HomeMy WebLinkAboutBldg Permit 09-0003
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
154z;/ :n r~ \r+-
J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
\P"'F1fiAL-
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
A' J~"~
(1(D'ie. ~ .I. \.0
DATE
,/la,h t
TIME
1- 0::;03
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SAT!SFACTORY, PROCEED
/ 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectof) t1'----7 Owner/Contr:
CrL~'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'.J
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
12/15/2084 12:31
9528913187
HUSTm~ BU I LDERS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND lJ u,LITY CONNECTION PERMIT
PAGE 81
Date Rec' d
/. z. 0'
~.. ~~;. ~~t I PERMIT NO. ro. 00031
) y.Uo," Applitalll \,,/ /' .
(Please tvpe or lIrint and sirn at bc)ttQm)
ADDRESS ZONING (onlcnw)
\~Sl
1.~t.'L.~ 't 'Pc:n:t<< t:l()~~
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
~~~R ~{.."F b"",,'%.c.~ S.N
(Address) \5L.( 5'\ ~U.."2.."t ~"T
BUILDER
(Name) \-\~ 6'"t1:>N ~\J%\..'b'l"'S
(Contact Name) L...__",c:~ t\.u~~
(Address) too R'I'D(c(.\fiE\oJ b..,vt..
TYPE OF WORK
o Mise
,~
o New C'-OIl$tl'Uction
~~..
PID
!
I
I
I
J .'
(Pnone) 9 5~ - '1..14. - ~! II
~O""'b
~.t. .
(Phone) C\ '52.. -'\~"'" . .. g 1.S"'
(Phone)
J
F\,PI4..
J ,...~t.. "/ . 1"\ M
SS-I2. '-f
ODed:
DPorch
O~-Roofing
o Lower Level FiniJh
o Fireplace o Addirion OAlteranon
- :=..
PROJECT COST IVALUE (cxduding land) S ..,-
u~~... "t(..
s
25.00
1&. 2.5'
.> o{)
I hereby ceJ1i1'y that I have furni,:tu:d infonnalion on thi, application wlllCb is (0 the bet of my knowledge tl'Uc: lIDd correct. 1 also certify that I am rbe owner or i
authorized agent lbr the: above-mentioned propertY aDd that all constrUCtion will conform to all aisting state and local laws and will proceed in accofdatl.cc: wirh I
submitted plans J am aw~ that the b~~~ can ~oke this permit Cor just cause Furthermore. J hereby agree that the city official Of a de&ignee may :
enter UpOJl yzc propt' fO perform neede~i~~ I
X .......- \ ~ ~ ~ _ ~-/ , .....,,, 2.0!.D '2.. 1- S ~ e ~ \ nt,c.. ~e. I
<--- ~lfri~ ' I ) COD(ncror'~ License No Date 1
../ "'" '--'
I Bdinit Valuation/
I Permit Fee /
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee::
I Mechamcal Permit Fee
I Sewer &. Water Pennit Fee
I Gas fireplace Pmnit Fee
I $
$
$
1$
I $
1$
I $
so.oo
Thb Application Becomes YOUJr Building Pmnit When Approved
Building Official
Dale
it
s
S
.z (/( 1$ ql.75
1/
Rec~t No. .57/98
By t--.
()
I Parle Support Fce
I SAC
I Water Meter SizeS/SIt; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE {bLe~ /
#
#
#
#
ORe-Siding
DUtibty Connection
s
Ii
$
S
$
Thios Is to C'C1'tify that die rc:qu~ in thl~ abo"c app\lelrj(JlI ~n" a<<tlIl'lP"r.)in, dorom<lle lJ in <lC1:ord4SlCC with me (try Zoning Otdl.lla.nee lJId may prO<:~~d ..., requested This dl)(lllTlml
wbeIl J~ed by tile CitY Planner constitutl::S a temporary Cettif1cau~ Of Zoning eomplidJ\ct and olIlows COlUO'UCliOll 10 co""~. Before oceupaaC)'. a CertiJlc.)tl! ofOeeupancy M\I:Il be
inued.
Plllllning Director
I Paid
I Date
'I/. 7S
I. (,. of'
,
Dllte Special Condlt/ons. if any
24 hour notice for all ilLl.. ,.JoBS (952) 447.98SC, fax (952) 447-4245
16200 Eagle Creek Avenue Prior l...aJce, MN SS372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
/. 9, 1
1. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT N04. D~~
ztNING (office ..<<)
(Please tvPe or JIrint and sian at bol tom)
ADDRESS
/ L:) t.j~- J
f{ /'Ce~Y
'- (
Pr7; 171 1Z,.jJ
LOT BLOCK
LEGAL DESCRIPTION (office use only)
PID
~T~.# OJf\ieL~oU
/5-~/S-/ g('c;e~v
, (
APPLICANT D I () I I . 1
(Name) [aJcL~fq~ ItJ(./
(Address) ~ ~ ~,+~ .,
(Address)
j2 : II !11d/ --h 'r1 (phone)
r.)..J..LJ, . ____-
~ 7;#//V"P
OWNER
(Name)
(Address)
(Contact Person)
ADDITION
(phone)
felll1 +- t/!
(phone)
~-h)I\f)~~
(City)
b)Z-70!-btJ1/3
/JI).,/ 5~--a2-
(Zip Code)
W-7Qj -beL'!5
DATE J - b - 2cr:;x::r
APPLICANT SIGNATURE
Quantity
I
APPLICANT PLEASE COMPLETE 'ELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
LaundIY Tray (I or 2 compartment sink
Shower Stai I
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ / 000 ~
Building Permit #
tJAiD WITH
~AJILDiNG PERMIT
Pl.UMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Duildin!! Official
Date
-~
Dat'i. 9. 0 I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
464(i Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: /. 2.09
Building Permit # 0 9.0003 PID:
Site Address
/5~S/ (?tz.6:b?'/ PT. ~
Legal: L B Subdivision:
Existing structure@r NO
Zoning:
CONFORMS TO ZONING
ORDINANCE
YES
NO
J
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
v
Is the property located within the flood plain?
,~ ~
\. "'"'-- Refer to Planning.-J
- -
Does the alteration include any additional kitchens? Refer to Planning
V'
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
v
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, grOUlJ home, day care, etc.)?
Refer to Planning
v
THIS CHECKUST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW,
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 15451 BIZ-Gt;; '--i., PI. Je-O.
TYPE OF WORK /3rJ77-//GOOI"1 fl(;/ "E'RfiIlOtJ
USE OF BUILDING as A- / /G
PERMIT NO. 0 q, 0003 'DATE ISSUED I. z. 09
BUILDER H tJ..s WN 71 f..L),e6 . PHONE # qdz.. q 9+. '?6ZS'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE, PERMIT IS BY SEPARATE DOCUMENT
I L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING/ PI.. ,eX I (UJJf- I hIt-. 01
/
(
FINAL / f")f./
/
l
i
(
I -1kt ,) ,-
\ ( II . ,r---
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
,I ~