HomeMy WebLinkAboutPermits #03-0453 & 03-0859
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CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nlk
SCHEDULED I ~ e -0";
ADDRESS
~1DB 1;xiJ,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~. INSULATION
FINAL
. ITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<' -(/S-3
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
l. ~........ "lQlI\-,.,J",.Q P ~ 'i1:: ~ l,^--
~ t- . \.0.).... ~ t~ . ~ W\..tu. \lA.c.~
Q"f 0 1~g.U.ed
n /1
~
(\{~
/) /)
UvYt\V\\s ~
~ t~-c
. - -
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION A D PROCEED
o CORREC 0 K, L FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CALL 7 8 0 FJ. THE NEXT INSPECTION 24 HOURS IN ADVANCE.
- .'!./
CODE REQUIRrENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlIon
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS SlJo~ ~~\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
jlf PLUMBING FINAL
o MECH FINAL
COMMENTS:
tG.----. ~ (J ~~<:'
DATE TIME
/'2 -/7'05
df3~
5-~_
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlIon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
.3763
--
'-0 x
'~-~l
Date Rec' d
See Main File I. White
2. Pink
3. Yellow
Lj-/?-63
PERMIT NO():}~ 1/53
1;Q ~ I
LOT ~ BLOCK
LEGAL DESCRIPTION (office use only)
File
City
Applicant
ADDITION
~r\^ 3J
PID ,;2.5 - .39..". - Oc.;L -0
OWNER
(Name) \JJ e ~,~C\.'^^
Ph~
(Address) l ~q5
BUILDER
(Name) so"i'V'e 06
(Contact Name) Do...c..J.
(Address)
H-o/'WO";.
~r
Ot'.1..-€.
Su.+=-
a. bou-e
R SorvD
TYPE OF WORK
~ew Construction
OLower Level Finish
DMisc.
ZONING (office use)
P~D
(Phone) ((;5/) '-tQ6 - LjLjO()
~
~j-(\ ~ fV\~
5S t..2...;2.
(Phone)
(Phone) (qS~ ) 'I'f0 - 4$B 7
DDeck
ORe-Roofing
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
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x ~V\.~"MAN'\
i'b\'N)"'"')o
Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OPorch
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
105
:r(\C. 1459
~ p~ n 9-. I} Contractor's License No.
\ -c=A-I'Y~'
I 0, 0 lJ 0 ,,0 y I Park Support Fee
$ I, '0 Z I . '751 SAC
$ , &C?4-,/4- I
$ 5~ .57)
$ ~
$
$
$
$
/On.o CJ
/OO~oO
3-5".50
4f! /) 0
This Application Becomes Your Building Permit When Approved
~?~ o/;/~:?
Building Official
Date
#
#
Water Meter
Size 5/8"; 1";
t-IJ IS ls8
Date
$
$12-75_00
$ 250.00 I
$ 45.0tJ
$ /1 Zf) (J. 00
$ 71>(J.fJO
$
$
/f~~~' ~9
Receipt N6. -I tfYS' /
By ./':
()
. This is to certify that the request in the above application and accompanying documents is in accordanc~ ~ 2i zo~ 9fW9i ~mayFJd]s..Buested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows c~om.fV1 WI.Tanp ~ of Occupancy must be
~?~ 5/1/0.7
Planning Dfrector . 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
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
#
#
TOTAL DUE
I Paid
I Date
51'41. C ~l
1J1. 12. . () ~
/
See Main File
White - Building
Canary - En~ineering
(l='ink - Planninl>
The Ct"nlrr of Ihe- L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l/ )r' j1,jicc) /J' .1:./1./ /1>1,/
APPLICATION RECEIVED '::"/.- If - c; .~~,
,,-
l' !~ . _->
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<...J /-: -1/1 .' '/ /T)~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
r
7f~f.;
Date:
5/1//)3
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."
See Main File
r:rthitA :' Buildin9)
Canary '. Engineering
Pink - Planning
Tht" C("nler of the L.kf' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /J)~/J1d/2/A/ HermeS
... -
APPLICATION RECEIVED L/- /f"-CA.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-~ ?CJ3 FCJx/-4// Tr
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
,
?~
Date: _c ~/; /6:?
