The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 04-0964 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I <./~82 OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION COMMENTS: DATE SCHEDULED ,-;z-PJ 61 t\l ; c.~ 0,4:-., J (/ CONTR. TIME PERMIT NO. LJ - 1'Lf 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 GAS LINE AIR TST o /. Da.o I ((~~ . txtuM-<So 'oJ '2. r~lIt~ ),~IO tl\rc~S<) , (\ l . \ A c...p """---' \........, .......- ) (' -,f\.L +: ( /J J ._~ o WORK SATISFACTORY, PROCEED X CORRECT ACTION AND PROCEED o CORR5tCTWOtl CALL FOR REINSPECTION BEFORE COVERING Inspectf>r: J 1/.7 Owner/Contr: v 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 14~ OWNER PHONE NO. o FOOTING o FOUNDATION ,Ef FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: "'" . J. <;1DAJ- \Y~ 2. ~vu&..e ~ SCHEDULED DATE I'" I1.A/.' TIME ~i tJ trt h- - 0.1 ~ oP~ " CONTR. PERMIT NO. 4. - '182. 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 b~J ~~ wi.~ 4~1J Mc.~ t.Uc..L<:'t:Ji~ o WO;:ATtFACTORV, PROCEED CO EeT A TI AND PROCEED ~ CO REcr ~U CALL FOR REINSPECTION BEFORE COVERING Inspe~or:4-.Y Owner/Contr: c'ALJ44J~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO;;; RE ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTj CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d ct, ~.f, d~ I. White File 2 Pink City 3. Yellow Applicant PERMIT NO. 0 if' .. P 1(,4-' (Please type or print and sign at bottom) ADL ~S '\ L _ -\ 0 L ~ lb\-\Tu.J b t\ u: \J tttLf ZONING (office use) er LEGAL DESCRIPTION (office use only) LOT 4"-BLOCK..3 ADDITION K,pPt! /hu, 4'C ~~~R ~ltL b ~~r-\ G\AtI:\ZOW (Address) \~4~L N\~~~t,Al.f Gttu: PIDZ,r: 3GZ.071,l) (Phone) ~ ~ Q'51) 403-HSL Wl~ )))- 4510 ~:~rJ BUILDER (Name) (Contact Name) (Address) (Phone) (Phone) OM'" I. CU';~ I hereby cemfY that I h ve fu ni~ authorized agent for th abov ~-n submitted plans. I am wan; enter upon the property per' o ~construction ,~ower Level FInish ODeck OPorch ORe-Roofing ORe-Siding TYPE OF WORK o Fireplace OAddition o Alteration DUtility Connection x PROJECT COST /V ALUE (excluding land) $ i information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or . ioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with building official can revoke this permit for just cause. Furthermore, I hereby agree that ~city official or a. designee may n ed inspections, rf)r '1l 11\f\1 , 0'\ /.J.. \ IJ}.r Date Contractor's License No, I Permit Valuation tf-; (}() d. () () I Park Support Fee # $ I Permit Fee $ fJ1. ZS I SAC # $ I Plan Check Fee $ I Water Meter Size 5/8"; 1"; $ I State Surcharge $ Z~O() I Pressure Reducer $ I Penalty $ I City SAC and WAC # $ I Plumbing Permit Fee I#,'/IV~ $ +tJ.0-0 I Water Tower Fee # $ I Mechanical Permit Fee $ I Builder's Deposit $ I Sewer & Water Permit Fee $ I Other (~lA:::?;;f'7U, ~ $ /., 0 lJ I Gas Fireplace Permit Fehl&J~Dt. $ HJ~w I TOTAL DUE $ 1'1~.~S- (J This Application Becomes Your BUfding Permit When Approved Paid ,'7(). z.~ Receipt ~, -rlYU 2)J?~ U~ 9/;;~ hi-I Date f.~ A'1 By ~. () Building Official 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 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 1. Blue File 2. Gold City 3. Yellow Applicant PERMIT NO. (Please type or print and siJ!;n at bottom) ADDRESS {\ \~4~~L ~tb\-tnNb~l( JKtlf ZONING (office use) LEGAL DESCRIPTION (office use only) I LOT BLOCK ADDITION PID ~'::~RrR ltLo \Lt~E~ ~t\1tnw (Address) \Ll4bL NtbH\l~bA\.I ~ttLf APPLICANT "w~El (Name) U (Phone) (q~) ~O)-IIS2_ \6~'nfN _~Ii) ~~- 4~lD woUL (Phone) (Address) (Address) Quantity \ 1\ (City) I \ (Phone) \._~:\ C\,yy-( '\..;, DATE ~~t j l\JJl APPLICANT tASE COMPLETE BELOW Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Eiector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other (Zip Code) (Contact Person) APPLICANT SIGNATURE FEE SCHEDULE Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildin\! 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 CITY OF PRI~I(lZ ~ HEATING/AIR CONDITION~!REPL~~RMIT Date Rec'd (Please type or print and sil!;n at bottom) ADDRESS '44~1 N\b~m~bP\LL :If{tLr I. Pink File 2. Green City 3. Yellow Applicant PERMIT NO. ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ~'::~R rRttL b \6~TeJ (1V\mzoJ (Add,ess)411~ Nlbmt~L( Cltflt APPLICANT D'" N En (Name) VV 1\...., . (Phone) ~qSL) llD~- HS2- l~{L) ~3- 481b i(\~~ WO~ (Phone) (Address) I\r (Add~ss) (City) (Zip Code) (Contact Person) (Phone) Sfvr( 14 \ (JJ)OL. APPLICANT SIGNATURE DATE PLEASE COMPLETE BELOW D REPLACEMENT fiALTERATIONS FUEL APPLICA DNEW CONSTRUCTION FURNACE MAKE AND MODEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. System ~EPLACE ~E AND MODEL '_~'.' ,-- . .. ,", .--- Industrial, Commercial & Multi-Family INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved I Paid Date Receipt No. Buildin!! Official By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /+4-'82- (l//C3IHTlNGf1V6 ~/~ NATURE OF WORK L.{JW~Je.. L4.3f}J[;L-- USE OF BUILDING !26S A/If- PERMIT NO. 0 4-.() Clrc 4- DATE ISSUED Cf. 2,1-.04- CONTRACTOR -PUEL-TZ::oW PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I .1. PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST I I COVER NO WORK UNTIL ABOVE HAS BEEPI SIGNED I I FINALS fff, { I I ;{ I ~/1D/tJ (/ , I ' ( I J ..." BUILDING ELECTRICAL PLUMBING HEATING DO NOT we r/F;' ,hfrt $ \(... J OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be pC1Sted 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