HomeMy WebLinkAboutBuilding 06-1094, Demo 06-1069
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CITY OF PRIOR LAKE BUILDI~ PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
11.28.0"
I While
Pink
"eHo\\'
File
City
Applicant
/ N(,L-U oEJ tJel'fO
[ PERMIT NO. ~. 1094-1
(Please type or print and sign at bottom)
ADDRESS
/6i11 Pulvl-I, _
ZONING (office use)
1<2-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
?/~~ ..5c=: <-
""'
PID Z.5, oJ- 67 I, 7J
OWNE~
(Name) Arz 1<
Me IV ~orz:
(Phone) Cj 5 Z - 2Q7.. -..59.3 "L
(Address) It
'1
Icc.
BUILDER ~
(Company Name) . 6'r-~AlJ("L C"~.s/1"OC.T1QA.1
(Contact Name) .jA-VV\~ A. M \ ~l.~
(Address)5S2Y Hi
(Phone) 152 - Lf YO -1{~..3
(Phone) 1'.52- 292 -..5.7S7
TYPE OF WORK ~ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn DAlteration DUtility ConnectIon
CODE: ~I.R.C. DI.B.c.
Type ofSnstruction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(exduding land)
$ 200)000
I hereby certity that I have turmshed mtormatllln tln this applicatIon wlllch IS ttl the best of my kntlwlcdge true and ctllTect. I also certify that I am the owner or authollzed agent for the
above-mentlllned pmperty and that all ctlnstructllJI1 Will contllrm to all eXlstmg state and local laws and Will proceed in accordance with submItted plans I am aware that the buildmg
ntflcial can okc thiS pcrmlt for Just cause Furthermore, I hereby agree that the Clty official or a deSignee may enter upon the prope11y to pertc)rm needed mSpl'ctllH1S
4-, , Z03'iS7" __ IL-7i-O-b
Contractor's License No. Date
x
Signarure
Park Support Fee
SAC
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ DC
Penalty $
Plumbing Permit Fee $ O~
Mechanical Permit Fee $ Oa.tJO
Sewer & Water Permit Fee I $ 35,S-O
Gas Fireplace Permit Fee $ fJoN 5"
Water Meter Size 5/8"; ]'"
Pressure Reducer
#
#
Sewer/Water Connection Fee
Water Tower Fee
#
Builder's Deposit
Other
$ ISoo .00
This Application Becomes Your Building Permit When Approved
~~
lhllldlllg UrtiClal
/2(Y /or.,
Date
TOT AL DUE
t!/IU6J:7 IZ./3, die.
ThiS IS to certify that the requl'st III the above applicatiOn and accompanYll1g documents is Jl1 accordance with the City Zoning Ordinance and may proceed ,1S requested ThiS document
when signed by till' City Planner constItutes attcmporary Certificate of ZUnIng compliance and allows constructlon tn commence Before nccupancy, a Ccrtltlcatc l)f Occupancy must be
ISSlll'd~ ~ /2/9fi~
Planning Director - Date Special Conditions. if any
24 hour notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
White - Building
Canary - Engineering
'---~Inlc - PlanmnQ J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j
[ \ L._
Accepted
~
Accepted With Corrections
Denied
~~
~ *-~
~~~
~~ ~ 'fo 7,c..a,
Date:
I~/~/Ck
. I
~~
,
~,
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PEIlF-OK/~/H/l/GE Cc(vSTlL.
/ I 2 6 . 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t-4-,97 DULUT7-/ livE.
Accepted K Aqcepted With Corrections
Denied
Reviewed By:
(WJIJ
Date:
1),1I21{)~
.'~ . ;";.t"'!::'.~-!'?7~:r-~~!'~r...J..!.: ,. . . .
Comments: \, See Reverse Side for Additional Information!
...:....:., ~
; See Attachments: 1) Grading Plan, 2) Ero~ionG~~trol Me:l~llte~.
