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Home My WebLink AboutBuilding Permit 03-0402 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 4r-7~ .5r4< II I I OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION /I I ~ FINAL v, '- , o SITE INSPECTION DATE TIME SCHEDULED 7-/? CONTR. PERMIT NO. 40 2.... o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL Iifl"'MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ---- / / / }"'r, ( / / t UcrL \..f.-/ ""-- ~) / /' ----- y;1 ;-- f I-c / J'YWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W )~~ALL FOR REINSPECTION BEFORE COVERING Inspector: f 1..... 7 -(7-f1) Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNon \, CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d I. White File I PERMIT NO 2. Pink City .0:3- l./ /);;:A. 3. Yellow Applicant 7 (/ (Please type or print and sign at bottom) ADDRESS ZONING (office use) L/575 SeC<.-QuJI ~;'r /l/C V LEGAL DESCRIPTION (office use only) LOT 9 BLOCK 3 ADDITION I: A/a 6 fI,' / / (liWlJER ~) /1,'ch (Address) BUILDER (Name) (Contact Name) (Address) TYPE OF WORK o Misc. R/ PI~5-33q-O/1-() M UA/}) /4O-(;fL ~~.~ 9Sd 7'~1 C;J59~ (Phone) (Phone) o New Construction ODeck OPorch 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 ;~ UP"111liikZ.~e'i :octiOO' ~- 4I-=- ~P".:;};;";~'O 3 ,1- Contractor's License No. ,,' I Permit Valuation I Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fir pI ce Pe t e $ $ $ $ $ $ $ $ ,.00 $ /51.;}5 Receipt N 0._ 4'-1 () ~ U By ~ U ~ower Level Finish ~Fireplace OAddition o Alteration 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 consttuction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director PROJECT COST IV ALUE (excluding land) $ $ $ $ $ $ $ $ $ ~o.- '4. I <;" Park Support Fee SAC # # Water Meter Size 5/8"; I"; {.5"0 Pressure Reducer 40. - City SAC and WAC I Water Tower Fee I Builder's Deposit # # - ele..c Perm ;:.;- TOTAL DUE Other Paid Date tflJ --...... ..,...-/" ,g/::J'/'04J 4-4-0:3 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 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink File PERMIT NO 2. Green City .03-// ./l."""\ 3. Yellow Applicant '"7 U~ (Please type or print and siJtll at bottom) ADDRESS L/57!S" ~A'~ , .~ LEGAL DESCR1.t'nON (office use only) , (~/V ZONING (office use) LOT BLOCK ADDITION PID OWNER (Name) g,~-,b YJt~~ I ' U' (Phone) 9aJ- 9d-s9 (Address) APPLICANT (Name) (Phone) (Address) (Contact Person) .~AddreSS) /) 1 )Ai/I/! ( _/, {/~ f ~ APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS FURNACE MAKE AND MODEL FUEL (City) (Zip Code) APPLIC*I . I (Phone) ~ t.f-. L/--/J,'~ FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT HEATING OR POWER PLANT o Steam o Hot Water D Radiation o Special Devices o Other Devices OUTPUT DWarm Air Plants o Gravity D Mechanical nAir Conditioning // . ~ OVont. Sy_ ~ ~CE ~KE AND MODEL .---'" 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 $64.50 $39.50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ~ ' :l\50 ~~ .50c ~ r;r f I ~~~&JeiPtNo By Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ Date 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 Basement Finish or Interior Alteration to Single Family Homes BY: (2D !J~ Date: L( - L/ --03 Building Permit # &"5'" 4oZ. Site Address Pill: Zoning: i/5//~-~~ ~ Subdivision: Legal: L B Existing structur@rNO CONFORlvIS TO ZONlliG o RD IN" .Al~ CE (~ NO Is this an expansion of the existing fOO~tll~t or building height? YES Refer to Planning NO v Is the property located within the flood plaID? Refer to Planning v Does the alteration include any additional kitchens? Refer to Planning v Does the proposed alteration include any outside entrances othe:- than patio doors? Refer to Planning v Is the proposed use of the finished space or alteration for anything othe:- than a normal single family home (office, group home, day care, etc.)? Refe:- to Planning .-0- THIS CHECKLIST MUST BE COMl'LETED A.l'fD INCLUDED IN THE BtrILDING PERJ.vllT FILE TO MAlNTA.IN A RECORD OF THE REVIEW. T '\TI="f1JT ..J. -r;::\A LTG-1'CZ.DOC PRIOR LAKE INSPECTION RECORD SITE ADDRESS I./s 75- ~eA.Ia"J / (! i.. NATURE OF WORK - /.-1- . 1= P V USE OF BUILDING -.SF D PERMIT NO. ()J. I./t) ~ . DATE ISSUED .u-~~ CONTRACTOR 1licJLbN~'. ..... PHONE tI~/- 9~~ NOTE: THIS IS NOT A PERMIT FOR\ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION . INSPECTOR DATE I.... I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING /lW {;", J l.1 INSULATION tl//Y? / ELECTRICAL ( PLUMBING )1;(/ \ HEATING (if required) M./ ' ) FIREPLACE J/1/f7 / GAS LINE AIR TEST t1~ ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT J/VY/ t//,Y 1/VfJ 7~ / 8-03 ( ) """ 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 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File I PERMIT NO d-f 2. Gold City ./1-3- / }/I . 3. Yellow Applicant (/ ,V (Please type or print and sign at bottom) ADDRESS () ZONING (office use) L/S'l~- .rt)~-tdl 6~ . () LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Address) ~~~~ o (Phone) 9if/- Q;2SCj OWNER (Name) APPLICANT (Name) (Phone) (Address) (Address) =~lQ (City) (Phone) (Zip Code) (Contact Person) A -- L/~C/~t:?J Quantity f APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain / Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink I Water Closet (Toilet) Type of Fixture Rough-ins I Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Penn it # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714