HomeMy WebLinkAboutBuilding 02-0214
CITY OF PRIOR LAKE
INSPECTION NOTICE
4_
SCHEDULED Yf~
ADDRESS t;'"~t{S- f;..... L. 0 ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
2 - 2(1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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:
-c\o~..:t~ t. ~ &-e .kJ
"Vl-/Ar~
_r~v-~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-3 -8 -02-
~. ~i~i~e ~::y I PERMIT NO. OZ~ 02/4-1
3. Yellow Applicant . .
ADDRESS
S9'L/5'
'/J-In /;e-)- &
5'E
ZONING (office use)
p
LEGAL DESCRIPTION (office use only)
LOT tj BLOCK ~ ADDITION tc/c
f4;-
II: ,Tia ntl () a
(Address) 3i' 5" ~rnh{.
/}L"" 11/1/)...... '-,
(~a lfJ).. ... "r'tt. .- /-oj 0..:5
(fJfiJ S ~ ~'72-
I
e.
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
~Lower Level Finish
o Fireplace
o Addition
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en~er upon the property ~ pe~r nee~e~ inspections.
X '/J1. CJ-, ,11 , ,3 - ~/ -02-
Contractor's License No.
Permit Valuation (;)
Permit Fee $ 74.75
Plan Check Fee $
State Surcharge $ , ,5""0
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/\Vater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ / /&-zs-
s -~- 0,"<-
Paid
Date
/~~-~~
I ~;ei1l
41 z,e4-
es Your Building Permit When Approved
Date
-
This is to 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.
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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: '?e ~ . Date:s- e -0'"2.------
Building Permit # PID: Zoning:
Site Address ~ V~ '1i~ qr--
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning J'
building height?
Is the property located within the flood plain? Refer to Planning L/'
Does the alteration include any additional kitchens? Refer to Planning t/
Does the proposed alteration include any outside Refer to Planning ../
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning J
alteration for anything other than a nonnal single
family home (office, group horne, day care, etc.)?
THIS CHECKLIST ;'vIUST BE COMPLETED .-\..ND INCLUDED IN THE BUILDING PERlvIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TEvt:PLA TE\AL TCHCZ.DOC
\
82/a3)~2884 12:33 3524481748
01129/02 TIlE 11: 19 F.U 612HiU45
~L - ~ ':l...c..AR!,.dA TC:P
FA(~c:.. 0.)
GIn OF PRIOR U..KE
@002
Date .Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~;:~~*:=
I ADIi;S- L;r-.-,- L.rS<.<-
1. lllor: To'"
2. Q,Id ClIl1
l. y..- ~
PERMIT NO.
ZONING (alIIr:o! 11ft.)
SE
I LEGAL DI!SCllJPnON ,.....- ='"
LOT BLOCK ADDrrtON
fOWNER ~ ~ :
(Name) ~ j\j ~ ( .
l~) S"J :;JT",. _ _ __~~ C
~l
LjYO-;3./{)"h
I
J
PIP
SE:.
~~~ C~ '?~ -t=~ (Phooe) LF'-f_, -
(Ad~) .1- q0~~_~ ~~~ f,2-~ f?Y-t o-L~
(~) (City)
(ConmcrPersorJ) ~
APPLICANI' SIGNA
o~
;)-
(Zip Code)
'-P+ / - 'i" c; 3P
,;), - ;;;... --()
DATE
Type of Finan
FEE SCHEDULE
[ndusviBI. COmml!tCilll &: Multi-t'smi1y, I % of job cort wi,h a S39.50 minimum Ke$i<kntial.,~w Cae & Two-Fllmil)' m_50
Resicfrrtri3.l. AddIliol!S ll. Alterariom S::l9..50
E.1tim:rted Cost S
Building Permit II
PLUMBING PERMIT FEE
STA IE SURCHARGE
TOTAL PERMIT FEE
$
$
.50
~
""
(oma: U~ O1Ily)
no., ApPlie3Cf01l B<<.oIllr3l Your BuUdioC Permit WMn App,u.rd
I R~yt No"
9y
,
1
BqQdI~ 0l1kiI1
~
{P31d
.~
I
I
U noliI' nDtia fGr /Ill ",~p..c1fons (99,) ,i.t7-')1I50, !n. (951) .u7...tUS
82!83/288~ 12:33
352c+48l748
AL
=':ARI..I.)A T2:R
PA(3E 0.3
CITY OF PRIOR LAKE
HEATING/AIR CONDmONINGIFIREPLACE PERMIT
Ds18 R,ee'd
~t.YPe1JrllMtm431p~~
I ADDRESS
16q~ T~-C".~L
5E
i 1 ~ E-..1~~N~ -;;J JI,~
i '.
