HomeMy WebLinkAboutBldg Permit 07-0876
DATE TIME
CITY OF PRIOR LAKE , /9' /
INSPECTION NOTICE SCHEDULED 'H/cYf.
ADDRESS '06~eJ en~S .eka
f
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A,FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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7-87~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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J(WORKSATISFACTORY, PROCEED
, -
o CORRECT ACTION AND PROCEED
o CORRE~LL FOR REINSPECTION BEFORE COVERING
Inspectol J/ "--J Owner/Contr:
CA ..L 4-~50 F~THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
q.f>. u7
(Please type or print and sign at bottom)
ADDRESS
White File
Pink City
Yellow Applicant
PERMIT NO'1 ~ 810
,.t) 0 gO
Lo-0P
ZONING (office use)
f2--
Pnrv~\f'r~3 (.
LEGAL DESCRIPTION (office use only)
LOT ')BLOCK '3 ADDITION
P CJL-,C1L-rc. l if<-D 2J i4.
PID 2~ -- SCj'1 -Ol.Z--Q
OWNER
(Name)
3(') (\0.. ~-f'\
Pennf _
(Phone) q 5 d ~ L-j L/ 7 - S- ::>-0 ~
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~Lower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
Bcao
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
:;terup~~ope~o~lneededinSpectiOns
/~ _Signature
Contractor's License No.
()9 It'.) dCO 7
I Date
I Permit Valuation 4OXJ. - Park Support Fee # $
I Permit Fee $ 81. 'be( SAC # $
I Plan Check Fee $ ~. . I Water Meter Size 5/8"; I"; I $
I State Surcharge $ L. - I Pressure Reducer ~$
I Penalty $ I City SAC and WAC # I~
I Plumbing Permit Fee $ .M." I Water Tower Fee # I $ ~
I Mechanical Permit Fee $ I Builder's Deposit I $
I Sewer & Water Permit Fee $ I Other I $
I Gas Fireplace Permit Fee $ I TOTAL DUE I $ . \ 2.<1 . z.s-
rI I ,
~ Y~""dingp:t;Jo7<d
, -~e
Paid t 4'1. -2-,
Date 1 J 1~{o.-1
.,.-..,. ~ ".........
R.eceiPt ~ o. I P~0 <. \
By 1<D~ -
Building 0
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 constJltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
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
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and siR" at bottom)
ADDRESS
~'-)03o Pondsec1'1e... L"
v
1. Blue F.ile PERMIT NO
2. Gold City . ..... _ S 7 b
3. Yellow Applicant {
SE
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) :rOr'la H'"'Io..f\.
?c n n ~
(Phone) Cj 5 d - <-f'f 7 - 5SC6
(Address)
APPLICANT
(Name) ..::.:rOilC\. ~f"\
Pen()~
(Phone) 95;) - Lf'-l7- S50(P
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
Quantity
__ 0 ~ - p _ D~TE .__pq illJ (JOQ7
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I LavatOIY (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Showe:r Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Tvoe of Fixture
I
.1
APPLICANT SIGNATURE
I
I
FEE SCHEDULE
Industrial, Commercial &: Multi-family 1% of job cost with a $39.50 minimum
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
Residential, New One &: Two-Family $99.50
Residential, Additions &: Alterations $39.50
Estimated Cost $ Building Penuit #
PLUMBING PERMIT FEE $ :Y1,sO
ST ATE SURCHARGE $
TOTAL PERMIT FEE $ '-10, on
'--
.50
Q\)'''{;IeoDb \2.,~
(Office Use Only) , ~ .
Th;, ,,;~WI iieoom'~Dg Perj.;t Whf App....."
VI <1J ~ . 1/ (~ 107
, Build~ Official ) l I. Dat~ '
~__ 24~ notice for all inspectims (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Paid
Receipt No.
Date
By
PRIOR LAKE
INSPECTION RECORD
DEPAqTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 50b0 1JCl.^<),<> e-v(:)c-
NATURE OF WORK L. L. FI""'5t-t
USE OF BUILDING 12e<; AIf7-
PERMIT NO. Or - 81~ DATE ISSUED q "/01
CONTRACTOR ~A-t'~r' p~,\),,",6 PHONE I{~l..- 441 ~.;)C(.::.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1_-' .Tn III I
'~N (Prior to Backfill) I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
.'ATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
frl!5 ~I 5)~JI
I
I
""7
GAS LINE AIR TEST
rUff-
COVE:R NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
GRADING (Prior to Sodding)
BUILDING
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 ser'Viye cabinet is available, card shall be placed near main entrance.
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FOR ALL INSPECTIONS (952) 447-9850