HomeMy WebLinkAboutBuilding Permit 03-0545
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED _0 --.511.(
ADDRESS ~75r f//dd rP~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-5L(S-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
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 GASLlNE AIR TST
o
COMMENTS:
LL
1/
;) !'"
~ . ) ,e----
,/\
I If'
/J 10./-
~
.-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /l,11O
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S- 7~ 03
I. White File
2. Pink City
3, Yellow Applicant
PERMIT NO. ()S-0545
(Please type or ~rint and sign at bottom)
ADDRESS
ot_.~'''t9~ s4 \A( I Lb C:fl.'tS
\..tA.t A:ce.
ZONING (office use)
IG~D
LEGAL DESCRIPTION (office use only)
lS \. WIL't;::. ~~
LOT BLOCK ADDITION
PID 2S -3(,+,- ()/~-()
OWNER I \
(Name) t-K II C r"~r
\. \ ~,l-(-l ~
~L
(Phone)
\p( t - 99'- 4~?4
(Address)
.}~~~~)ER $.~~
(Contact Name)
(Address)
(Phone) ;- tI.~L
cr
(Phone) 7
TYPE OF WORK
o Misc.
o New Construction
~r Level Finish
:3 /3PlS.
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
. n on this application which is to the best of my knowledge true and correct. I also certifY that I am the owoer or
and that all construction will conform to all existing state and local laws and will proceed in accordance with
fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ons.
1001<0544
~-7 -0.3
x
, Signature
'~~~:-..,;.
Contractor's License No.
Date
I Permit Valuation 3r 0 () 0 ,00 I Park Support Fee # $
I Permit Fee $ 'lL/. 75' I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $
I State Surcharge $ /.SV Pressure Reducer $
I Penalty $ City SAC and WAC # $
I Plumbing Permit Fee $ 4-tJ. 0 () Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ /ft}. () () TOTAL DUE $ /S-tp. Z.s
()
This Application Becomes Your Building Permit When Approved I Paid /-S" .W ~PtNo. HZ4'7
~. -:f~ ~/t;3 I Date S- -1'1... -c;J 7 . "'-By ./" ~
U
Building Official ' 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
/I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
,
I. Pink file
%. an... Cil)'
J. YollDW Al'1llian.
C>v,) -I 7~-
.PERMIT NO. 3 -s LIs-T
(Please type or print and si~ at bottom)
ADDRESS
C93S4 L.-\ : o...d 00 ~OT..QA...
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER .
(Name)~ ~ (Phone)qsd~~-llDc,,3
(Address) P.C. \30)(. ~~ P_~otb ~ r"Y\Y"\ 553Jd.
APPLICANT r ..L' .
(Namef~Jl.Ltrm1n\.L'(- .l ~1Sln..89 ['J. .uw .j s...-\..Q.l~~n~ (Phone) ltJJ3-3i 5-750D
(Address)~IO LJqCm..\ Yl.9. Olf. D; ~1J""'~_O \..yY"'\ R::'l..J.: mn .S-Sl!'l/S
, " C1ddress) CJ (City) (Zip Code)
(Contact Person) ~ ;i~JJ. ' (phone) Ill&3-315-75/C,
..-V _ JI ......
APPLICANT SIGNATURE 7l/u.;2,...) AA::/}v'J\..Q..7?-:Q,.h-J DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE ANt MODEL l1UEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,. OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 SpC(:ial Devices
OVent. System 0 Other Devices
PLEASE NOTE:
Air Conditionet Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE ~KE AND MODEL ~ob~ .DY3CoOR r:", ... ;;J DJ"'L.
FEE SCHEDULE
Industrial, Commercial &. Multi-Family I % of job cost Residential, Gas Fireplace
S39.50 minimum
Residential, Heating &. AlC (New Construction) S99..50 Residential, Additions &. AltcMltions
Residential, Heating Only (New Construction) S64.50 I Residential. AC Only
$39.50
$39,50
$39.50
Estimated Cost $
Building Pennit #
" Rllllding omc:t.1
.PAID WI
BUILDING T1-I
--"..- '.. r-'n PERM/i
~, ~ @Ie \lJ11 ~-tD\ r, \ .
} a~ :lpt No.
ql~ l.IA'f-'ll ~ . (/)
24 hour notice for all in!pections (952) 447-9850 ~jJ (9~!) b.1 U(':; - U
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
(Office U!e Only)
This Application Becomes Your Building Permit When Approved
Date
900~
X310IHd 3~VHV~ ~I~VWOLOV
60L091C619 XVd 00:01 CO/91/S0
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS h354- IV/I/O O/tK..S /t:R./G/1~
NATURE OF WORK L00/DL. ~v6L-
USE OF BUILDING ee- S rJ / ~
PERMIT NO. 03 -054-5 / DATE ISSUED b. 7 0:.:5
CONTRACTOR /-I/L-[ tVU6/ PHONE (P/2~ 99/. %8<"1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J;L1?
/~
JIV'Yl
vvr .J
S - 17,--0(
S- ~ IS '7:(3
,)'"'- 13 -d~
.:;- {>-6,
fVlP
mP
mp
OCCUPY UNTIL ABOVE HAS
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.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
ro - J, t( -6~
(g /' ~ l1 '-0 6
to r ;)(/-03
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850