HomeMy WebLinkAboutBuilding Permit 08-0181
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/If'1(o8 (?'xt'P_ ~"J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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v
1'\ "
I (J I 'f
rf1-..p i- I \.0
q/;;(~
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eif
TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~WORK SATISFACTORY. PROCEED
o CORRECT ACT~ AND PROCEED
o CORRECT W"RK~ CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND U L Y ONNECTION PERMIT
(Please type or print and sil:n at bottom)
ADDRESS
Date Rec'd
Lf--, 9 0 ()
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. OK-OJ?I
ZONING (office use)
I L}qb<6 -PI ~Ie -fOJtJ, {_ tn L lL
tzl5D
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
~'lebo tLl1 ~ ...JL7L.I€"'-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ty...01\J~Yl
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn ~lteration OUtility Connection
~ D i f'JrerUolt.- 0 Mise.
CODE:. I.R.C. I.B.C.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 & 4 5
As
SE
PID
Sino)-\-
(Phone)bl)..- 7Si-LJ"7 S 7
AbD'V ~
(Phone)
(Phone)
ORe-Siding ~ower Level Finish
pa'"FirCPlace
PROJECT COST IV ALUE $
(excluding land)
I hereby certIfy that I have furnIshed mformatIon on this application which IS to the best of my knowledge true and mITec!. I also certify that I am the owner or authOrIzed agent I"r the
JbovC-mcntlOllect property and that all constructIOn will conform to all eXlstmg state and local laws and will proceed in accordance with submlttect plans_ I am aware that the buildmg
otflU<ll can revoke tillS pClmlt tor Just calise FlIlthclmOlc, I hClcby aglt'c that the CIty offiClaI or a deSIgnee may enter upon the plOpt'lty to peltOlm needed inSpectIOns
X ~ ___ ,-/-O;-O?5
l Signa;Q 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
.sq OIJ) tJ () t), 00
$ jO $7,5"0
$ fo87,3r
$ c'5[) d!}O
$
$ 5d,OtJ
$
$
$ Se,/H)
This Application Becomes Your Building Permit When Approved
~~
Iluildllll! Unlelal
1/rp/{)t?
, Dafe
Park Support Fee
SAC
I
I
I
I
I
I
I
I
I
$ It Bq4-. ~
I
I
#
#
$
$
Water Meter
Size 5/8"; 1";
$
Pressure Reducer
Sewer/Water Connection Fee
$
$
#
#
$
Water Tower Fee
Builder's Deposit
Other
$
$
Paid
Date
- -
('JtL.U,e}J +f 210 fJ
I b '14- j~ Receipt No. h"c;c;qs
~.rZ1-ICAj By ~r~-
TOTAL DUE
ThIS IS tll certify that the request In the abllve applIcatllln and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the CIty Planner constItutes a temporary Certificate of Zonmg complIance and allows constrUctlon to commence. Before occupancy. a Cerntieate of Occupancy must be
issued ~
,~ Pla~: Di:::IOr LI-/g'~a~/< Int:er,'or- ,4e.:~~ions,~;:Y
24 hour notice for all inspections (952) .t.t7-9850. fax (952) .t47-.t245
4646 Dakota Street Prior Lake, MN 55372
FEB-20-2009 14:20
HEARTH t~ HOME TECH
952 985 6071
P.01/01
t.W"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I "Ilk
:. 0,.,
J, v.u...
~!~ I PERMIT NO. Q ffAt
Aftl;...... QY-V-I-
. ZONING (olfice
\!$e)
lPluse tt,De or print &lad sirn ;at bottoml
ADDRESS
\~qL~
~\Y\~ ?1J t.2.
LEGAL DESCRlmON (office use only)
,
(
LOT BLOCK
ADDITION
PID
OWNER
(Name)
(~~ ,5~d4
(phone)
4'0, ~, l{S7-
3J17
'I". ;.1-
(Address)
\~91.olQ PIV/8
v~
c~
(Address)
F'l t2 ~ , j)~ '~f\fL. 1\1 ~
1./00 ~All..VIL~ PN~
lio~~ (Phone) 1oS-1-- (P 33 -/0'-( '2...