II ZONING - ~ -1
1
j
I
PID
I LBGAL DESCRJPnON (alike lL'Ie oaJy}
L LOT BLOCK ADDmON
Ig,~~~ LA-F~ i ~=) ~~~:03
l(^ddreu~_ ~~__~""1-i SG- . ~_
I <:~C~ -N~7 -f- ~~ ,(Phcn<) t;s.-'O'-- c.~~~~~ i
ii' (~) IqdJ/~O fY]US;l-1.~~ tz.rp.d! ! ~~~ '.::537?r-
. (~l (City) : (Zip CDde)
(Contatt p~ S ~ 9~;;' - '+'-f.O-37'1{
y:
i
APPLICA.~T PLEASE COMPLETE BELOW
(]NEW CONSTRUCTION TI REPLACEMEfT B=AL 1ERATIONS .,
ftJRNACEMAKE AND MODEL FUBL ,', . ..
FLUE SIZE RETURN OPENINGS ,)- INPUT OUTPUT
i
TYPE OF SYSTEM HBAlING OR. roWEl.. PI.ANl'
. . BWII'JIlI\1r PlAnU ~s- PLEASE NOTE:
On.yj~ Hot W~ I Air Caniiiboacr- Unit!!
o lhdumicll.l n.tiWii:m I . Cta.moC ~ into
~t' CollcfIdotDlrC O~~ ~ gide Ym:1
Vent. S~ o {)met lXvi~ Se1batb
fUlEPLACE. M.A.KE AND MODEL
FEE SCHEDULE
Indumilll, Commtttial. & Multi-Family 1% QfJob!:On Roidcntltu, GM Fmp~"
S39..!Omimmum .. ---."
Roride:'ltiaL Hewng &. AlC (New Conttra.c:Uan) S99..50 Restderrtilll, Additiom It. A.lrr.mi0t12
Residential. HelIti~ Only (New ~ction) S64.50 ResidmtiaJ. ^C Only
S39.50
S39.50
. $39.~O
4 sf lA,
A- {2.. j t4-
(/ /,
I~
Esl!m&ll:Q Cost $ Ba.i1ding Permit #.
HEA TINO PERMIT FEE $
~ ve-v-t- STATEStJRCHARGE $
C TOTAL PERMIT Fn .s
.50
./"~
c /'
~ u~()nty)
I ReceIpt No.
lIly
I
1
.
--'
BIIIWI III 0f1iri>d
DAft
111:,c
I L--:.-
j !hIM AJlplicstioa.lJ8comll$ Your Bwildhll P'etmit WliIeJI ApT'r-cJnd
,~ boar n.Gtkll1or >'In itUpKtMM (952) 447-9IS(l, rn (9!;2) 447-f.l~
PRIOR LAKE
INSPECTION RECORD
DERARTMENT OF
,BUILDING AND INSPECTION
SITE ADDRESS scr '-I ,l) ;-;:-tM.k.nr- 7}::,
~
NATURE OF WORK Lo~ l.12.\Ln Q .\='tlA.~~ L,
USE OF BUILDING S~D_
PERMIT NO. 02 -() 2/4- DATE ISSUED s - ~
CONTRACTOR. ()~~8(A PHONE {C/O -"7_[ O~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
,- -~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~t!-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrjcal sel'Vice 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