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Home My WebLink AboutBuilding Permit 05-1227 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE :lh}01 I t TIME ADDRESS 3 J"S3 ~ ~ fox fCli.\ ~ ----- , r' OWNER CONTR. PHONE NO. PERMIT NO. .-S- - J ::0. 7 o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: - I I () l (\ \~ ~ t:l-P - .J \.. >' WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORREC~' CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: .CALL 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERllJ41CATE OF ZONING COMPLIANCE. AND'" llLITY CONNE\..IION PERMIT Date Rec' d 12. 2~.tJS I. White File PERMIT NO 2 Pink Ci.y . 05'.. / z ""77 l Yellow Applicant '- (Please tne or Drint and sip at' . ,I....) AuvaESS ZONING (office \lie) 3.35..3 nn' .,AIL .,A.AIL NIV LEGAL DESCRlPTION (office use only) LOT 5 BLOCK I ADDITION V I (..() $ OWNER (Name) J' ~F;:';' ~ 'I '- "J.lAY'~ (Address) 3J~ ~ f7;x 741L. ,,(.4IL. BunDER. (Company Name) ~f.: ~ (Contact Name) (Address) st!J. PID 1<.~537S O()St) (Phone) qS.J...- Y'V7-5SdQ /Vh/ ( HtJ#III If /Jw^,~) (phone) (phone) TYPE OF WORK. 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace OAddition OAlteration OUtility Connection 0 Misc. CODE: OI.R.C. OI.B.C. Type of Construction: I Omapancy Group: A B E Diyision: n mlVVAB F HI MRSU 1 2 3 4 5 PROJECT COST IV ALUE $ (exduding land) I hereby cmify Ihall have furnished information on Ihis application which is 10 the best of my knowledge true and ........ I also cmify thai I am Ihe owner or authonzed agent for the . above-mentioned, '.,. .., and that all construction will conform to all existing stare and local laws and will proceed in accordance wilh submitted pians. I am aware that the bui1din1l official can revoke this permit for just cause. Furth......... I hereby agree that the city official or a designee may enter upon Ihe ,...,....., 10 perform needed I'~r..';nns. x-# .(L.fI"-' Signature Permit Valuation ~J 000,00 Permit Fee $ 8 7. ZS P~ChdFee S State Surcharge $ Z ,() 0 Pen~~ $ Plumbing Permit Fee t$t/ d HI^,~ 4-0, 0 0 Mechanical Permit Pee' S Sewer & Water Permit Fee S Gas Fireplace Permit Fee Iff '''I-I!/i!- 4-0. () () This AppUc:ation Becomes Your Buildln& Pmnit When A"". .. '. J Building Official Dale Contractor's License No. 11 - I~ -IJ~ Date I Park Support Fee I SAC I WaterMeter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other TOTAL DUE $ $ S S $ $ $ ~eYlU~ $ # # # # 1.00 $/70.25 508 z. '1 ,/ Paid /7 (). Z. S- Date /Z, z,o.(JS /) RecemrNo. B~. () ThIS is to cmify that the request in Ihe above application and accompanyinll documents is in accordance with Ihe City Zoning Ordinance and may r' ....J as requested. This document when signed by Ihe City Planner constitutes a ......r"....' Certificate of Zoninll compliance and a1Iows construction to commence. Before occupancy. a CertifICate of Occupancy must be issued P1anning C:...... Date Special Conditions, if any 24 hour notice for an Inspettlons (952) 447.98~. 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 silltl at bottom) ADDRESS )J5.3 F())' .,A/~ TA-A ,,- NW L Blue File 2. Gold City 3. Yellow Applicant PERMIT NO. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT $ BLOCK I ADDITION IVII,D's st.A PID Rl.S:37~()()S () OWNER (Name) :rc.FF~ '1' L .,.IIA'(Ji:~ (Phone) '1$; -~V7-SJDD (Address) :J:J$.J F{/'y. 71"911_ T~AIL- /Jw APPLICANT (Name) :rg:.,: THAYFI't (H{)fl1': tJ'V/VeIl) (Phone) 1,,;.. - "'17- 511()O (Address) (Address) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE ~ ~~.