;J, ~se\)lU~ lJ..1.J $1/3
APPLICANT
(Name)
(Address) (City)...... (Zip Cod~
) A (p~ , ~ (p -:) ) - I 0 Y L
'-;~~:~~~TU~ p<-~ .:uJJ-. . (Pho:~TE Z-/~/d1
PLICANT PtEASE COMPLETE BELOW
DNEW CONSTRUC110N 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plan~ 0 Steam
DGravity 0 Hot Water
o Me<:harUca.l 0 Radiation
OAir Con4itioning 0 Special Devicc!
oVent. System 0 Oilier Devices
FIREPLACE MAKE AND MODEL G--o L<..t5 ;>',_.c-,-_/~f\) LOC 'Coo ~_~j~ lJ.,-v~
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
539.50 minimum
~idential. Heating & NC (N~w Constl\lction) S99.S0
~identia!, Heating Only (New ConstrUction) S64JO
... __. . ,I
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I;dllStrill, Conuncrcial & Multi-Family
S39.50
Residential, Additions & Alterations
Residential, AC Only
S39.50
S39.50
Estimated Cost S
HEATING PERMIT FEE
8T ATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
S
$
$
PAlO WlTH
_s!lUiLDiNG PERM.IT
(omu UK Ollly)
BlIlldlac omclal
I P~id
Inlt ,D2. 2.iJ.t39
24 hour "otic. for an iaJpections ('51) 447-9850, fax (952) 447.4241
--
This ApplicalioD Becomes Your Build'nc Permit When Approved
I By
TOTAL P.01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMITr / L/ I
1/7/ or
; ~~~ ~~!~y PERMIT NO.., /.. . {Y I I
3. Yellow Applicant ~.
(Please type or print and sil:n at bottom)
ADDRESS
I LiC1bg ,?, XI ~ -PD IfJ \
(....-1 rz L I--€-
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BLOCK
~ VLe.60 f'L-1,1 1-.J LJ L- l L S 11t t'J l-j
Y\-s \PrY(.() I ') P
APPLICANT ~ Q e.- ~ ~ 'TYZ- D It
(Name) .
~1VUe.--
(Address)
~
(Address)
(Contact Person) ~
ft13,t' L.)C---
~
(Phone)
------. DATE
S -//-0<6
APPLICANT SIGNATURE
Quantity
I
/
I
~
I
:3
(,-,
J'-
-LJ
f
ZONING (office use)
PID
(Phone)
bI2-7~1-47S7
(Phone)
~I 2 - I ~)-- '--/7<; 7
(City)
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity _
Bath Tub with or without shower / <5
Dishwasher /
Floor Drain '
Lavatory (Bathroom Sink) /
Laundry Tray (lor 2 compartment sink C
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Estimated Cost $
Building Permit #
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
~~ ,5'/ILf/or
Buildin!! Official .. Itate
.50
ptJ;~OI't1
Paid
Receipt No.
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
White - Building
Canary - ineering
(f"InK - Planning
-r -
(,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By: #;y- Date: ~-/?dli'
Comments: 1.,t' hek r~bk~env>d- 1$ I'r<;~.s~ on Iv PXM.~r:
$/'ze .;- 5~__ ~k.L"'~ /$ a,/ttNeL
"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."
('White - Suildin9::=::>
canary - t:.nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ I k: Or_ I
4-~ q,
I
,
Gf 12E9 ~
On
:ruus
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14q (pflJ PI,^, (5 POl I\J (
Cir<~
Accepted With Corrections /'
5.S.
Accepted
Denied
,
Reviewed By: ~ ~,~ Date: '(lip/oF
Comments: ~ ~ ~J..O..R ~ 0)- ~
/
~. ~~ ~rV"-J- ~ ~~ ~
~ JilD[) ~ ~_~. ~ V1 J- b-r<.. .,
~~ ~ ~~ cY'~, ~~._ ~.~
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fh.Il~J~ ~~~.4'.~~~
~ ~~~ ~QJ -i~ff~J
.M> ~' ~ fn- p.-0 / ~.::tA./ ~ ~
~ ...hn.-~~~ ~
, V" 0
r! ~ ~ ~.:... (f\... AA.. - ~~ .
"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 /I.fCSc.S eiKiE P~iNr CIRcLe 'S.€.
NATURE OF WORK ;N'~ ALT~"'.
USE OF BUILDING S, s::-~. ~
PERMIT NO. 08 - O/BL, ~ATE ISSUED 4/1 JRltJ' _
CONTRACTOR~a" W ~Llc.E ~ P~~_fQS?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
." 'l:
.. t,.
INSPIjofTOR _
/'
DATE
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
L!-/~
1M
JIlh7
7-LfIZ
1~ l'Olf
. FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE \
GAS LINE AIR TEST ~yl:J6/~'
} ~ /" I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
EY.ItrNIHfXtrl'~ I I
FINALS
.
VVW'
l.//--t;{{
fJ()
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/J I I J
~bl I 4(~e'
~~~ I
,I Y I
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.
FOR ALL INSPECTIONS (952) 447-9b50