"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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~ Date: 12/g/a G,
Building Permit # PID: Zoning:
Address: / Is, ,-/1 Cj 7)~ Av-e '
Legal: L , B Subdivision:
Existing Structure? YE~
Existing Nonconforming Structure? YEs::@)
I CONFORMS TO ZONING
ORDINANCE
I
NO
I
YES
I
Yard Setbacks: NA 1 FAIl6TcOMPLlES ') Standard Proposed
. Front Yard (can be 20' if avg. w/in 150') 25' l./f,9S
. Side Yards 10'1 (
25' if abutting a street feD t-'
. Sidewall exceeding 50' requires additional side 2" 10' setback + ,
setback for every l' over 50' in lenqth 2"/1' over 50' 80 w,
. Rear Yard 25' -1./7' N.
. Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicatinq no deck will be built in the future 25' rear ~
. From 1 00 year flood elevation of wetland/N U RP 30'
pond. f'JA
. Refer in-qround pools to the Planninq Department
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no f'J~
less than 50'
.30 Maximum
Yard Encroachments: NA 1 FAil 0 PLlE
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line Easements.
AlC and other equipment cannot encroach on interior
side ards.
Standard
Proposed
,JOtJ6
c;tJC"
Tree Preservation~NAJt FAilS 1 COMPLIES Standard Proposed
. Total caliper inches
. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement ~:1
L:\TEMPLA TE\BLDGLIST.DOC
CITY OF PRIOR LAKE
DEMOLITION PERMIT
Date Rec'd
'LZ~. O~
FIt.$W/I'1/fI/J
I PERMIT NO. (, ./0(,7
,
I ~;7l;;d;~~: 4~
ZONING (office use)
ez..-
LEGAL DESCRIPTION (office use only) .
LOT
BLOCK
ADDITION
pm Z)' .
OWNE~
(Name) A ~ ~c..
(Address) /6tf~1
'(\1\6 u ro.c...
"Vu/u
(Phone) r52-Z'l2-5~
1/<:
r>nb-
-4k
CONTRACTOR~~
(Company Name) e. ~'MA\-)<e (bA..)..st-r-uCJ11"-""
(Contact Name) - ~~W"-e..{ .f\ YY\ \ c..t \<4
(Address)SS2 C..,.. Sf'
(Phone) 9..5z-Cj<j(J -/6(;.7
(Phone) 9.:52-292-S-'7S-;
Use of Building: ~
/,((...,
(
c,
INTERNATIONAL BUILDING CODE
Type of Construction: I IT ill IV
Occupancy Group: A B E F H I
Division: 1 2 3
V A
M R
4 5
B
S U
NIPCA NOTIFICATION OF INTENT TO PERFORM A DEMOLITION
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 a ee that the city official or a designee may enter upon the property to perform needed inspections.
/1--2'8 -06
Date
. Signature
This Application Becomes Your Demolition
Permit When Approved
~~
Building Official
// /30/0(,0
/ Date
/U5(.J1) Ot;7'1() pG"P().fIT /~8P'
u., It {,/+! IN JI'1 Pt:- _ ~
~ ?~Jr3Df(,
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.
//- :JtP- 06
Date
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, Minnesota 55372
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT peJ2FOk!/'?,4-/IJ ~ c,oNJ7JL.
APPLICATION RECEIVED / I 2 e . O{::;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/iP4-ff DtJt."uTJ-I 1tr/6".
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
/ "
Comments:
~~
~~ ~ ~a1J
fo ~1L) ~ ~~. J6u~
~, ~ ~ ~~ ~~~j~
fi . l II .
( --D"M.1:A-..P ~, e:; - ~ ~ ~ 'I' C!-v
Date:
I z.;P /0 <.
,
~~
a-Lt ~ -
~~.
-fJ, () 0....) ~
a,L.~~ ~
~
~
~.
L.or-
~ ~ ~~~...--,
"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'S COpy
Site Restoration Proposal For Demolition
Applicant: ~v-0ov-MA....,eL ~.(1't'uc..,-hC;JJ
NA
/Fill Excavation to grade
"'."sod or seed all bare soils
~ Erosion control (see handout). Maintain erosion control until turf is established.
~Cap sewer below grade. * Mark location. Licensed contractor required.
lY""'Cap water below grade. * Mark location. Licensed contractor required.
~Call City of Prior Lake Public Works Department (952.447.9898) for water meter
removal.
