HomeMy WebLinkAboutBuilding 04-0372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1~(7G
IkQ;~ ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
2--t.-~~
4-~-
o EXlG IFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Aj_ d 7 -0 if
at bottom)
ADDRESS
/ ~ f7 1:,
A c; j",
t+v--
LEGAL DESCRIPTION (office use only) e,
~.f- (t""'O'-
Lo-t-Co(~"7' f LoJ-}
PIDd5-00/~ ()~ r:{-O
LOT 5 BLOCK 00 e ADDITION a
OWNER
(Name)
5~ I'e:/J~W
Il.( ~ ')'"7 W l Lt-J.J' vi -< Lv
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
.$': Ie V JL
White
Pink
Yellow
I PERMIT NO. 01. 037 z.-+
File
City
Applicant
ZONING (office use)
') 3
tllAJ
(Phone) G/1. --,I r-s-s/ "L,..-.
('I' \) ~ VA! c... /heN
(Phone)
(Phone)
TYPE OF WORK D New Construction DDeck DPorch DRe.Roofing DRe-Siding._r DLower L~..,el Finish D Fireplace
DAddition DAlteration DUtilityConnection f)(Misc.cmF l.'f i- _F""'l,l.e;v .s"1.b~ (:t~
D ~ bD/O/JO
CODE: I.R.C. LplI.B.C. PROJECT COST/VALUE $ -
Type of Construction: I II 6ii> IV ~ A fij) (excluding land)
Occupancy Group: A B E F H I tg;' R Y U
Division: I 2 3 4 5
formatIon on this application which IS to the best of my knowledge true and COlTect. I also eert1l'y that I am the owner or authOrIzed agent for the
that I construction will conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
~~u cause Furthermore. I hereby agree that the CIty official ora d;/~e may enter upon the property to perform nee~; 7;c;; 07
Signarure Contractor's License No. Date
x
I hereby certify that I have
above. mentIOned property
omciaI can revoke this per
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~ .:(UJ,u 0~v
BuildllH! Otlicial I Date'
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
S;.304-'
J~;~?:;
$32a,Q
I ~;CCiPt NO]: "1;;0
Paid
Date
ThIS IS to certlfy 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
~. Y) 'UL
Date
Special Conditions. if any
24 hOUf notice fOf all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.~
~~
White - Building
Canarv - Engineering
~,"k - Plannln~
lht' ("t'nft'r of lhl' l.ake ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-' '
Accepted
X
I
Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
Date:
4.~7,O\f
"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."
--
lht' ("t'nft"r flf lh.. I.akr ('ounll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
')
NAME OF APPLICANT (,.,J~~ /2--t.ef!ot~
,
APPLICATION RECEIVED ij.- OJ '7 -() ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~/70 /})~il~ (~
Accepted
Accepted With Corrections
Denied
Reviewed By: Date:
Comments: &11 ~ ~F - /<!! "0' -..:... /f~
~ ~..~'/ 7~ ~~,I
"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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
9~ t 01-
PI tAt 110.1 O~. 0377..--
~. ~e:n ~!;y I PERMIT NO. 04-' 0 8~ ~
3 . Yellow Apphcant ':::J
/ ~ I~ 1'11'1/ IV'
ZONING (office use)
/I've
\..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDlS: OC I. 0 ~s: 0
I OWNER
(Name)
(Address)
(Phone)
eX. C' '/!
'-> I. --' '-''/-
(Phone) C{~1
~'
(City)
(Phone) 0' /,
l/L/) - r;~/~-'
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 3 '100
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid +0.00
Date '1. I, d 4-"
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
'"
P R I 0 R IAK E DEPARTMENT OF
b BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~/~ I#~.d~
TYPE OF WORK - FIlet: -ie R..'" ~ F;&,..n-s
USE OF BUILDING ..:m:: ~ 6' It1 ~~~ ,
PERMIT NO. 04. {J37 Z- DATE ISSUED .6/J;;~
BUILDER JrEvc NIEtrEN PHONE # '1Z-7f~- 5.S7L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~NCRETE UNJIL AB;:r B~EN SI::ED
I FRAMING I Vf I
I FINAL I [/~ I
FOR ALL INSPECTIONS (952) 447-9850
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