HomeMy WebLinkAboutBuilding 02-0205
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ii.?.... ,(
~ -:-> -V V; c 'i3i'2.--V~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION I _ 0 SEWER HOOKUP
.~ FINAL t-,:JiAJ't9',- t..61./t5~ 0 PLUMBING FINAL
/'0- SITE INSPECTION 0 MECH FINAL
COMMENTS: .4 P'p;2.u !/ J.)
/: &045-- jZ-/ l,6
~ WORK SATISFACTORY, PROCEED
DATE TIME
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C
' C'
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'7 -?
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA~L fOR REINSPECTION BEFORE COVERING
Inspector: Q. ~ Owner/Contr:
, t '
,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, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Ji
AND UTILITY CONNECTION PERMIT
'3 I t!J 2..-
I. White file I PERMIT NO ]
2. Pink City . 02.-D W5
3 Yellow Applicant
(Please type or Jlrint and siltO at bottom)
ADDRESS
(~~~ ~ ,) \ c...\""o<;Z. (A' &f!:-Ve.
ZONING (office use)
PtJ.S D
LEGAL DESCRIPTION (office use only)
, LOT t BLOCK -z... ADDITION C A/2. PI rJ A L,... 72, o{'?~ 4 T ~
. \
o New Construction
-
~wer Level Finish 0 Fireplace OAddition DAlteration
o Misc. / PROJECT COST IV ALUE (excluding land) S
r-; 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
sUbmitte..d plans. I am aware thaI: the bUi1di~g 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u~on. We pr9ferty t1-per.ro;n~sp ons.
X rutk'~\.lc(/ ~ /)-" ~. .
Signature
.-
OWNER
(Name)
fu. ,\ \ c:::: ::'" \ 1 c' r-
"\, <..,.V""'" . ~- ~
(Address)
\ L? 5 ~l
\.) : L ~c::, [ ',(.', (v, ~- \/1,.-
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
'-
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
~ J 0l)0. 0 f'"j
W. :J.$
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
;;}.()O
qo.t) D
s Your Building Permit When Approved
~ -~-()Z-
PID 2 5 ~ '3 zz. -OO~"O.
(Phone) C)~ .). --4'-/ ~'- t.lJo :)_
~(-
(Phone)
(Phone)
o Deck
o Porch
ORe-Roofing
ORe-Siding
DUtility Connection
Contractor's License No.
Date
Park Support Fee # $
SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
\ Other $
I TOTAL DUE ~ ,3- 7-/2-\ $ /29. 7.~
I Recei~o. ~/Zf)S-
1Byr
I Paid
I Date
/2-~. ht;
~ --f) -- trz-
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 con:ltitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Dale 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
DATE
q Jif/6t!J
I I
~""-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I(~ ~~{IJ \1.c..~t'l~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
lIMI:
:2. - 20~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
('j ~rI-!~ R~ dDP.\.n ~u...a.~~""~
. I
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Ins_ Jj L- " OwnedContr.
~ALL 44~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
Residential Building Permit Checklist
r:J:2'sement Finlsh or Interior Alteration to Single Family Home,
BYff/ Date: .3/1 jtJ2-
BuildIng Permit # PID: ZS ".32.2- - Oot, - OZoning: pusD
Site Address / t,33 (p VI f!.:TO,€1rt eljRAJ!5
2
Legal: L
I
B
Subdivision:
(!fi!2V I ;J fi '- li!--IO 46 I-- 'b:
Existing structur~ NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an ex.pansion of the existing footprint or
building height'?
YES
Refer to Planning
NO
/
Is the property located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
/
I
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
I
/
/
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
White - Building
Canary - Engineering
Pink - Planning
The' ("tntrr of 'hr t.akt' (~oUnll")'
BUIIJ)ING PERMIT APPLICATION Def.ARTMENT CH~CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
Sri ~ -'2:- ~12-
51, / o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.k;33fo V/6/tJeIA ~UJeLlC
,
Accepted
Accepted With correction~
Denied nfi j
Reviewed By: J ~/ ~ Date:
Comments: _#3eRO 7JIt3 t...-~ e I ~ PiNlfff
fImIo (}V7
'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 OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
/. 2- 2-, ujJ
~. ~;~n ~~~y I PERMIT NO. 02.. 02..... Co-
3. Yellow Applicant ~
(Please tJ1le or print and sian at bottom)
ADDRESS
/&3.3 to t/ / V'GJ /2/1'9
-
(!,u /CA/ 6 ~6
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER \I\^ '\ /
(Name) "" v",,^-Ic JA...:2FF
(Phone)
q~....) t/ tl1 - t-J:)O J..
(Address)
I APPLICANT
(Name)
(Phone)
(Address)
(Address) fI" /J
(Contact Person) ~IJ tf 4/ /
APPLICANT SIGNATURE A' I~
. - --
(City)
(Zip Code)
(Phone)
DATE
I
JI;)d/~
'"
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
TYPE OF SYSTEM
RETURN OPENINGS
INPUT
OUTPUT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
GV
f D. J)Gr~
~UIV
(Office Use Only)
$ ~
$ ~O
$~
~
,-
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Build!n!! Official
Date
Paid ..------:--' Receipt
DA1e J. 1IZ, . at By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 11
16200 Eagle Creek Avenue, Prior Lake, MN 55372 ()
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /~~S{P (p.c;~hh. Qi't-,
NATURE OF WORK f1.P.w
USE OF BUILDING SED
PERMIT NO. ()~/O w5 DATE ISSUED ~ - ~ - 0 2-
CONTRACTOR. ~;.k~~.e.r- PHONE c.f'f7- Y2CJ.z.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
MP
tnf
VU . /..,
1-2 <.,/w)
I, z;/~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I '
(lA.p. (.Z:!"'o'-)
F.P. fL't.. /f'l1J (. L.~V~'
bf\s A ''1~ M ,f i -2- 'S.u~\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
fZ\~.
10 ), " !OE-j
uJ .c.,.
~.H- i 0 f f (") ( ;J,2.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
. This card must be posted near an electrica~ s-ervic:e 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