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Home My WebLink AboutBuilding 02-0291 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /{,( 2. 71 (}OUl:- ~7 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .KFINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP er-PLUMBING FINAL Qr- MECH FINAL COMMENTS: r I \..-/ \u~ A l( DATE TIME 12 '-JU::) 02-- .2-" I o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o , 1-, v'-- z(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: fM1 fl- W~ dlo;;er/Contr. . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign. at bottom) ADDRESS It-I:} 7 l Ui/k // - ~'?/J/ I LEGAL DESCRIPTION (office use only) I. White File 2 Pink City 3. Yellow Applicant - LOt1) BLOCK ~ ADDITION J<!vot ~{-<- S71J j)/J,f)/ !i6J OWNER // (Name) {f~//?IC../( (Address) / "'!'::? 7 / -1'. V;l-130l'. A I~ /Joo d::. {~)R T BUILDER /,7 (Name) '5:{r //c./C~ (Contact Name) I} .1/ - y/ y(, ) I) (Address) / C/:'? 7 I au.Y~ , L~ ij{Z~ TYPE OF WORK o New Construction RfLower Level Finish o Misc. ;' - /-1.2./2 I (Phone) Date Rec' d ZONING (office use) 'R / PID :1S-3Iog-6/d--U f::-d .. I,;J' 3 - '1/ Y ., (Phone) 95-:; .;? 3 5 ~ ~J I r 1 (Phone) Park Support Fee SAC I WaterMeter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE Paid I.~t, .;).5 Date - LI- /- O~ ORe-Siding DUtility Connection 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 ~~a:~ a~~ the buildmg offiCial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ~ter upon.~A35~~~d inspections. /j,~ /- Signature Contractor's License No. Date o Deck OPorch ORe-Roofing I Permit Valuation I Permit Fee $ I Plan Check Fee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I Mechanical Permit Fee $ I Sewer & Water Permit Fee $ I Gas Fireplace Permit Fee, $ 40. _ : Ar9atioftBefJ I III ... -l:J:JJIrp=ll~I;::Wd Building Official ~~ - Dare 3000. .- 'lit,") 1.50 40. - f)fl' Fireplace DAddition o Alteration # $ # $ $ $ # $ # $ $ $ $ Receipt No. [//7" ''/'1 By l'j- ~"A/W2-- This is 10 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. PROJECT COST /V ALUE (excluding land) $ Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd '/-/-()d.- ~. ~::n ~~~y I PERMIT NO.O') -/)1 () / I 3. Yellow Applicant . d- (jeT. (/ (Please type or print and SilUl at bottom) ADDRESS /LJ,) 7/ f)oiJlC- /1 _. (ChJt'- I ZO~NG (office use) KJ LEGAL DESCRIPTION (office use only) LOT/JBLOCK I ADDITION 1{)lD/$ ;liLL !:1N AC'DJ-r/6iA1 PIf/.?ls-36S<O/;2--(' OWNER /J_ /) JI .I (Name) (/1;) I if 1<- /<- l' U/i-./!,O/C A H NIl? T (Address) I 'i ~ 7/ 00 ,II(:.. r!nu eel (Phone) 9~~ - c2 33- <//'/ 7 ,.-., APPLICANT / /_ . ) I' . (Name) ~/ XIC_I,~ /--///('7 (Address) /C/c;J 7/ ,U1/x- ~T . /"J (Address) /?rR7c./(,/}#~7 ~/~ (Phone) _(S~) ~ -l33 ,.. 9'1<:} 7 M <./"' "..,- -:> 7 ....., ~"'d:' / /2 It' /J X ,<- ..J l '" 5 J:- (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE DATE ._M/?72.. APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT FJ AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT REA TING OR POWER PLANT OUTPUT DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. 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 FIREPLACE MAKE AND MODEL 11,U/( UOtuA./ Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT I Pink 2 Green 3 Yellow File City Applicant (Please type or print and sign. at bottom) ADDRESS /'1,)7/ f/oulL ~1 (. (., JI!.. l LEGAL DESCRIPTION (office use only) Date Rec'd L/-/-o~ PERMIT NO.O 02 -(J) 91 I ZI!/?7G (office use) LOT/,}BLOCK I ADDITION 1{)lo!5 ;I'LL .s;1"'J.IIJOD)-r16VJ PIr9.6-36S<O/~-() OWNER /7_ /) il '" (Name) (110 Iii: Ie. /<- 1"' Ufi-f!,O I( A H lV/I? T (Address) 1<(;;2 71 00 ,lit:.. ~u.eT APPLICANT /,/ >, . (Name) ~T,(I{; A?, ,)/;;<. I (Address). /C/;J 7/ 41.~ ~T. //) (Address) grR1c./('/'Jd~7 /~/~ LJ.,--j "'l ~? . / 7 (Phone) )e:.