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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: f l' \ DS€- r.~~ /' D. ,,~f'\ (J k - ' \ '- \. ""'-" .Jk~ ~ '-" DATE TIME ~8(O~ "..0. Ii- i{ 17 "{-- ('""_..,.7 ~;~ - --J 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 " J "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.,'" },~-'1-.,---_ ~J U.. .... E.. .,A.... ry.T1.....~-T--'I[:!,..;.,21,!fNdj.\.'itim ,'-.,;\'i:P:J"."....A'..".NJ)' : '1' " ~l.'>J.'J..l:~",\SW,l;~!1g):~u: '." ',' " ...<'-,......,...._../...-... ,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 :"