" Cap gas line.* (By gas company)
0( Disconnect electric at meter. (By electric company)
$"r::J Pump and fill cesspool/septic tank. Certified contractor required.
l? Abandon well. Certified contractor required. Existing well
~Remove existing structure foundation and footings, materials, and debris. * *
.rProv~t control by following means:
1. ater mist from a water supply (i.e. neighbors, water ta ~ Pi
. Enclosure J..o ~ - -to
3. Other .' ~.
Ilk
'BE ~,.JG'
Address:
Check boxes below:
Comments: (provide surveyor draw site plan) ,
~ ~ ~ ~.. 0-.41.. MTu NJO y-l(.t2-N I/-JT"D
fJ,,u.;., ~ ~. io t&J -u-LO-. ~ r ~ ~
(,1... ~ ~ ~ ~ ~ ~ ,#~~~~ ' ..e.:I'->?
~. I" ~ ~ ~ ~ f^'-- ~.;..
~ ~~ 8a.
*Capping of utilities must be inspected.
* * Final inspection and approval of restored site required. Deposit will be returned after
approved final inspection.
/4k
/" Signature
J :\BUILDING\HANDOUTS\Demolition Restoration.doc
1!-28--C)C
Date
Driveway: NA I FAILS l
· Maximum width at
· Required setback
Standard
24'
5' from side lot line or
30' from r-o-w on corner lots
10%
z.
.
Ian
I
~S"
8.S~o
crk..
~
.
.
35' Maximum
Proposed
30% Maximum
Bluff in Shoreland' A FAILS I COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
. 20' From Top of Bluff
. roved By City Engineer
. No importing/exporting
Floodplain FAILS I COMPLIES Standard Pro osed
. 100 year flood elevation 908.9' Prior Lake
914.4' S rin Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' S rin Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not re uired.
. Elevations 15 feet from structure Must be flood elevation or
hi her
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Re ulato Flood Protection Elevation 913.4' for Spring Lake
FAILS / COMPLIES Standard Proposed
. 832 sq.ft. or 25% rear yard
.
. 10'
. 15'
.
L:\TEMPLA TE\BLDGLIST.DOC
;.
White - Building
Canary - Engineering
C Pink - Planning:::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
: -;;._'.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By: # ~
Comments:
Date:
//-- .5/)-,tJ/"
liThe 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."
~ Rv\.O L-/,/;J
~ite - BU~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f~~ r1ftt/S'r-.
II, Z-?', () ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I (p ~ ~9
/)t< L-f-.( Tff
Me,
Accepted With Corrections
/
Accepted
Denied
~
~
/f<_ '
Reviewed By: ~
Comments: ~ a...L..e
~
Date: II/30ft (0
I '
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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."
I'"'l~;;;' . ;~' ,\~ 'fV~'
I /
VEf'V\-OLITJO,J
4irv : ;;:~~q:,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ia-~~
//,z,?,()Co
rJ},J~r,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
liP q '79
})t.< L 4 T /-(
At/c,
Accepted
. Denied
Reviewed By: ~ Date: II ..Jo..() ""
Comments:. SAA Revers-e'- S'id~ 'for Additio~al Information I
x
Accepted With Corrections
Cy c, 11 Serf/1ft d ,,,iN ~o Dt ,.,.D
IY/.,,^-#...,.... E;.iYS'''~ lo~,l l1ItIl.:'1 "'-u,-I,' i Fa -k,~l:s,v.
liThe 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."