<.?t -0< ...) .> - '// (, (~...--) ."1 "'3 . (//'.J 7 (Phone) 7;"J. ~,/ :/, ,. // '7 ~ . , ..,;- ,.,- .-", ....., . Wc//2 L.<J X/<'- ...J1". 5 7 ..L- (City) (Zip Code) (Contact Person) (Phone) DATE APPLICANT SIGNATURE ?///CJ2. APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT rp AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices DWarm Air Plants o Gravity o Mechanical DAir Conditioning DVent. System FIREPLACE MAKE AND MODEL /,L,.ul( UOto,lf,,/ Industrial. Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # $ $ $ \..~q.,)() .50 I) tJO'OU , HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office llse OnIYV]. P A .~ Th;. APpt::J,wjl~ ~Uild;ng P"m;t When Appmvod Building Official\' ,----) Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Paid \.~ " Date OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 , ~~ I rjJ Recei~t No. By Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 11- J-()) I. Blue File PERMIT NO ~~ ~ VZ-ZQ{ J. Yellow Applicant , (Please tvDe or Print and sign at bottom) ADDRESS i 1.1 ~ 7 / tf2 / ,(_ LOt/I(, T ZONING (office use) RI LEGAL DESCRIPTION (office use only) LOT/)BLOCK / ADDITION /(1J1)~ ;//t....C :::1f/ .4;;''/)17;;/J PIQ.25--3~~-C?/c:7-D OWNER (Name) 1117:. I C 1<. -/. f)/c. 60 f( .4 H ~;:T (Phone) 9..~2 ~.;':3 3" '/It:; 7 (Address) /I APPLICANT / / .' / (Name) ff,.,^7"",I( I G/C /-I/h'7 /C/;2 7 / 4L>~ (f: (Address) /) /~ LL /l I /7R"'~),; ~~ (Address) (Phone) ~ 6 -;",'"'5 5- v/ '7' If' ~~ . ,l;:f;dX' L.A Ie' /"'L (City) ,<)/"~57 A (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE DATE g/"h2 " - APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner '1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) -:L Laundry Tray (lor 2 compartment sink Sewage Ejector 1. Shower Stall Backflow Assembly Sinks Backflow Assembly Test 1.. Bar Sink Lawn Sprinkler ::t. . Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only~ ~ Th~ APPJf.,', c ;kr Bu;ld;og Permit When Approved rJ~ 0 lcial ----;' Date $ ~~q,S-b $ .50 $ "-{a ,00 I 85\2..i1/VLC Paid D6; . D L<.. cteceiPt No. Date ~ I \ Ll ! By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes Existing Structure: YES or NO ~Yk ~~~~~~r:::mi)~J- 71 \ Do ~~: ~1Y6&--C/9-OZ00irlg: R I ;(J Subdivision: ~oh M ~$!1 ~"~" , ~.;,' ~. . NO '..J' j~ r: NO < Date: L/ - /-0 c;L , ,~ BY: Legal: L );)- B CONFOR!.'rIS TO ZONING o RD IL'{Al'f CE (""---"YES ~) - -----_/ - YES Is this an expansion of the existing footprillt or building height? Refe, to Planning >( Is the property located within the flood plain? Refer to Planni..."'1g X il)ff /j{Vv Does the alter-ation include any additional kitche~? Refe, to Planning Does the proposed alteration include any outside entrances other- than patio doors? Refer to Planning Is the proposed use of the fu"1.ished space or alteration for anything other- tha.'T'l a normal single ~ ." ( ~- h d )"! ramIlY nome OITICe, group orne, ay C3.re, etc. . Refer to Planning !Vo ;VO THlS Cm:CKL1ST MUST BE COMPLETED ..IJ.'fD Ii'!CUTDED Ii'! Tm: BU1LDli'!G PER'YIIT FIlE TO l'iL-IJi'!TAli'! A RECORD OF Tm: REVIEW. L\~:V[?L:J... TEAL TCECZ.DOC PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 147- -, ( Dt"1\JG- C~. NATURE OF WORK L.. L... F\oVl<\ to\- USE OF BUILDING ge5 A Ie. / I PERMIT NO. 07- - z- e:r / DATE ISSUED. 4/1/0"2- CONTRACTOR PA,. ~r PHONE 'l33-114? NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~~ - , . =S_~ WAfC~ ,. seflTtG FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I j FINALS ...--' L :-----, ~'\ (1./3v / ev w(t- ~ ~ ft; I J-gj b"j,/ ~ :- ?iL, I I q /jC 182- e11 ?V/EYJ-- -aR1(6trn:. \ t"110r to ~OeeA1g) BUILDING ELECTRICAL PLUMBING HEATING DO NOT /} vvr Iv)-o /) VW k/(/ OCCUpy UNTIL ABOVE HAS NOTICE I J- J-n (l---~I-o 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850