{ - .
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."
See Main ~ile
White - ~uilding
(' t;anarv - t:nginPer'tng::>
Pink - Planning
Th~ Ctnlt-r of tht' L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"I J "j( '", /n '
,.; ,,' ,w:;:.... ~/"-,"
!' _ /f-> ../) i(.-</!..f,1./
~..'" .. .. .. ,
.,,/ /. ~ . .'" r"
A,-,"1"'r74jl'-. "'-
,/ ~I ,~...~ /'. "".,_~
;' ~...
L;l--.
/V'-c') ~
t 1} -"-...n./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-. . -~~ r--' _ .' ' - __ ' .' /
.< /; /J -"'; /---.-. ') -'/7'r::.'-f' , /. ./ )~.
~ _,' ,_ \..... .. (..? .,.t, ." -
Accepted
)(
"-
Accepted With Corrections
Denied
Reviewed By:
M40
5 ~e. 172~/n
Date:
s--,-o~
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,"
APr.21. 2003 11:33AM
GENZ RVAN PLUMBING AND HEATING
No.0366 P. 35
r
Date Rec'd
CITY OF PRIOR LAKE
SE""VER AND WATER P~RlVllT
(Plcz.se tYPe or 'Ptmt aJ:ld Sl~ at bottom)
ADDRESS '1'\
7;1tJS ~rJX' ~~/{;[ W1.
, .
i ~ ~;~. I PEAAllTNO. 0_ 4 L'1
3 Gold Appll......t Q ~
ZONlliG (office ~e)
LEGAL DESCRIPTION (of:li~ use only)
LOT kr.OCK. \ ADDmON
Wensma..-vWl ~111L
Pro
OWNER
(Name) Wensmann Homes
(phone)
Eagan, MN
(Ciry)
651-905-3709
(Address) 18.95 Plaza Dr Ste 200
( AdJirE',ss)
55122
(Zip Cpde')"'. '-.
A:J:lPLlCANT
(Namt;) Genz-Rvan Plumbing & Heatin~
(Phone) 651-423-1J.44
(Address) 14745 So Robert Trl
/1 J" (,Address). C. 0 ,
(Contact Pason) _ VV \ ~.s:.~"I ~ 0.U \' (I
! 'T_ICA.NT SIGNATURE rA A A ~ ') '1a J 111
F,Q~pm(l1lnt:. '<]\1
(City)
,)'50fiR
(Zip Code)
(Phone) fi '51-423-1144
, DATE ~b1.-0,~
APPLICANT PLEASE COMPLETE BELOW
Size of water service, inches.
Location of any couplings' from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) Jocate~ at feet from structure.
ResJdentlal sewer and water line connection
Sewer connect:lon only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-famIly 1'% of job cost wIth a $39.50 minlmum
$1750 Water connection only $17.50
Estimated Cost .$
BuIlding PermIt #
SEWER .AND WATER PEfu\11T FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
8l4{3!1() hh...
~NQ b:!Jf
))~~
~"..
(Offiu U!lt Only)
This Application Becomes Your Building Permit Whe.n Approved
Building Official
Date
m~~ ~ Q 11] [Cl
L_ N~ "t :i lfjGJ j
Receipt No
I-
By
rr
24 hour notice for all Inspections (952) +1~50, fn (9~) 417 n..." .::
_-PaE
RUOW- ~
... - CIY'I
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: 3~~ PHONE: ~2-~-~/9'9
ADDRESS:~~~J~n:
SIGNATURE: ~- BLDG. r~.1:.L' I
SITE ADORES. 703 - hV~1 ] PIO'
.
CITY OF PRIOR LAKE
SEWER AND WAl.U( PERMIT
HOTE:
S.Vi.No. 3 - IJ~~
1.
FILL IN THE BLANKS
Estimated length of water service ~d
/~I
Size of water service inch(es).
Location of any couplings from structure
feet.
2.
3.
feet.
5.
Type of sewer pipe. ABS
Estimated length of sewer line
PVC t><
6"0
cast Iron
4.
feet.
6. Clean out (if required), located at
structure.
feet
from
======================~~:===================----==================
This application becomes your permit when approved.