JAH-:23-07
12:13 Pl'1
JUDKIHS
65142341e9
P _ 13 1
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i~t
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1::I.~r "~
'~:d~ CITY OF PRIOR LAKE
'!~ij~ HEATING/AIR COi':DlTIONINGiFIREPLACE PERMIT
If-l1 : :;. :~:. [I, PERMIT!ol--.-:''Nitl:1
;\, ""'" . eo'''.' ~ ::lI-'1l'II"
'!;~,r,ji ,"I ~~;:~~r print and ~ il~,?_~~~~E~:L-. u---, on ,,'--..------. ----,...--- -',-, ...'" ,- . --- ---'I ZONING InfhceTl
!h~}L _ "- ,I I ".e) ! I
,::,~,J,',';~1" ',,' _____L~ 4=1~l_\J\).-,hLll>,J~LC..~.::"U,L---.---..n..---'----, ' .------~
, "',<\'01"
: 'liff'i1 '
, i~' .)/ LRGAl DES'CRIITION (of~c-;~~10------ ..-....------- -- ,- - ' --' _u_, ---------.-'--:l,
. ',I, I' I
[.:}qiJ~ LOT _,!~~_A~!2~TJON _..,__' ,..__________---..--.. __ __- _ .--___ _PID __-,=--------=. I Ii: ,I
;~:f!~, __ ~ __=C
'!"~'1~ OWNER -l~) t" --.. ------.--- --(',~:- --.;---.---.1-,' -,- .- .w_ III
i~ }l ~~m')-::(:~d~~r''1 ,:,lcX L mstn'li::'iJ~l'Y -::) (Phon'i '1 S '2- - '-\ '-i r) \ ,- '> \ i '
;':'~~1}13",.,,1', ~\dd"") 1 It> 6 f\ \ heel ~_'c.S:\Ll~~ ..~,G:Jd~'..c.,,", ' 1-0:')/- ~, .- .__.1,)
~, , 1 I
.~ il A~~~I,cAN~wl ~~:;~---\~-:::~::~~ J-- ,-- - ---,- ; ~~--=-=-;7 c r --tl: I,
'~\ J ( L _, __~.'. ,., .J' Cl::t..".. _;- A::L .. (phone) _t'"J-...,J::?: x_7.2_"...L.7-~ I
~~ ) I
It "1 {Addres';} i
il ~;';;I '\'--)\'>\C::) (\\ ~~\' r, I(-r-\ \\ \'(L'_~ Qr'<.-r'l\"'.l:\1"T ',""\1'-' 55C'0.0 !
,,: ,!.., d _'" ..-.:::_ .-'-. .-- - '-'--"'~- .. II "-"~-"'-r-\-._~.-L- .L.t b._I.'-,_ 1-~ j .11.. I ,... ~- ~-'- ,
I :'H'I . (.\dd",,' I"'Y; I"p (,"",
II ;," ;/9 ,-
}~,i:~:;~;~:::~~~~~~~~~=~p~~~;~;~;/~~~~--t
ii 11---,- ,-~~-EW-CONsTiW,cno~ ' -. ~ R:PLA~E'1ENT -0 ALTERATIONS ,-;- I
" FURNACE MAKE AND MODEL L'~',-,i..t~.._~\G.(..,,,:-~c:JD----, , .' ,- FUEL ~:d- (-'l~{~
Ili FLUE SIZE .2"--__ RETURN OPENINGS __?_':::1.l.':'~:' "pUT _ ---- OUTPUT ':)(;,~fc<L
tl~11 ~:~,~:~:~":,~M . H~A;::,G OR POWER PLANT ~~[C:~~i~~;rEu\nitslll
'(,~,,~ OGravil} 0 Hot W,I1~'
, .1...:",1 J 0 Cannol Encroach inlol
"I '~{na Mechunicnl RAdi,\\i,\n
{)\4,. T:~,; ,- ir CondiliQlllnf', 0 Special DeliCt'S _ ,.. ' Rc;quired Sld[' Yard I
lidl;lc'Jil 1 cnt,Sy,tc!TI OOlhcrD~~ic~s _",.._ Setbacks I
',':,:;1., 'i~
:1\ ,l~I:'.:J i FIREPLACE MAKE A ~P_~Q.I2~~_-~_~=--,:",=,;-=- -f-U: SCHEOULf~ H_~-=-:;== ~-==~~-=-=------- ---
I :<1'.1' Industri~l. C()nlmercilll & Multi-Family \')'0 of,lob cost Rc>idel\lI~1. (ia, hrep\acc S:"JSO
,1\"1\,
1 i'!jJ, I l;39,~O m:niml,lm
i H!' '. Residential. Henlin!', & Ale (Nev., ConSlrllL.litli1) S91),50 Rc.,idClI\:'.I, Ajditi,.n, & ,\I'cr~tions $:,1) 50
i!!i~, ',~ Rcsidenh.ll. Heating Only (~ew Congtru,linn) ~;M5n Re,idcnll.ll. r\C Onl) S:\950
i {,,-;;.~ OA 10 wrrH
i ,1'1' ':1 ~ r 1"\1
'T<\~i J,~ Estimated Cost $ _________ Building Per_mlt #~Uft:9lNG Pj..":RMIT
,;1c:,j HE/\TINGPERMlTFEE S ~p, 50"'.... I
;jl~l: ~I S TATE SURCHARGE $-----50 - .'
