HomeMy WebLinkAboutBuilding Permit #03-0142
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J:;~~
OWNER
OA TE TIME
SCHEDULED ~~
Wi 1& lOr~:j
CONTR.
PERMIT NO. '3 -CJ /4 Z
PHONE NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
)l FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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3.J>...olM.':~ MJ)j~bb
.Y. CllAp "'A Ql~(." t-LUt:.~ lat-c4..nA.
8--(-0")
/
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CAL
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
DATE TIME
SCHEDULED ~
\53'bo ~LJn-(~~'YG-(\
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"'tiill FINAL
-ii'SITE INSPECTION
COMMENTS:
PERMIT NO.
C>~ /1"[
o ~~IFILLlNG
D~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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,
(.1J.J..'b SloP..-. 0 tL.,
(J!;U \) €.0 ~ S~~ 1'0 'ClUc("s( 'L. L.f:. - ~
"
t--Jo ::r-O ~ \.121$..)
;xl WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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INSNOn
I'
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
)/-/9-03
/5330 ~VIL-O w/Uc.ey
I1-T
SCHEDULED
OWNER
CONTR.
PHONE NO.
03 " / 4- 2-
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
9 INSULATION
;C FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SOO /17~
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
So) f- ~J~LtA
t"J {('
-
Cl ((i~
~ [:"1-11
)<WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
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 &: SAFETY!
lNSNon
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w
'I'
T
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
h-AO..6~
,
ADDRESS 15330 \..U ~ \&, \:}~
OWNER CONTR.
PHONE NO. PERMIT NO. 3, - 1..:/ 7~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GASLlf;'P TST
COMrNTS:. \
i: ?:?s~~
t ~ i 1Ad)N>d LOl't~
~ 'I/A<A~ 5v~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORR CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1- 3-D~
I PERMIT NO. 03 -0 I4--Vr
I. White File
2 Pink City
3. Yenow Applicant
@r-
LEGAL DESCRIPTION (office use only)
LOTg BLOCK 4- ADDITION~ W;,e&6 ~ah
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
OLower Level Finish
o Misc.
ZONING (office use)
/J-I
PID' --3g ;).-113-0
((Plb) 32$-Z.lg~
,
61
(Phone) ((012-) 32$ - 2/8g
(Phone)~/~) 32~-2Igg
$12--<1-
OPorch
ORe-Roofing
o Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application 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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub fie ans. I am aware that the ilding offic' can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
r up property to perform ne d inspecti :::/:f- J 7 IS- I / z, / () '5
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
This Application Becomes Your Building Permit When Approved
~ -::{J~
Building Official
I/Z7(o3
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"
".
,
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
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
~7~~
Planning Director
//:)7~.? /&d2 ~c~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.
The eeRier of Ihe t.kt COUnll")'
hite - Building
Canary . eering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Arillic, ~~
APPLICATION RECEIVED / - 3 - a
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15" 330 (j.)~ cX-<vJ%J (if-
Accepted
Accepted With Corrections
Denied
Reviewed By:
~ 7~ Date: /~?~3
Jf~ a4 cd:r~ ~~_~r
Comments:
"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."
.
r,
i
Th, (',nl" 01 th, Lak, ('ounlry
White - Building
Canarv - En(lin~ering
<::!Ink - Plan nino
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
! !
~ >
,
,
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-r-
Accepted
Accept~d With Corrections
",
~
Denied
Reviewed By: ~r ~..iJP Date: !jd?~-
Comments: /J,~, ~ ~ ~ ,d~
~. 2~f ~ ~d- ,e,dt0, 1-0
~-~'
"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."
The' Crnfrr of Ihe' L_kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/I:~ . ,c.-t~P;; /'
'f. j\..,-O-C '-'",.'<",--"
/ -
,
\./. i /j -', _., .<:
/'/'" , "I /) p'''' / (. '
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I,t.-:"" ..;:;-:).
,/ ,..j ~ ~--'"
(~L/L2 C{
/, / I,A I./.c/,
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
IYYIB
Date:
I - 31-0 3
Comments: See Reverse Side for Additional Information!
See Attachments' 1) Grading Plan, 2) IErosion Control Me:::lSllreS
I
"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."
.
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2 Gold City
3 Yellow Applicant
I PERMIT NO. /):3"'ilf J1
ZONING (office use)
RJ
c-
15330-U;Jce Ti.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PI
~38~J/"3
I OWNER
(Name)
(Address)
r-
~~(j
(Phone)
APPLICANT ~ I o~ L,
(Name) OU S TI 1k16 ZlL .
(Address) ;) lo J 3>4 't,.,J <f
(Address)
~
(Contact Person) 0
(Phone) (56 7) ?-(.;~--;1(J5.7
'[).eYlYl I' ?a';; ~;o/ &
(City) (Zip Code)
~sf) 17~- ~6Y/
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE CO
Quantity Type of Fixture Quantity Type of Fixture
J Bath Tub with or without shower I Rough-ins
I Dishwasher i Water Heater
I Floor Drain Water Softner
~ Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
l Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
~'f& Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50 I )
Estimated Cost $ Building Permit # /J .. A 1c.;!JL/
PLUMBING PERMIT FEE $ /' J ~
STATE SURCHARGE $$ ./" .50 rOd-
TOTAL PERMIT FEE / 'I
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No._
Building Official
Date
Dat2l_ /'1-3
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
.---.........-.----.-.-........>>...-----.-Ti.
