HomeMy WebLinkAboutBuilding Permit 03-1346
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 44'7(p
,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NsULA TION
~FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ~~~
~;$~
(/
CONTR.
TIME
PERMIT NO.
} - (7;l/Y
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~R'l4.ALL FOR REINsPECTION BEFORE COVERING
Inspector: ( /)' \ 11 Owner/Contr:
CALL ~~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\l
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
/J'ISNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/qtjq(p
LEGAL DESCRIPTION (office use only)
J &,r;1 tyh II
LOT BLOCK !/ ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Mise,
/
Permit Valuatfn
Permit Fee L-
Plan Check Fee
1J 2tJ. Of) 0, Of:) I
$ :3 2..(, 2.$ 1
$ log . a ( 'I
$ 10.00 I
$ . I
$ ~tJl{)O I
$ /f(). &-0 I
$
$
I
I
I
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~'U~
Building Official
1(}/~(tJ~
/ Date
Date Rec' d
1/ :Jq-tJ3
I. White File I PERMIT NO 4f/J
2 Pink City . 0\ 7 -/3
3 Yellow Applicant ~
/J 1
h'tt /J!A.-i-J
-tFd-..
ZONING (omce use)
R/5D
,.,
PID ;;; ~--- 0'~1 ~ -- 0/ /-l J
(Phone) 9,J-,~ - '-/9'0 ~- /702
ed-i #- 9sz -,:;) 'J2- - R2i ~
(Phone)
(Phone)
COii~sJ"icense No,
Park Support Fee
SAC
#
#
9 -), 7 -o~)
Date
$
$
$
$
$
$
$
$
$ ft2c (,!~~
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,
~a~!f
J;; a1J '&t:U~
.:r~ k Jot it 4 AA-^~ r \I) 1-1- A-J-. 1/ oR~ CJ X-.J
.
o New Construction ODeck o Porch ORe-Roofing ORe-Siding
OLower Level Finish 0 Fireplace OAddition lMA~tiOn 10 v-DUtility Connection
~~ PROJECTCOST/VALUE (exc1udingland) $ ~tx)O'dO
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I hereby certifY that I have furnished i rmation on ~pplication 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-me '0 - wP".. d.... tb. at all c~truction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aw the buil' official can revoJse-this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon the pro 11/1 ne 'spectio~ --
X~- ~--_
<...
Water Meter
Size 5/8"; 1";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I
I
I TOTAL DUE
#
#
Builder's Deposit
Other
Paid
Date
~
{, ZOo ub
/IJ./ 7.U.-1
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
.~~
The C'tnlt>r or Ihe I..kt COunlF)"
"'-White - RuiI~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /J /Z-U--vr ~
f/ - /?IO r7 d :3
APPLICATION RECEIVED .......- /- ex 7 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructi?n _ activity whic)1 is proposed 57 . }
/'I!lc;~ ~4./IL ~ /Y-
O ~
Accepted Accepted With Corrections ~
Denied
.
~~
~~~
~._~~~,
~~ kI~~ I~
~7 W~ ~'1~~
~
Reviewed By:
Date: I~/~/o ')'
Comments:
~I
o-uL
I J-1IC) .
V
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
q /,;;-q -b3
1- Blue File I PERMIT NO .::> #
2 Gold City . (t.'.. "(. /',..'-')( ,
J Yellow Applicant _ /
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
~/LI'Ic;6 5:"lblli-Y' BDJ-~H-~ R1L
LEGAL D. ESCRIPTI. ON I (OffiC~Se o~ly)
:5D (p~"5' () t I
LOT BLOCK AD ION
OWNER
(Name)
') ;;, ~J fJ . .
A::,pi~;r&a:~1t #d--....
V
-J i.=:.R~~ ~ 10t~.c ~ 1M L vo~<:; G U
.. ,
/l/t!9(; S)../-A-DY RC-~H /,kl A-I '-
, -
. (Address)
PID z.:', .c+0 0;' G
(Phone) <f'j-:;' - ~9C'-! 7(']')
. . "
APPLICANT I J / "'\ - ---
(Name) ......JE-~~y H-Ai-.v6k-.S0 lUlOtc:JUi.<tj(Phone) 9~:? -~9,,). - e~/<.~ ~LL
(Address) 1L/L/9(; ...~N1+-/)y.Bii:../t~M _r.IQ/J-JL . ~JlJ/JLA-kP
(Address) - //"" (Ci{y) -
(Contact Person) _/::"J/ ~ne)
~/" / /;/ . ....--.
APPLICANTSIG~~"~t.-~:..--:::::=-~ ... .... DATE 7 - ~ ~ -03
~ ~CA~'~LEASE COMP~E;E BELOW
Type of Fixture Quantity
Bath Tub with or without shower (
Dishwasher /
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
.:2.
.S-
::z
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FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $ 10,000
/
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
6-~-3?)
(Zip Code) ..
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
.50 \~ \~ ,(
tP ,/y'
,)
Receipt No.
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
White - Building
Canar~ngineering
~InK - PlannlM'9-:::,
lhe Ct'nlf'r of the Lake Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
) /
APPLICATION RECEIVED
.J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted \1
Accepted With Corrections
.'
Denied
Reviewed By: Q r~~utt-
Comments:
Date:
q2D ..02J
VlSLw~ CX1 l~
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CA- c4-aLG(C-
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1'-/0/', S!lhff) V 1JfJ1cH 7/l,
NATURE OF WORK PAIt..F1A;i:l~ ~
USE OF BUILDING $'.(:;0,
PERMIT NO. 03,-/34(0., DATE ISSUED I()/IJJ/~ .
CONTRACTOR ~ ~ ~p ffIJd/Itt~4tL PHONE!1S%- rrz-8ZJS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
r I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
..
INSULATION
ELECTRICAL
PLUMBING () (b V~
-
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I OCV~!~ \ 11/1
rlV~C~ iW-Pfcr\
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~i I
I
(J
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
,
~/2i67
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