BY
DATE:
=========~============================~-~=========================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water pe~A/rr are
DATEi:::: . '[~ ~ @IEUWIE'I.AMOUNTPAID BUILDING ~:MIT
RECEIPT # JUN 2 7 2003 J REC' D BY /.A--
LJ I '1/
By_
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An l<"nlll Onnnrtnnitv l<rnnlnvp..
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date R~c'u
,
1. Pink
}, o...n
3. Y dlow
~; I PERMIT NO"3 ~ LIS 3
"ppll<onl
(Please: type or pnnt and si~ at bottom)
ADDRESS
~.,o3 I-~I~
ZONlNG (office use)
LEGAL DESCRlr nON (office u~e only)
LOT
BLOCK
ADDITION
PID
OWNER! , '\ "^_ ^ ~ " _ ____
(Name)~rr"'-LITVr I
~Add.ress) Iyqc:; p~~ DA-~~() f~ rnn 5S/~
APPLIC,eu~T .
(Narne~-h:mtn\v-(. . r~O.JLO.-09 lr~ + &.~i::.Q.C~ (Phone) ~ l v3-.3 i '5- 75CC
(Address) ~ \ 0 LJt ~c:m'. nr (j.l of. 0: 0./L~ ~r" H::'l- J{. rh () s.c:; liL/. S
, '.' ,( ~ddl'c:ss) Q (city)
(Concact Person) k' r~'\<::"'. U. '..J (Phone) 'lec3-31 5-7~/L:>
, -L/' ___ / / _
APPLI"CANT SIGNATURE 7( AA....z.) ;(p.'/t. '?'I..2_??-;Q.r-..j
(phone) (,D5'/- C/ov, - </'/OtJ
(Zip cc~)
DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~EL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Watr::r
o Mechl\nicul 0 Radiation
DAir Conditioning 0 Special De"ices
OVenl System 0 Other Devices
PLEASE NOTE:
Air Conditio net Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ,rY\3 3CdlD~~ RK:J
Industrial. Comme:rcial & Multi-family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$:>9.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
539.50
Residential. Hc<lting & NC (New ConS1l'Uction)
Re~idcntial. Heating Only (New Construction)
539.50
539.50
Estimated Cost $
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
i';(j~1T
(Office Use Only)
This Application Becomes Your Building Pennit When Approved r f~ ~--- Receipt No
."OIdI..om".. Dol' - JI ]~i~T ~ a 2;0; iir ~
2" hQur notice for an ib~pections (952) 441.9850, rax (952)4474145 I _'
i\31anl.:! 3~VHV~ :)IlVJWLl1~:"_~---~1.mi XV.:! 61' :01 CO/<:;:;O~"-
<:001600 iii
2003 2:11PM GENZ RVAN PLUMBING AND HEATING No.5223
C.ll 'i OF PRIOR LAKE
HEATING/AIR CONDITIONING/.lflKEPLACE PERl\tul
P. 7 9
Date Rec'd
~. ~~; I PERl\-fiT NO. ~ -u 5:3,
3. Yon- ....P!'Ucon< ~ ./
ZONING (officc\lse)
LEGAL DESCRu::' uON (office lUe only)
101'!J. BLOCK I ADDITION
PID
OWNER
(Name) T.T",....",,",,,,.,.,.... '\.1'......."'<:
(phone) 6.51~9n5-17nQ
Eagan, MN
55122
(Adm~~ 1895 Plaza Dr Ste 200
APPLICANT
(Name) Ge.n7.-Rvan Ph,mbtn<: & Hp,qrin~
(phone) t,C;1_.!.?':l_11!.L..
(Address) 14745 So Robert Trl
!I. '. (A~) (City)
(Contact Person) ~ iVI J2A,ti m J (" (phone) Ii ') 1 -1I , ~_ 11 !.l.
,APPLlCANT SIGNA~ -nl 1 ~I\ r1n 0.1 /1 DATE K.4 -0 ~
APPLICANT PLEASE CO:MPLETE BELOW
~w CONSTRUCTION 0 REPLACEM;ENT 0 ALTERATIONS
FURNACE MAKE AND MODEL llVl not - . ~ .40 FUEL tJ1tr ~l1s
FLUE SIZE RETURN OPENINGS C) INPUT q0 r51fTJ OUTPUT -"2Z, f5l5lJ
TYPE OF SYSTEM HEATING OR POWER PLANT
~Wann AIr Plants 0 Steam
. :JGravity 0 Bot Water
~eChanlcal 0 Radiation
iT Conditioning 0 Spedal Devices .