FRor1 : ALL! ED E><CAVAT HIG FAX t.IO. : 9528959394
04"18..02 'rtiE 1)9:0~ PAX tll2U'7UU CITY OF fRIOR LAKE
t1a,r. 04 2003 10: 5iAt1 Pi
III il\l
O'M\"ER.
(N.~) _
(Ad.d!eal}
t"
Date Rec:'d
CITV OF PlUOR LAKE
SEWER AND WATER PERMIT
. I ' : I, I: .~,: ",:.,".~ r :'t' :'~ '~~~~ f:i; I, : Y
,: ;.
~M!.\'Pf arJlllat 14IlS.~U~}
L\5~M l-O;\dT~~~t_
LEGAL DESClUP1lOl'I ,.....~-
LOT BLOCK. . ADtm10N
--. l .,
u 1- \e.-,
\)b\~
APPLICANT
(Name)
(A4drfS') 7t 0
I (Colltaa Penon)
APPLICANT SiGNA
(om~ \I~ 0.". ',' '.' ,... , .
Thi. AppUcatioll Becona..Y......illCP".1t Wbea App,,",cd
;I'I:I;",iW,l'llfj>ll#l~!l'l~!1dj!'H ';;
nK SCHEDULE '. """,~F:I:I::'.\"
:, '::_ . ':1::'1:::,:;::,!1~}1,~~ >:";:~l!i', ',.
S3S.50 Indu,trial. Com'I" Muki-6a1ly 1% of,~~.;:_..S)9~ miaaDnn
. S11.50 W.terCOGr.ICtQ) ~l)1 ~l~!'!I':!~I:::"'i:::J:J.r~., "'. ,
.; I~ '. .:.\.,: 'l"l'~!.~~~I:~t!~'~~f'~~~~+t'l'~I~!~I,-+:.l,~z,,:,;
'D~_--.l. ,.', ' !:r:'::J' 'l:,.I,II;
~~(~If S B\liJdlna Penmt /I.. --.., . ". ..J,;".: ~.I ,,:,,':'tH'j .
'. . i;>':iI 'h.,!.I;I;IIUli.l.!.t~........",.. ..I.l.lI....Q.......f....b.'..lll.,':;:II,.
, '. - ,"j , ' , ',: .. :1,. '" ' ! ~1'r:,i.~~~;~.::'l!',:~;;.::'.:!llj,~ '
S&Wil,AND WATER PERMIT PEE S .' . "" I::~:;;"I::II;:-',.II! iT;.... .'.
STATE SU1CMARGB . , " ',. ,<" 1 .... '::
TOTAJ:.PENUT fEE : ..~~ wm.,
" ...G PERMIT
Bvdll11ll Otllei..
D._
t.
CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~::n ~!~y. I PERMIT NO. -:;- 1[.,1 ~
3. Yellow Apphcant . ;~ "
ZONIN G (office use)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
APPLICANT
(Name)
(Address) l.Jb 31
OWNER
(Name)
(Address)
BLOCK
PID
(Phone)
9SJ1. - 931., ill J...?
(Phone)
t/p. i'~ r'6f~
(Contact Person)
(City)
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 ALTERA TION~
FURNACE MAKE AND MODEL f(dJJt!. 711'1..1/)1) FUEL f -
FLUE SIZE ~'I flit- RETURN OPENINGS f' INPUT /P"J~ OUTPUT ~~
HEATING OR POWER PLANT
TIPY OF SYSTEM
< . e1Warm 'r Plants
Oyr.{v'
~~chanical
ir Conditioning
OVent. System
o Steam
o Hot Water
DJ!.odi"ion 11- ~.~
0'"Special De.vices ~ ;[1> '~ ii
~Other DeVices ~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
i equired Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILDING PERMIT
Receipt No.
.50
Office Use Only)
This Application Becomes Your Building Permit When Approve
By
Building Official
Date
24 hour notice for all inspections (952) "~~a~ (()~~) 447-4-~
~.
,
PRIOR LAKE
INSPECTION RECORD
153H'L.D ~ g;
~~sr ItJ
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING .
PERMIT NO. 0 --0/4- Z- .DATE ISSUED
CONTRACTO~ J./IIISIPlI "dA', PH NE ~. 6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
DATE
~-IB
FOUNDATION (Prior to Backfill) l5 - g'- 4'0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG .. INS
- s
..
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
1~
GAS LINE AIR TEST p-'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A.
'57)
c; - 2.5
- c,::?
GRADING (Prior to Sodding)
BUILDING~ ~ - '-0
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.'2,l(
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
'- \'1
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
I