HomeMy WebLinkAboutBuilding Permit 05-0097
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
"rof~t
, t'
TIME
ADDRESS 33'1'( <3.otl,^<<i ~\QJA
\J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S'OOCfI.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
aLFINAL
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 GAS LINE AIR TST
o
COMMENTS:
L . L. Jil....1 S'4..
~I
( / 9lC n fj)/) r. . \. I _
V I (/ ~/J V lk/ -:--, Le
f^
,--... .
\. ~ WORK SATISFACTORY. PROCEED
~CORRECT ACTION AND PROCEED
o CORR~~K, CALL FOR REINSPECTION BEFORE COVERING
InspectOlt ' /1) Owner/Contr:
lL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2,4-.0:;
(Please type or print and si~n at bottom)
ADDRESS
32>'7'1 Sf/{/,A!6 6LE# C/R-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OS. 0097
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT 1/ BLOCK Z ADDITION
6L.-V IV W R 'T'EYL We:..rr
PID 26-: 36/. 01/. 0
OWNER r'~ <:-.1, L.
(Name) -' I eve... 07 e -€'/'e
(Phone) 9)---;.. -YY{)-86 70
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration o Utility Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of 0 struction: I II III IV V A B
Occupancy Group: A B E F H I M R S V
Division: 1 2 3 4 5
PROJECT COST/VALVE $
(excluding land)
I hereby certify that I have htrnished mf(lrmation on this applicatlOn which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorIzed agent for the
Jbove-mcntlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official ca/...e.. ke~permit for Just cau,,!?!. ur.the;:~, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlOns. __
~/-~ -~--r/ . _ J--~-OJ
Signature Contractor's License No. Date
Permit Valuation /, t){iO. 0 0
Permit Fee $ 34- 75
Plan Check Fee $
State Surcharge $ 51)
Penalty $
Plumbing Permit Fee $ +C( ()
Mechanical Permit Fee I $
I
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee I $
Park Support Fee
SAC
~""o~mg?i;/o;"d
, Buildlllg OIliclal ' ~ate
Paid
Date
75:zs-
2, !;",()4If-'
# $
# $
$
$
# $
# $
$
$
$ 1525
Rer ~B(,~()
By
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DVE
ThIS IS to certify that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
(Please type or print and si~ at bottom)
ADDRESS
339Lf SjJR/Al6
OWNER
(Name)
STFI/ E
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE,j ;;
AND UTILITY CONNECTION PERMIT L:j- lecl,w/ 9/. /.-;
r / {)S- --/
I ~i~i~e ~:~y I PERMIT NO. ;'\5'-. '") /5"
] Yellow Applicant (/- c:.;;J--
GL-G/V
&//<
N4I
LEGAL DESCRIPTION (office use only)
LOT II BLOCK ;l. ADDITION Q0-if}lUZV~ l,{J J2<J1
./f"' /
-/
.5/:6:C t--C
ZONING (office use)
PIo)S ~ =55/- Q /1-0
(Phone)
9J';J.. '/l/tJ - P61 Z)
(Phone)
(Phone)
ORe.~ifin.f , ~. ~wer Level ;'inis,h
/lw/I/ TD OS-
PROJECT COST /V ALUE $
(excluding land)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection 0 Misc.
CODE: J!I.R.C. DI.B.c.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S V
Division: I 2 3 4 5
o Fireplace
C;/f
I hereby certifY that I have hlrnished mJ(Jrmation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentlOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that thc buildmg
official can re~?mlt for Just cau~hcr71' I hereby agree that the CIty official or a deSlgnce may enter upon the property to perform necded mspectlons
X ..A' -2 /~ I 3 --)- '1- () .5-
~~ature ------." Contractor's License No. - Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
I $
I $
I
I $
I $ (,3 . ;J,)
Receipt No. 1./;(0(.(9
By d-
I ~2Gtf)O, tP~
I $ &" -z . z...S
1$ --.
I $ l. 80
I $
I $
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~ 3k~(os
./
Paid c.3, :J 5
Date 3 '3.&/<7
ThiS IS to certifY that the request in the above applicatIOn and accompanYIng documents is in accordance with the City Zoning Ordinanee and may proceed as requested ThIS document
when signed by the CIty Planner constttutes a temporary Certificate of ZOOlng compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
. (/!:>---i;fs- /f'JLA/ /c '7
Residential Building Permit ~ii~rp 05 - c;
Basement Finish or Interior .;;\.Iteration to Single Family Homes
BY '" ~ ~ Date --3 - Q c;- os-'
Building Permit '4
Site Address
Pill: . Zoning: ..-J
33 9L/ - ~J'/:YJ~.'~2- L~~ J}~
S bd" .!. ,/ /
U lY1S1on: . /
Leg'll: L B
E.risring Strucrur~r NO
CONFORi'rIS TO ZONlliG
o RD ill Al'f CE
Y'E S
NO
YES
NO
Is this an expansion of cb.e existing footprwt or
building height?
Refer ~a Pl~-n-n'ilg
Is me proPerTf located Mu.m the flood plain?
Refe:- to Pla.-ming
~o
06
No
Does the alLeration include any additional kiTchens?
Rere:- to Planning
Does the oro-c)osed alte:arion include anv outside
. . ,
entranc:::s othe:- than patio doors?
Refer to pl..rn""'9g
t-Jo
Is the proposed tlSe of tile fu:ished. space or
alte:-:l.tion for anytr..mg orne:- than a nor:nal single
farmly home (oEce, g:-oup home, day c::..re, etc.)"7
Refer ~o Plannmg
00
THIS CRECKI.lST ~lUST BE COMPLETED .~'fD INCLUDED IN THE B81LDING ?ERi'-i[lT mE TO
l'iWNTAIN .-\. RECORD OF THE REVrrw,
.\'T'":7I,r:JT .1 --:;'.. ..I - --~~r.: ~(-,r
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3394- cSP/6//l/Cj GLeN CAIe-.
NATURE OF WORK Lo lA/1:3k- t--GVEL
USE OF BUILDING /Z8J ~/~
PERMIT NO. &S".ootJ 7 45~/~DATE ISSUED ~. 4-, OS-
CONTRACTOR 5;/Ct:l..5 PHONE ffo. eGo 70
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
' THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
!i/~ ·
I
I
I
,
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 service cabinet is available, card shall be placed near main entrance.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
9p~J
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/1 I
./ jrolCJ1
(j 1./
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FOR ALL INSPECTIONS (952) 447-9850