
Accepted With Corrections
/
Denied
~
(~~
~~~~
~~~
~ I~ ~ Alo ~ c:r;
~~1:~ ~~,
Date:
~/I'-/ /Os
,
Reviewed By:
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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3 Yellow Applicant
::;' ~ ~I ()'5' d83
PERMIT NO.tJS.... qlv'
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
It, 3fa .I
/lcnU; {Unt /20)
J)6ZlJL [ueJO ~
PID /If/- 039-~
LEGAL DESCRIPTION (office use only)
LOT6~oCK ADDITION
APPLICANT r A ) ./JJ \ LJ r
(Name) ~ " "" I r k~ L'^- '-' (Phone) 1 ~ J w (,/) 30 J ~-
-( ~&l( .) I '1-'7 q-1-- <::!1-- L-./ S~~ /YJt- S'S-? ) ~
(Address) (City)' (Zip Code)
(Contact Person) ~~ _ . . (Phone). C:,(J 3" c \,{/31
APPLICANT SIGNATURE 6~ l^~ _ DATE II VVl~ ;)we-
- ~ - /
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
Sinks
Bar Sink
Water Closet (Toilet)
OWNER
(Name)
(Address)
(Address)
Quantity
~eouK
(Phone)
Type of Fixture
t
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 $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
(Office lJse Only)
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
39 -SO
.50
LJ (.J ,
.
Building Official
Date
Paid i/C) ~ ----
Date -
/5 -'/1- OS
Recil~/ Lf I
B~
(/
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
im..<.T'f"Y'A.,'"
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,AKE - 41..n. Cl'bsa
\tKEPL~~)..i\PiERMIT
DUfeRec'd
(PleasetVtleorllrint andsil.!;l1.atbCltt0ttt)
ADDRESs IIoJbl -NCl1+~ wG0{)~R d .
~. ~:~n 21~......... -.il..\.'.'.fB...~,\!E..'..'.;.'RM....' ..... IT N<il. (),,,- OA-8Z=:;-j'
3. Yellow Apphc;ilW:e.,, , . .::::J , ..,.-,.....J
l,oJ.e hl ~
)
ZONING (office use)
LEGAL DESCRIPTION (Clffi.ceuse only)
LOT BLOCK
ADDITION
PID 6. (41. 0'51. ()
q 58. ti41. d1b~
OWNER
(Name)
.
r(lcnll\f'J ReIJo.-K . (Phone)
I b3Col- N o~~ ~~AJOOO"j Rd. lJr ') Q~Lo.tQ.. ) fY'N
(Address)
. ~;;~~ANT G\ OW~TI~ Hroy-A~\+~OfW
(Address) ) 00 fJc\O\DC\O 1Jn\Jc _
. (:A:dtItess)
(Contact Person) 11'11\ ~ h'l N\et
APPLIgA:NTSIGNATURE -ri rf\. bb tm~,(j.)d
.:~
APPI.2I@~If;;Jtt;\E~SE!G~MiPLEsEE.';Bfiflq0W
;'-' _ _"__ - - c-' - ,: :, ___~-:~L,;:,_;_:::,'::': ;~..,:~,:j:;,~;~~' ~ "r:"_:. ,'~~~;;-:::,_,:,.,>,~,' ':'. .,' . <.,' """, ,:.':' ,'" "~',.,,:'''. ,.-::\,~'.,.: ,:,~, "." "", . ,,' /~, "':l,,, ' ," '.', ",:. ;'".:;,~, '''': ,,' '~'. ,:": '
DN.EWCONSTRt)€;'I'If'j~ . D'RE'Plz,A'CE!'VffiNT D>AL TEAATIGNS
FURNACE MAKE AND MODEL d. (;ro((\.X-r ~ FUEL r0u~ ba.s
FLUE SIZE RETURNOPBNtNG-S INPUT OUTPUT
(Phone) q 5 d . l{ q d ~ ~ '10
JorOa~ mrv 55~S)
J
(City)
. (Phone) 4 C{ d,. q d- 1 ~
PATE 5/jQ/O?J
(Zip Code)
TY'PEOF SYSTEM
OWannAirPlants
o Gravity
o Mechahical
OAir Conditioning
OVent. System
HEATIN@€>RPOWER PLANT
FIREPLACE MAKE ANDM(1)DEL
DSteam
o HotWliter
g:RadiaJipn
CJ"Speci~VlDe~fc.es
[]i'OtherDeviccs
KeQt N Glow d - Car 0\'\1-
K-rs
PLEASE NOTE:
Air Conditioner Units"
Cannot Encroach into \
Requited Side Yard
Setbacks
Industrial, Commercial & Multi..PamHy
EEE'.S€HEDU.LE
l%ofjQbcost Residential, Gas Fireplace
$39.50fuinifuum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (NewConstnictiol1)
Residential, HeatingOlily (New Construction)
$39.50
$39.50
Estimated Cost $ d I '15 cg .()()
BuildingPertnit # 0 5-. (! 1-85"
HEA11NG' PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
J q.~ ()
.50
4a.0O
!Office Use Only)
ThisApplicationlJecomes YourBuUdingPerlllifWhe.1l Approved
BUilding Official
Date
Paid ()
4-0 , ()
Date 5 Z 1 tJ 5'
I Receipt No. -+13 Z- 5
IBY ~
I
24 hournoticeforalllhspections(952) 447..9850, fax (952) 447-4245
16200Eagl!!CreekAvenue, Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /W 'wi JJfJtt::rH WdlJO eo. 1.), k). .
TYPE OF WORK ~'CJf-1..,.., wA'c.~ WliJ".A 1107fI,N~
USE OF BUILDING S.1=: I). · . -
PERMIT NO. 05',OZBs DATE ISSUED 'Ifli//dS :
BUILDER .MMJt.YAJ I<ErIfIt. . PHONE tfistJ "Vt7-z",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-'accTIU(!AtJ I I j
PLACE NO CONCRETE UNTIL A~~ HAS BEEN ~IG/NED
, FRAMING I YtO ~~ J
J~ef_ (//t:s; p/'S ~11"t;)06 f
, FINAL I I f
FOR A~~NSPECTIONS (952) 447-9850
(p- {/()~2/e~
INSPECTOR
DATE
:"