__ DATE --.a -15-b< APPLICANT PLEASE COMPLETE BELOW I Quantity Tvpe of Fixture Quantitv Type of Fixture I Bath Tub with or without shower RouAA-ins I I Dishwasher Water Heater I Floor Drain Water Softner I .2. Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Eiector I Shower Stall Backflow Assembly Sinks Backflow Assembly Test I Bar Sink Lawn Sprinkler I Water Closet (Toilet) 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 Pennit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ PAle WITH ~D'NG PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By BuUdin\! 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 Residential Building Pel uJt Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ~ ~F-' Date: I&jZ6/oS::- Building Permit # Site Address 3:5 5:3 Pill: Zoning: 0/ TO-:-! ~'L JJ. trJ, L~al: L B Subdivision: E.rlsting Structu~r NO CO~'"FORJ."IS TO ZO~ThG o RD IN"AJ.'{ CE ~ NO . Is this an expansion of the e.'tisring foo~t'~~t or bUllding height? YES Refer to Planning NO Is the property located within the flood plain? Refer to Planning v- I/' V Does the alte:-ation include any additional kitchens? Refer to Planning Does the l-'~ v~osed alte:arion include any outside em:ranc~s other than patio doors? Refer to Planning Is the proposed use of the A"ic:hed spac~ or alte:-arion for anything other than a normal single . family home (office, grot!? home, day c:u-e, e!c.)? Refer to Plamring v / THIS cm:CJG..lST yn;ST BE COMPLETED AND INCLUDED IN THE BL1LDrNG PER:.yIlT FilE TO ;\,L-\.lNT.-UN A RECORD OF THE REVIEW. .. T .\-r,:;~'[12I ;l. IT,,:.T ,("T;C<' DOC CITY OF PRIOR LAKE HE:ATING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please type or print and si~ at bottom) ADDRESS 1. Pink File 2 Green City 3. Yellow Applicant PERMIT NO. 3.3S3 Prll' 'TAII_ 1'-'..41{_ AlV ZONING (office use) PA.I/JJf.. 1-14 /tI. tr MtV $$37).. LEGAL DESCRIPTION (office use only) WT S BLOCK I ADDITION WII-()$ S tj; PID Il..^SJ 75 PO> 0 OWNER (Name) :r/ifFEA.. y '- r"'.4y~1{ (Phone) fS:;. - r~7- Sept) (Address) )3$3 MJ)& rl4'I- rA..A'l- A/VV APPLICANT (Name) S€e;: 'L.I::M..y CIt l.J:Jp1fl1 IE /Ji-vN"'~) (Phone) 'tSJ. - I./V7 - .s800 (Address) (Address) (City) (Zip Code) (Contact Person) . (Phone) APPLICANT SIGNATURE -#' ~.... DATE ~:1 - IS" ()fl APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL fL/~1 PI9'A..~ Ill/) -C- FUEL /VAT. aA.s FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants 0 Steam DGravity 0 Hot Water o Mechanical 0 Radiation DAir Conditioning 0 Special Devices DVent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL ...f4A.:r€.STlC- DI/J'o ...~fN FEE SCHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AIC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50 $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # PAID WITH $ BUILDING PERMIT $ .50 $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By BuDdin!! Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDINc;1 AND INSPECTION SITE ADDRESS 3353 FoX 1/1/t- I/~/L- NATURE OF WORK L OW6"e. L--6t/b '-' USE OF BUILDINGeES A/Ie- PERMIT NO. OS. /227 DATE ISSUED /2. 2-0. OS CONTRACTOR /HA V6te- PHONE 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 GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS Yf/\ / / ~ /28f6J. I / J , (9 BUILDING ELECTRIC/\L PLUMBING HEATING DO NOT r/J I I I V OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE ~ & Iocr · f 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 ...~ --'ECT".)NS (952) 447-9850