:\I~,'" ",,! ,om.. tI.. 0",. TOTAL PERMIT FEE S __--"CLu::~- : ,~\ b'1 ,?, L<I \cL,:'v1
;1~'11'" Thb Application Becomes Vour Building Pcrmlt Whcn Apprond I Paid-----'--- '~ReceiPt No--E! :
, :t~:1j'l _,--------.-'-.- _ __.___h, 11ii,i262007 By -------- I '
, ',:\'::~,l:j' BulhHn\:(lfnd.1 Iht. I __u,_,_ - --' -- ---..--.- -- -'
"f:'~'I' ___._____----,-~-...--.--- .--J !
'~!,i:1 " h ,,"' " ..." ,," .11 '''' ,,",,"' ('''' '" -,"'". rn "", '" -"" I i
) :'JI; 1',1,
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,
I
Date Ree'd
I
Feb 01 07 12:10p
SCHERER PLUMBING
952-447-6735
p.1
Date Rec'd
CITY OF PRIOR LAKE PLUMllING PERlVIIT
Y <l \ -\ QfmO\\CL CC,\'~-tfU(J ion
I. BII.K Fite
2. Gold Ci'y
3, Yellc~\" App:ic;...rH
I PERMIT N~
ZONING (olllet 'j~e)
tloyqq Dl1\uth (=\\1Ql\L)L
LEGAL DESCRIPTION (office U5e only)
LOT
BLOCK
ADDITION
pm
\ OWNER
(Name)
(Address)
(phone)
APPLICANT c.' \-.. ~ \) \ 'r-' /\ (y' \ scJ~e\ q "- '1 l \" I' 3L/
(Name) ~~\ YL\e. \' '( umU\\'9 \--.JQ;\-'I;\~ ~ '. . (Phone) :)0\.- iLtl-:' -
(Address) \5~L\~?&d ~~ T\a, ~~ Y\\(j\ ~~ 5 ~3 72
(Address) (City)
6 {l \'-(l ~ 'neYQS
,/J UP
(Zip Code)
(Contact Person)
(Phone)
Gld- 7lJ7- 3:f?3
~/J/C7
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry ~ray (J or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
DATE
APPLICANT SIGNATURE
Quantity
-z,
Type of Fixture
Roucrh-ins
b
Water I-]eater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
lndustrlaf. 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 Use Only)
Estimated Cost $
Building Pem1it #
MBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.s<PAiD VJITH
n !jH r;;\ \ r::;p" L: H"'\ fI. A I'r
D"'l...J ,~ !l.-L.i, ~ '" ""..." '~'", ~! ~q !
D~[e
Paid Receipt No.
Date OR 7nf\7 By
FEB ....v""",
This Application Beeomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 4-17-9850, fax (9S2) 447-42-15
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BWILDING AND INSPECTION
SITE ADDRESS /(Pl{" ZJ""U. urN Ave-.
NATURE OF WORK AI!fJJ C~~t:r; (AlII !)tUH ':. ";:L ~ fj'-)
USE OF BUILDING S,,c-; ()'. l 0 ~ . ., ,,.H
PERMIT NO. (p. /074- D/\TE ISSUED Iz../IJID"
CONTRACTOR~~AJc:I' U,,).Jsr. PHoNE1n- Z9Z. ~6?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 'NS7~'~ DATE
. 1),- L-1J/v(,
FOUNDATION (Prior to Backi'iII) /1 / fq~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING viA.
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-tMq
. . f
'A-}-17:-;
Jf7/o 7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IUfrHl ,. 1I>~E IIJ/tllp I I
.
FINALS
GRADING (Prior to Sodding) ~, 2.&. oe
BU.I,LDING --tv;/7 lP1 hip Y l
ELECTRICAL
PLUMBING t1-
HEATING i-' - ~OV7
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.
FOR ALL INSPECTIONS (952) 447-9850