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Home My WebLink AboutBuilding Permit 03-1505 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIt 1. White File 2. Pink City 3. Yellow Applicant Date Rec' d 1/., I () 4 03 PERMIT NO. 03-/505- (Please type or print and si~ at bottom) ADDRESS /5Z+7 tyll.--05 PrJ,e,t:::w'AY LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK OWNER (Name) (Address) PID (Phone) ~~~~R h~KK'/FP.#~~/ &/<.a.<fA'~ (Contact Name) ?(/oN ~ ~ / E. 7c8,,;1 3.,. (Address) TYPE OF WORK o New Construction jLower Level Finish f-' ~J o Misc. ZONING (office use) tj5'a .. 86~ .;J;r ~ (Phone) (Phone) ~t!JI:J~ /'//c: ';, O-v I o Deck o Fireplace o Porch o Addition ORe-Roofing OAlteration PROJECT COST IV ALUE (excluding land) $ /J/~ ~ ORe-Siding OUtility Connection I hereby certify that I have furnished' formation 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 fl e above-m oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. m aware t the buil . cial can revoke this permit for just cause. Furthermore, I hereby agree that the city Offi.7 or a designee may :terUPOD the ;;; tD P. ".~ Dee ctions. /797 / / / /oh ;3 Signature Contractor's License No. Date Permit V lluation 4-jOOO.OO Permit Fee $ B7.z.S Plan Check Fee $ State Surcharge $ Z.OO Penalty $ Plumbing Permit Fee $ +0 .00 Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Pc.,Uuit Fee $ 4-() .DO . This Application Becomes Your Building Permit When Approved ~ ~ 11/;1);';3. Building OffiCIal ' Dale $ $ $ $ $ $ $ $ $ /" 9. 2,!:;:) j ~ ~2; Receipt No.'?' V Q ~ By If Park Support Fee SAC # # 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. I Water Meter Size 5/8"; I"; Pressure Reducer City SAC and WAC Water Tower Fee # # Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4145 16200 Eagle Creek Avenue Prior Lake, MN 55372 Builder's Deposit Other TOTAL DUE I / ~ ,,~ I ~ '1/~ .J J - /.0 - <3 Paid Date CITY OF PRIOR LAKE HEAlING/AIR CONDITIONING/141KEPLACE PERMI.' Date Rec'd / t. t:!,6J 1. Pink File PERMIT NO 2. Green City · ~~. ISlJ5 3. Yellow Applicant ~ (please type or print and sign at bottom) ADDRESS 7 ISZ.+-' Y" ,-,O.f ~ It:MI',/ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID zs: 32.3. () I~. n OWNER (Name) (Address) (Phone) AP(NPamLIeC) ANT f J .(/It''''r J J-r /Jrl J,'^U .J ( l ' l' _ "1 O~I c:-a od H . ~ d.. 't:.....,... . -/ J ~O, /..c, (Phone) . \.l!..) - l> ~ \Q - ~ I 16 . J ~ ~ ,11lJO ~~'b(ro;..s).'...t..\ '2...~.~~r~ ~?9~ ~. ~ ~~ (Contact Person) \)It"l ,/, t7t r J A (phone) '7 (p J .;1.<6 ~ 'G, ((7 f APPLICANT SIGNATURE v~"'- V DATE J) -Cf-e>J jppiI~~T PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL (Address) FLUE SIZE INPUT HEATINGORPO~RPLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants o Gravity o Mechanical DAir Conditioning ~ ~ OVent. System I FIREPLACE KE AND Monlil '--' ~- PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Estimated Cost $ FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Building Permit # c1 ]. I r D r $39.50 Industrial, Commercial & Multi-Family Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PEAAlll FEE $ ~ $ ../ .50 $ ./' / Bv{ ")f110 . ()~ 6 (// VV (Office Use Only) This Application Becomes Your Building Permit When Approved --- P~ Recei~ Dme By Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 ~ 4 BY: Residential Building Pel.w.it Ch~klist Basement Ymish o~ Intenor AltenuoD to Single Family Homes ~~r- IS 717 J~ fl.-. Date: II/folds .~ PID: U Building Pel.wit # Site Address Zoning~ Legal: L B Sabdivision: E~~g Structn~~ NO CO~.J:fORlyIS TO ZO~ll'fG ORDffi.A.i'{ CE YES NO Is this an ~..t'ansion of the e.'"CL~g foo~J.