HomeMy WebLinkAboutBuilding Permit 03-0206
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7~ :2~
ADDRESS
J'-!./7Y /Jjp., b,...,.J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?-20&
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ I
p--FINAL t-It-- \
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~.~
/' /f ~/'"
I I I .7\r ~ L : f.~
( lU'?L. I '
-----
\
~ ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: K 7 -Zi '0; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
\
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Ye\low Applicant
Date Rec' d
Z - z.G, ....."3
PERMIT NO, 03- otofo
(Please type or print and silnl at bottom)
ADDRESS
lA-trtg Blllt?;ra ItniL t\f.,
\f'ID\'" lA."'~ . tJlr--\ 55372..
LEGAL DESCRIPTION (office use only)
LOT e BLOCK {, ADDITION /CN'dtl #/f..,/....- 2 #.b
ZONING (office use)
Je/
PID l6 - 339- 046- 0
OWNER (' IL A._ J
(Name) ("e,TYl #--\Y\tlE~,rSOh
(Address) 14lrr~ ~lUe.hltrd TtZh L ~~~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc,
(Phonei lt52 ) 2?J?y P50?;(f)
k "0 r lI1Kt'i, tvfN S53 72-
(Phone)
(Phone)
o New Construction
~ower Level Finish
(4- rooVVl~)
DDeck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
1 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 awar at uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter~jtop. 0 n dedinspections. / k5: ~3
Contractor's License No. ' Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$ /.~d
$ /70.25
/)'
Receipt "fj6. ~ .3 'J z ()
By~ '
U
~ Fireplace OAddition OAlteration
PROJECTCOST/VALUE (exc1udingland) $ 1('),000.00
+/ ()() (). () tJ
$ 9 7, 2-5'
$
$ 2. 0 ()
$
$ -'10. I) (J
$
$
$ ~O.W
I Park Support Fee #
I SAC #
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other ez..~~
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
Io/:nil&
)--L, -03
I Paid /?t'J. ~~
I Date 2 . Z. ~ - oJ
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
1l.('~J LoiAler It:~ I 1+D.,~ quT
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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~ :~n ~!;y PERMIT NO.1J2_-1 nl_
3. Yellow Applicant l/ V ~ "P
(Please type or print and silm at bVLLV~)
ADDRESS/ L f J rt (/ 1f2/ _. L 17 - A ) (:
7/ /(} t:,7 uevj' ('eX / ('fA," IV(.....
ZONING (office use)
LEGAL DESCR1.t'uON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
S'e/fh
J Lf/'7Y'
€ ;; nC1- /tnJersc/n
rE/uebi ,.jJ /;'a,'/ tVE-
(Phone) Cj..~d - d33 -.l:J 0310
(Address)
APPLICANT I'Yl _ J
(Name) I I /as r-'#?,r
I
(Address.".;2;:2(O?
GCL <;. r:: J.+e('~ (Phone) {p 5 J -7 LJ 5". %c; 7'7
flJ. mr ){nic-Ih..J- ~J. ~-2 /l)()rfh Sf. (?aLLI ff),'rn. S~-)09
(Adchess) ./ (City) ((Zip Code)
(Contact person)J)CU7 (?e,z.'ch / J I.' (Phone) lojj J -7L/-f.g.:;;;?/7
APPLICANT SJGNATU~' ~ Q..J~ DATF.-?-;;l.1.; -03
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT R' AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL C~J) -Ii II e/7 tu. / C=r>v 3 ,/? A/T~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
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 $ J 1000. 0 {/
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
() fJ/71/}J
Paid M f.dJ'- \..r
Date~_~<f8
Receipt No.
J
By a<L/
u
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Residential Building Permit Checklist
/t,. _ _J Ba'~'h or Interior Altenrio:~: :in~~amilY Home,
, r ~ Date: v v
BY:
Building Permit # 03-0Z0& Pill: '2f5-.:3J7-0~- 0 Zoning: pi
Site Address
Legal: L e
B
(,
Subdivision: ~O($ 11/(.,(.., Z".p
Emting Structure: €)r NO
CONFORivIS TO ZONlliG
o RD lli AJ.'{ CE
y"ES
NO
Is dlls an expansion of the e;,jsnng foolpnnt or
buildi.""1g height?
YES
Refer to Pl3.TI.I'..lllg
~o
Does tb.e alteration include any additional kitchens?
Refe: to Planning
;>L
y
l-
I
Is the propettf located within cb.e t100d plain?
Refer to Planrll..."1.g
Does th.e proposed alteration include ilJ."1.y outside
entra.."'lces othe:- than patio doors?
Refer to Planning
f
Is the proposed use of the Bnished space or
alte~rion for anything othe: than a iJ.onnal single
twily home (office, grou~ hOwe, day care, e~c.)'J
Rde: to Plamring
y
Tms Cm:.CKLIST .'![UST BE COMPLETED ..1..J.'iTI I('{CUrDED IN THE BL'lLD[NG PERi.'IIlT FIlE TO
l'iL-\ll'iTA,E'1 A RECORD OF THE REVTE\V.
"---:-;".!-:~ ~ --:;'~j..-=- :':=~~C:(..:((=
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4-/78 t${.;U6.f5/eD /,c:r}/L-
NATURE OF WORK ~()W~ Le/6L-
USE OF BUILDING ~ A-/.e...
PERMIT NO. 03 - () 20& . DATE ISSUED 2. z.s . 03
CONTRACTOR ~N~PSOA.J, S6/ rI PHONEZ~:~. 6D3h
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
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE 1M L-(-2-(7?
GAS LINE AIR TEST /17(7 ~-J--cn,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A
~
l1-/~~UJ
V{-G{ -[) 7
....
rVI'"
'-+-<<-07
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
fV'(/
Vvf
VV'{/
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.
BEEN
7 - ).. 3 -u J
'?J- .
7 ~J-.l. -o~
(~1.-1.. -6>
SIGNED
\,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850