Vent. SyStem 0 Other Devices
Ro s emotln t. MN
55068
(Zip Cock)
I
PLEASE !'lOTE:
Air Condiboner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-FamIly
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
S39jO minimum
S99.50 Residential, Additions &. Alterations
$6450 Residential, AC Only
$39.50
ReSIdential, Hc;atmg &. Ale (New Constructton)
Residential, Heating Only (New COl1S1IUction)
$3950
S39.50
Estinlated Cost $
BUilding Pennit #
HEATING PERMIT 1'~.t.
STA T.E SURCHARGE
TOTAL PERlVllT FEE
$
$
$
.50
Building Otiicilll
~/. J:>
V/(() ":f/()
,,_ ~Q ilz?J'J
'.;)~ .- ~ ~ if tjj [~ilIT~iptNO. ~-9t~~
D~te mr AUG 5 2003 I /t. a
24 hour notice for :ali inspections (952) 447-91~~~(9S~!~~?-424S LJI V
-'-~, ;
(~r~ .. Use Only)
. ,...:1 Application Becomes Your Building Permit When Approved
~
K.~~t~(\;.',\~~';-! "-"r.-e sO"\ ""
'~~\j,~il
A ~ 4 ;OO~
u 0 . '~ "
2:05PM
GENZ RVAN PLUMBING AND HEATING
No.5223
P. 3 3
Date Rec'd
CITY OF PRIOR LAKE PLlTh'mlNG PERlVIIT
1 Illue 'ile
2. GcJ4 Ci17
3 Yollo" ^Pl'liCOlll
I PERMIT NO. '3 - LI-.:>~
(Please type or l)l1nC and SlJ!ll ar boaom)
ADDRESS310Q tvx--tad
11d.
ZONING (otW:r.:u:;e)
LEGAL DESCRIPTION (office use only) /l /J
LOT fj BLOCK I ADDITION /AJifl/\J11t1J1n 8/IR-
PID
OWNER
(Name) W<losmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
(N~~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Add[ess)
(ContaaPerson) C/Il f!)..sii ~ ~
APPLICANT SIGNATURE ~-:/::;M
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
I Bath Tub with or without shower I" ~ Rough-ins
I Dishwasher I J Water Heater
I Floor Drain I /!..j:: Water Softner
1 Lavatory (Bathroom Sink) I / Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
, Bar Sink I Lawn Sprinkler
I Water Closet (Toile~) I Other '
Quantity
~
I
J
f
;
I
~
(phone) 651-423-1144
Rosemount, MN
(City)
55068
(Zip Code)
(Phone)
651-423-1144
DATE t -L/~oS
FEE SCHEDULE
Industnlll, CommcrclsJ & MullJ~faml1y 1% of job cost wIth a $3950 minimum Re5Jdennal, New One & Two-family $99.50
Resjdential, AddItions & Alterations $3950
(Office Use Only)
T~is Application Becomes Your :Building Permit When Approved
EstImated Cost $
Building Penmt #
PLUMBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
e~d!1()
~G I1?h
Receipt No. ~
~
Building Offici2.l
DIU'e
()
!Jf
1'\ 1Ef~~:~ ,,[7J'. \\1 I~ il'f'"
U~,-:JU:JL uLS
~ Dite
, AUG 5 200~
G
By
LJ .
24 hour notice for llllln~ped:ions (95Z) 44 7-9850, fax (952) 447-4245
By ,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
· n File
.
,
(Please type or print and siJtll at bULLu",)
ADDRESS
---.37()~
re)(
MaiJ1 P':le
AJJ
~
lc..) \
" fe. ,
LEGAL DESCRIPTION (office use only)
vJe~ 3s'cJ
LOT.:J.. BLOCK l ADDITION
OWNER
(Name) vJ... \~m.o...:{'.,^,
(Address) lBqc:;
~o.t'W):".;>
::r~,
p(o.~
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
6-d7-tJ\3
I PERMIT NO. 0 ~ - ~5'1
0."
