HomeMy WebLinkAboutBuilding 06-0995
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15" "'lSf)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
g FINAL
o SITE INSPECTION
COMMENTS:
^l " f"'\.
~~Ml-o hv
-- -
SCHEDULED
~J"'?
(/ -
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
tJ J,:rE
LfUI (J'O
"R.,t ~
ot.! J 001
.
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE<f}'jRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '/ I ~ Owner/Contr:
J-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 15'15D
J..I t.J"
- v
13
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~LUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~clc .t:.lOeJ PNl~~ ()( r
,
DATE TIME
I~~r,
& - 100 I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)!f: WORK SATISFACTORY. PROCEED
o CORRE~TION AND PROCEED
o CORR{CT 4>RK. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS J ~1.5"O l-h.c)1I l3
V
OWNER CONTR.
PHONE NO. PERMIT NO.- ~- 1?iG( 77?
o FOOTING ~LUMBING RI o EX/GRAD/FILLING
o FOUNDATION o ECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
CO~ENTS:
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t~
^
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l\/'u:-\ Dlt~-
o WORK SATISFACTORY, PROCEED
.'J CORRE~~N AND PROCEED
, \ CORRET W~;~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: Ii...........- 1 Owner/Contr:
CALu 447-JS50 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
C~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
1(';jQ!
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
HWAJ }\
C)tNTR. -
ADDRESS , 5 TJ S()
OWNER
&,. fr:>
PHONE NO.
PERMIT NO.
o FOOTING
DYOUNDATION
,A1 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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
I. ~Y>O~~' ,Q;~
+..\~U- 'S'-~
U
~e~. Cr II"V;~
U
o WORK SATISFACTORY, PROCEED
)zH:OR~ ACTION AND PROCEED
o CoRREC~K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
\ ~HlJ2f4I7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\.~:j REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
Date Rec' d
10. z4-.0b
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO.
0(;. 0'1'{5 J
ZONING (office use)
4" g-;?J(:)
/,Lvl/ rO
,
P/'-...~r /: ~~
75/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
s r ~....,.. -I-
4-<:-//
(Address)
PID z.s. ?3G.. 0167.0
(Phone)
_~~:Name) /#".Y/:~ ;s-~ 6'u,//~/
(Contact Name) --tV:S. ~U~//~../
(Address) ~d.6r ~d--.5"""< ~ ?eP~
(Phone) , ro 7 ::> ys,-r S-.J y:V
(Phone) ~/tiL ,2.03 ~/9
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
DAddItlon ~lteration OUtility ConnectIon
I
J
I hereby certIfy that I have furnished mfllrmatJon on this applicatIOn which IS to the best elf my knowledge true and COITect. I also certlty that I am the owner", authol1zed agent fll\ ' '
ahtlvl'-mcntlllI1cd property and that all cunstrllctlUI1 WIll cLlnform to allexlstmg state and local laws and WIll proceed 10 accordance with submItted plans I am ,lwarc that the btll~1~1~~
~EeC;;~Z~I~ It)r JUS/alltu4reFurt~.:.::ehat the CIty official", a deSIgnee may enter upon the propeny to perteJrm ;;~CD~a)ntSe.. t:7 ~ ~
~al Contractor's License No
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
B
Permit Valuation JOt 0l>0. ~
Permit Fee $ I'll. SO
Plan Check Fee $ 12'( . <,8
State Surcharge $ (;.oa
Penalty $
Plumbing Permit Fee $
Mechal1lcal Permit Fee $
I
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee I $
Pj'jl"oo B,com Yom BoB';o. P'~;l Wh" Ap,con'
Bu:J UII,clal 4Iu~~
o Mise
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$ /0
. .,..-: .
, J V fj;.7!?--
Park Support Fee
SAC
Builder's Deposit
Other
$
$
$
$
$
$
$
$
,/.z,.01/ 1/ $
I ReceiJlt No.
