HomeMy WebLinkAboutBuilding Permit 03-0072
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
LiUlf1
SCHEDULED ~(~-3
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLlNG
o MEcH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MEcH FINAL 0
I ~{~f+M.A)-ek,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
r;t FINAL
/0 SITE INSPECTION
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
''''..doc ~ ~ Owne,lContc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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
1- /S-03
L White File I PERMIT NO zJ-
2. Pink City . /1'2 - 00] .
3, Yellow Applicant LA-J
(Please type or print and sign at bottom)
ADDRESS
+5'~Cj UJLO~DO GTC2.661
sE
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
ZONING (office use)
P? .
PIDES-ao 1-' 13- 0
OWNERnL ~._
(Name) '-X\O{ \eS lD \ -k tOOQ r l \1
(Address) ~q Ct\\oradC\ \~T S~. (Jr\0( loJ<O)-(\\(l' '?631d.
~~)ERPa:lri(' K r \ . SCCl!JXlne Sd ino k ~i~hOne) loCO \ -4t.P~ - B 133
(Contact Name) Jhh-:lC'v... I. ~ l ~rClY"fDY1e.. ovO (1 ~\\e. (Phone) loS l -~3-1 \ct-l
(AddreSS)S,a.~ Ro.Jlrcad ~lLrl, W4rWY\'n~. (\)(lj 55t:Ad
TYPE OF WORK
o Mise,
(Phone) QSd-44, -(~105
o New Construction
~ower Level Finish
4- J3;nS
o Deck
o Porch
ORe-Roofing
ORe-Siding
OUtility 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 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
enter upon the property to perform needed inspections,
X ~ZG1.#- .J~
Signature ,/
Sewer & Water Permit Fee
Gas Fireplace J.ermflee
/1/1 Ii 1/
~iS : ~ourBuilding Permit When Approved
J / -- /~/~-(JL
uildn1g Official Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
o Fireplace
OAddition
OAlteration
-- ?
OI--/jrO~
Date
# $
# $
$
$
# $
# $
$
$
- $ fZ425
Rece~o. 4-:7 +cY ,,:-
By
C--
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
PROJECT COST IV ALUE (excluding land) $
Contractor's License No,
4--,000.00
$ . fF7, Zs
$
I $
I $
I $
I $
I $
I $
Park Support Fee
SAC
2.00
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
4-0,00
I Paid
I Date
/21. Z~
1-/(..,' 0.3
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
JAN-23-2003 09:15
CITY OF PR lOR LAKE
9524474245
P. 01/01
LIJ y OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd.
CPlllQe ~ O~ tmnt and. ,ip at bottom)
ADDRESS
15~.9 Ln/o/~~ ~I 5L
~::;~ ~:~ PERMIT NO.{) ,J /1~)
J Vellow Appli"",,l ) cf'
ZONING (olficr:us,,)
LEGAL DESClUPTION (office use only)
LOT BLOCK
ADDmON
PID
OWNER I
(Name) r...h..dr Y 'f!!.-'7 F v 11 €.if
(Address) r?~9 Ctt?4:,/4do 51- 5€-
APPLICANT /
(Name) Jj h;( ,.t?1vH1~~9 .J'),e.
(Address) .20"2e>O r;'",.. veploJ",0<- If /J
(Addrcss).- ~
(Contact Person) ~,...,., ~1'~,-1
APPUCANr SIGNATURE ~:-IL-
_ (Phone) %"Z-lf'(7-6'(-6~
(phone) 21 .# -~'fz.. -1.51'(
tf/,,;;-JA I1p ~,?e;3
(City) (Zip Code)
(phone) 21 ~.... 21.1 't - q q ( ~
DATE / -;z. ? ~ ~_~~.~
Quantity Type of FiJ:ture
Bath Tub with or without shower
Dishwasher
Floor Drain
I I Lavatory (Bathroom Sink)
I Laundry Tra}' (lor 2 compartment sink
/ Shower Srall
Sinks " . -,
I BaT Sink
/ 1 Water Closet (Toilet)
APPLICANT PLEASE COMPLETE BELOW
J
I
I
I
I
Quantity Type of FiUll...,
Rough-ins
Water Heater
Water Softner
- -- ---=- -, Stand Pipe (Washing Machine)
I Sewage Ejector
Bacldlow ASsembly
Bacld10wuAssembly Test
I Lawn Sprinkler
-, Other
FEE S....J1I1,DULE
IndlllStrial. Commercial & Multi.family 1% of job cost with a $39.50 minim\lm R.esidential. New One &. Two-falhily $99.50
R.esidential, Additions & A.lterutions $39.50
Estimated Cost S
Building Pennit #
(omce Use O.Iy)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
----
p~~-
1"'.... '" '..""'.). ~~l"_.."
12~f ~_~"'" _. -~_!1 ~'t ~
1'hI, Applkatio. _.... VOUr Boildl.. Per.." WO.. App....ed . ~~ a nfTe ~ ",,,..ipt No.
8uUding omcial DlIte " _ _ . ~I DjAN ~ 0 2Qg3~ By ~
Z4 hour notice for alt iQspecdoDS (951) 4 .9850, ral (9S~) 447-4145
16100 Ea&le Creek Ave., S.E.. Prior *" N~ O;:!i..'l71-1714
~ - TOTAL P.12I1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 456CJ ~OUJ~DO ,S1/266T St:;;.
NATURE OF WORK L o~{/{~rc {,6 I/G L-
USE OF BUILDING ec::s- rl//C-
PERMIT NO. 03 --00 7 2-' DATE ISSUED /- /5 -03
CONTRACTOR 5/A'/?PO/\/C P/l77V~ PHONE (P~/-~2 -8/..3.5
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
____ I J
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
wr
j.,. f..J .. a)
f/vr/
lIl/Y'/
1,- 3tJ"d3
J,- - (, - d1->
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~J
~
Y;14
OCCUpy UNTIL ABOVE HAS
NOTICE
()K
Upt~
IA/;Wk8
--~~3
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.
FOR ALL INSPECTIONS (952) 447-9850