HomeMy WebLinkAboutBuilding Permit 03-1118
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED \\.J\.~ O~ 2~aQ
ADDRESS -1.S3.11 PO. Unr\A q>CUb
OWNER CONTR.
PHONE NO.
PERMIT NO.
C-l{(fj
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,2("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:
LV \JJ /"
(\ \bJ^(-'
lJ ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR'71ALL FOR REINSPECTION BEFORE COVERING
Inspector: r;-)il / Owner/Contr:
CAL~L17.J[ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V -
CODE RE 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INmOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8.25.0.1
~.~i~~e ~:;y I PERMIT NO'O'?_/I/t2
3 . Yellow Applicant ...J (.I
(Please tyoe or orint and SilUl at bottom)
ADDRESS
/53// PIt?; /flJ~ ,t?/lJf'
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
(Phone)
-
~;;~~R ;; ;fb'Ia~/1fry ,t{ /nO il~ q
(Contact Name) &rc':' u/-LI( ./
(Address) /'117 Mc;kYlI7M C/r:t VI~rul7
TYPE OF WORK
o Misc.
ZONING (office use)
/Z-/~
PID z5: J' 7S-. t1 01:. U
(Phone) f~2..- ere{; ".5t, (jq
(Phone) --.u (2 - 2-02,- &, Z ( ~ .
__~ff; C,
o New Construction
~ower Level Finish
ODeck
OPorch
o Re.Roofing
ORe-Siding
o Utility 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
submitted plans. I am aware that the bui ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~teruponthepropeZ'~/2~. U2//'??;,30 ~b-!1103
- Signature Contractor's License No. . Dafe
I Permit Valuation
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 Fireplace
OAddition
OAlteration
PROJECT COST/VALUE (excluding land) $
$
$
$
$
$
$
$
$
-.,.,
......;.
,
l)OO.OO
?t/. 75'
Park Support Fee
SAC
-
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I.r?)
4--0,00
?/~sh:?
I Paid / /tL . 2,~
I Date . - fl. Z. s-: o.J
Application Becomes Your Building Permit When Approved
1~
Date
# $
# $
$
$
# $
# $
$
$
$ //y.~
11
Receipt;J4 o. ~~~.,g
By :J,
0
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
~. ~ul~ ~!~y I PERMIT NO. :"::) _ III 0 I
3. Yellow Applicant ~ "} (J
/53/1
/~ Ihvw IJ/AJA/
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
I
OWNER
(Name)
(Address)
Quantity
/
I
I
/
ZONING (office use)
PID
-nuu
(l~rl~
)
~~ cY(Phone)
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
t
APPLICANT!- _, n (
(N ame) -W\ -'4 \ C ~Y"\ V \.A :VY"\. b; ^'} (Phone)
(Address) 51:;).\ t..0, i l.p3 r~ Sf ~V,,",f<-
"
(Address) (City)
(Contact Person) "~'^-SOV\.. S~~,,;t (Phone)
APPLICANT SIGNATURE ~r~.. ~d~pf- DATE
\1PPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
1~d~?59o -It..." (}-
55-3 7 ~
(Zip Code)
95"o'-d-<7 d.--- Od SS-
1-s --0)
Type of Fixture
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
$
$
$
P,id . ~d
Date , q" 6" r )
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
.50 ~ \d)
(l iA
V
Receipt No.
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
..
P R 10 R LA KE . DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /53// dl(3J j-/()!ef\/ P~s..r
J
NATURE OF WORK LOW~ &6t/~/__
USE OF BUILDING e..e:~fl/~;
PERMIT NO. 03 - / I / <i1 I DATE ISSUED B. 25 0 ~
CONTRACTOR NEW C:tJJ.)Alnu../ PHONE ~/Z. 202,. VJZ/2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ -- --0"0 I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ _0 o. _.. ,. IIPTI;
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
a- -~
;;7
~.../<S--
,
I
I
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ 1111 ~o ..-. ..- -. III
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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.
(IV')
I
~tb
HAS
~
/(-2 Lj
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850