17'
32() _ 913
I
,)~iJ
#
#
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
Water Tower Fee
#
Paid
Date
tf1uf;'o
3za / if .r
I/.~, I G
TOTAL DUE
rhlS IS tll certIfy that the ll'qUL'st In the <lbl)\'l' application and accompanYll1g documents is in accordance WIth the City Zoning Ordinance and may procccd as requested. ThiS document
when signed by the City Planner ClH1StltUtCS a temporalY Certificate of Zonmg compliance and allows construction to commence Bcfnre occupancy, a Certlticatc of Occupancy must be
isslled
Planning Director
Date
24 hour notice for all inspections (952) ~~7-985(), fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
11:54
CITY OF PR IOR LAf<E
9524474245
P.01/0
Llri OF PRIOR LAKE PLUMBING PERl\tJ.l1
R~g/
. y\/t-99S
I. DluG Fila J~ NO ~
1GoJd CitY - .;t'.00/
.:2. Yeflvw Appficul "
(Please [V1)e or mint and :rim :a.r bottom)
, ADDRESS
I 13-75'0
HIGH w A Y_/3 __ SeJl.J 'flf
LEGAL OESCRu- l.LON (office use onlY)
LOT
ADDITION
BLOCK
ZONING (ollke U&C)
Pill
~Jt' IJ di - f ~n_ /J~ ~~ (phone) tR (:J..- ? ().3 - 3 d 15--
It:; 7({;O 9J ~1- 1'3 .5~
:J :/
'I OWNER
(Name)
(Address)
~:~~~ANT R. e__ P L u M/1 iN C
(Address) 1,-.:-(/ V C' fI E 5 7 E: R It /..I E
(Address)
(Contact Person). /? I ~ H
APPLICANT SIGNATIJRE
AI Y/?O
/J ,--,~j1 4.kr
J
(phone) 9 ~-~- (; J; ~ - '[}9 33
Iv DR TN F/eL n IV III !J!3~C> '7 7
(City) (Zip Code)
(phone) ..J:s',1.' - (. C; ~ ~ d r 3 3
DATE If-to.- V G..,
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
J Sinks
Bar Sink
I Water Closet (Toilet)
Quantity I Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Bacldlow Assembly Test
Lawn Sprinkler
I Other
t<I!..I!,SCHEDULE
Industrial. Commercial iii.. MuJti--fumily 1% of job cost with a 539.50 minimum R~idential. New One & Two-Family S99.50
Residential. Additions & Alterations $39.50
Estimated Cost S
Building Permit #
..39.50
.50
41fJ-O . O<L.-
i Paid 4-0.06
jDate / I. ~ ,~(p
PLUMBING PERMIT FEE 5
STATE SURCHARGE $
TOTAL PERMIT FEE $
(omce VIR Only)
This Application Becomes Your Building Permit When Approved
Building Official
DAte
ReceirO. 5 Z"z.(P
. BYA
I ~.
()
24 bour oodce for.ll.ll inspettions (951) 447-9850, f:u (952) 447-4Z45
16200 Eagle Creek Ave.. S.E., Prior Lllke, !\-IN 55372"1714
TOTAL P.Dl
PRIOR LAKE
INSPECTION RECORD
DEPJ\RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS7So Hw~ Is
NATURE OF WORK :L,^\~rc'or t~~.-...o.m_
USE OF BUILDING (1 m~ _ I
PERMIT NO. t. '1f5 _ DATE ISSUED /I /'/0 c,
CONTRACTOR LV,'U''"U<<..< ~\'.A PHONE' (,,120.'-'" 7?o3 - 7,17
NOTE: THIS IS NOT A PERMIT F:)R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPAr:'ATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-
fYb
/ I
t I /; "-/ ft/
/ v~
WC-.~
I
. J I
.1 II~Yht
I I I
I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
HGt....J: c...~ tlcc.Al<;~ I I
FINALS
GRADING (Prior to Sodding)
BUIL.DING
ELECTRICAL
PLUMBING
HEATING
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
EJ~
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Fabcon, Incorporated
6111 West Highway 13
Savage, Minnesota 55378
(800) 727-4444
(952) 890-4444
FAX (952) 890-6657
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FABCON@
Fabcon. Incorporated
6111 West Highway 13
Savage. Minnesota 55378
(8001727-4444
(95218904444
FAX (9521890-6657
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~~NESV
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WIUAA-M J. BULA_/t teo
/O.Z1-.0(P
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5750
HWV /3
I
Accepted
Accepted With Corrections
Denied
Reviewed By:
. Date:
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."
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