--b pp('~+
0'5 -4,~~
ZONING (office use)
PUfj
PID .;tS - 3~ -~ "rD
(Phone) .if.-:e: ~
}r'Y\'t-l
Dt~~
S:wk .,;)QO
.>-.... "',o..{\
-.J
BUILDER
(Name) S~ o.....~
(Contact Name) Da.J.o.- \ ~
(Address)
o....\oo..,.e
~~
TYPE OF WORK ~New Construction
DLower Level Finish
I , L)
o Misc. \ z.. )Cf~ rOtz.e..E:f
~cc.. - 'i!100
(Phone)
(Phone) (~S;).)
o Deck ~orch
D Fireplace DAddition
ORe-Roofing
DAlteration
PROJECT COST IV ALUE (excluding land) $
~tto - 4CS87
ORe-Siding
DUtility 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 10ca1laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter up;:}perty tRerfo1;e:::vons. /4 S S ~I ~/o ~
Signature Contractor's License No. Date
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
"90tf)tJ ,00 I
$ /~ 7- z.s
I $ /oF, 7/
1$ ~~O-
I $
I $
I $
I $
I $
This Application Becomes Your Building Permit When Approved
~~
Building Official
~l/a/17
Date
I Park Support Fee
I SAC
I WaterMeter 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 Paid
I Date
Z-J/J/(fP
1-'JI/.tJ?
# $
# $
$
$
# $
# $
$
$
$2P(J 4h
Receijfo. ./'>l)7J
By (J ·
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
isS~ ~ 7/la~3
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 Cenler of Ihf' tab ('ounlry
Main File
White - Building
Canary - EnQineering
(' Pink - Planmns.>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
./
APPLICATION RECEIVED (,/ l
The Building, Engineering, and Planning. Departments have reviewed the building permit
... application for construction activity which is proposed at:
( '," /
(I
( (
Accepted
Accepted With Corrections
/
Denied
,..
:~.
'" Reviewed By: ~ ':f~
Comments: Ptrte.L ~; J '2... 1)C! 2 '
Date: ~!J ~~ '3
.....
"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."
MaiD Fi.e
c:1lhite - ~~~i1diiiii:=>
Canary - Engineering
Pink - Planning
The ('"nler of the t..kr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I;)~ ~
APPLICATION RECEIVED (0- ;2 '7 - -3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: "
3103-- 7-ox /~ ~11~~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~7~
&d,,-~
,
1"2...
Date:
'lC/~J
7jO/~3
. .
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."
.~
Thr Ctnlrr or thr Like Country
MaiD File
.
~ - EJuilding
'nI - Ensineering.;>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
..' .~fl<'./'.f.."" \.:~..</.
j.. ...f....."/
~";~}~:.:l-"J-...,./'
APPLICATION RECEIVED (,- -- .'-
""'\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propose~ at:
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c. ' ,;1.,
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'v /
1'- .'
t'~
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Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~~l Dale: .1.j.3J.o"-J
Comments:See Relrse Sid~for Additional Information!
See Attachments: 1) Gradinq Plan. 2) Erosion Control Measures
3) Erosion Control Plan
"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 ~lJ3 t.....xTA.L. T(l.A'~
NATURE OF WORK tJEW c..~CU~
USE OF BUILDING 'S.~ "'.
PERMIT NO. (J3-0C/s::3 DATE ISSUED ~ I llLJ
CONTRACTOR ~I'J~N ~- ~ PHON~-t.(f;a7
NOTE: THIS IS NOT A PERMIT FOR ANY 6F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
~
~~ ~~")
U;1D /fr\
FOOTING
-J
~p ,..~
Pr7/j
~
<}f
~zC'
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
we
rl/!
\ "! -0- 0 t.\
r~
/~~ {J
, - f, ..ol1
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) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
5703 Fc()"j-- -k, ( J;~I I
CONTR. 63 - $'5 ,
ADDRESS
PHONE NO,
PERMIT NO,
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
o PLUMBING FINAL
o MECH FINAL
~~ILL1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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!
INSNOTI