HomeMy WebLinkAboutBuilding Permit 07-0841
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS ~~~ ~)c +l'lil k..l
OWNER CONTR.
PHONE NO. PERMIT NO. 7- 8-f(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JlI. FINAL
o SITE INSPECTION
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
COMMENTS: L .l. ~~~~
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'--l~.T~ +t'lO
-,-""
d"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORm?RK. CALL FOR REINSPECTION BEFORE COVERING
Inspect : Owner/Contr:
~A~ ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(Please type or print and sign at bottom)
ADDRESS
Y:Z9J>
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;=bx 76/1
"
LEGAL DESCRIPTION (office use only)
#a/ :I
brA
oV'~~dy .
:7eA9f ~~ ~/ /~I /
BUILDER 0 ~ / c/':"" /J -r:
(Name) (,NCf..I'''2. /(2 r r /7t!.?)n,~S ..pAC!.
(Contact Name) ~/h/ c?r' ~~//~~"
. /
(Address) ~ /~,-fS nrV^~ Al/~~
LOT JBLOCK~ ADDITION u/iM
OWNER ..c-r. 1
(Name) LA? J /I
~ Sh~t1Y\
(Address)
TYPE OF WORK
o Misc.
I
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
..JI;liower Level Finish
ODeck
o Fireplace
I.. White
2. Pink
J. Yellow
File
City
Applicant
Date Rec' d
9. (, . 07
PERMITNO. 07.064/1
ZONING (office use)
PID 2.5. +rz-. 00 r.O
. (Phone) t9s',2-;2:2i- ~/f
/hOf' L.a~ ';--5".]' lc2-.
(Phone) 9~-9k- S-Y$'1 <<!.
/'U//y fi'..l- ~?T'-- ~/ 7:)
(Phone) ~.A/k.,_ '!f....'? -,I/~- ~/7t2.-
~-dj//1h /U/f :s-Jb~~
o Porch
ORe-Roofing
OAddition
PROJECT COST IV ALUE (excluding land) $
OAlteration
.?~,
J
3,000.00_
$ 7'-1.75
$
$
$
/.50
$
$
$
$
+0. (}O
4-0.0 0
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
..-- ---
I Water M~ Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
Paid
Date
~ q.6.~"h
1/
~eiptNo. ~'f" 2]
0\
/i)~, 2--j
?- ' 0. -7
#
#
#
#
ORe-Siding
OUtility Connection
Oc:>~ p<
$
$
$
$
$
$
$
$
$ /S~.25
J
I
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 Ceftifi(!ate 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
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Dah: Rt:c'll
L Pink
2. Green
3. Yellow
File
City
Applicant
I PERMIT NO. D7. oQ07
I
ZONING (office
use)
(Please type or print and si~ at bottom)
ADDRESS
3;{ f g rG xllfl I +f?!-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
"
(Phone)
(Address)
1~:~~~ANT (On '1t~IIt' /J //2
(Phone)
0')/- Yt,o. &.~'::' i);J
(Address) ClI.;2/c) ,t>cl A::/f./ A {/t ~&//II;',[j,......J S5CJac;/
(Address) (City)' (Zip Code)
(Contact Person) /JII4/1'IL ~tI(d __ (Phone) ~~/- ]'/'1 -' t/'2//
APPLICANT SIGNATURE 114~~ DATE f''-/Y-d7
,..
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT .B-AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
UWarm Air Plants
DGravity
D Mechanical
Air Conditioning
r,."--::: \~m
(~~ACE MAKE AND MOD -
~ommercial & Multi:F .
o Steam
D Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDJJLE-..--...--------_
1 % of job cost f"./ Residential, Gas Fireplace }
$39.50 minimum '----_.... ./
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ .3'1.5'0
$ _f .50
$ .p L/tJ.OO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
-1"0. () ()
'1 2-0 u7
Receipt No. 5~"" ()
. /)
By /;It<-.
I
Date
Buildine Official
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 3z98 Fox T/J/L- /~/L
NATURE OF WORK LfJ W r:;tZ tEV6'("
USE OF BUILDING I2eS ,4/K:-
PERMIT NO. ()7. O~I DATE ISSUED 9. (P.07
CONTRACTOR ~T~L/lFF' PHONE qp;S 5QSCJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS eE~OW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL . r / .
PLUMBINGV~ 1J,50v! 11/ r~71
HEATING (if required) . /
FIREPLACE I
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
V/;V'
q-~
yLy1
~
q-l)7I1
q- ts'Y/7
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I /J
/(/) 3P'/d.'
v / tJ
I
I
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.
FOR ALL INSPECTIONS (952) 447-9850