~' or building height? YES Refer to PL..,.,.. .m.g ~ NO Is the ~4'-1tJ''''''lof located within the flood plain? Refer to P~g tN<!J ;Jo Docs the alte:':!tion Include any additional kitChens? Refer to P~g Does the 1IJ. \"/~osed alteration Include any outside' enL..~ces other than patio doors? Refer to Planning "J~ Is the lJ4 ",~osed use of the finished spac: or alte:'3.tion for anything other than a n'-ll~ single famiiy home Come:, group home. day care. etc.)? Re:fer to Pl~g PO THIS Ll:U.CXl.1ST ~IUST BE COMPLETED .~'ID INCLUDED IN THE Bt'1lDrNG PER'fHT mE TO ~(A1NTAIN A RECORD OF THE REVlI'W. .. . - ..- ..,....,--.....,......~ fjPR/~ ~~= ~..?J Date Rec'd CI l' i OF PRIOR LAKE PLUMBING PERMll I. Blue File 2. Gold City 3. Yellow Applicant L . PEm-III N08 - /5o.!J (Please type or print and sign at t . Ll" m) ADDRESS ZONING (office use) 5~L/7 WILOS PAI?t::vJAY I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) C H E:R.y l IS~Ll, ( OlLl AI J WlL/)J P"q.i2..cwAy (Phone) . CJSl- ZZ,.. S 37<1 , ArrLICANT ( (Name) ..) TE: \ N~ itA V ~ (Contact Person) ~ S~ (Address) LtJtr~ S"CA. PL VN\ f!> ,,,.;6 Sr f SIt. 10' (Phone) l:f S 2 - ) b I,. 0 ("2.. r CI-/A]ICA . N'Jt/ .5'JJJf (City) f (Zip Code) (Address) $7 (Phone) 9Sl- },,-.I?.~ DATE I J - 11- 0-"_1_ APPLICANT SIGNATURE ~ J 7 APPLICANT PLEASE COMPLEIE BELOW Quantity Type of Fixture Quantity I Type of Fixture 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 compa. I....ent sink Sewage Ejector Shower Stall Backtlow Assembly \ Sinks Backflow Assembly Test , Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other FEESC1U.DULE Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Building Omcial Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 ~ Y Estimated Cost $ ~:' () 0 ~\ PLUMBING PERMIT F:;i1d:g P~..;t ~. S [) .("-' ~ ~ / STATE SURCHARGE $ 50 I ,r \ r TOTAL PERl\'.... FEE $ '"i 0 · 0 c) v> 1h \~CS OAI \J ~ Date//_ /3,.3 By 4 ) u Paid Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447....245 16100 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 PRIOR LAKE INSPECTION RECORD SITE ADDRESS /5Z4-7. HJ~.r .v N~UREOFWORK ~ ~ USE OF BUILDI~ ~ m AfC, PERMIT NO. j,Jr-IJ : MTE ISSUED 11.1(J.~ CONTRACTOR ~ PHONE~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPE",. vA DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) FIREPLACE GAS LINE AIR TEST r}) /2 -' G 7 ~ ! ~p ~ ~ fdJ ~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED \ .. F'INALS BUILDING ELECTRICAL. PLUMBING HEATING DO NOT ~ q - 2.,J:.. (1/~!/(811 4 -2..~ 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. vJ/v ~ FOR ALL INSPECTIONS (952) 447-9850 DATE 3Iv~ ADDRESS $vtn W,.J<, \~ OWNER CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED PHONE NO. PERMIT NO. o FOOTING o FOUNDATION [J FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER'HOOKUP I 0 SEWER HOOKUP t\ · PLUMBING FINAL tin MECH FINAL COMMENTS: TIME bl~ os -tsBS o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o ~.J~ ('a~~'-J a:k- (~~{ r4 o WORK SATISFACTORY. PROCEED ~CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ~ Inspector: Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ IItSNOTl CITY OF PRIOR LAKE INSPECTION NonCE rL-v-ofTWE Wi~.. (?(\Oi' PERMIT NO. -3 - fSO~ SCHEDULED ADDRESS 15'2 c( 7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION R1INAL r 0 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE ANAL o GASLlNE AIR TST o COMMENTS: J5:.. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORfIlR RK, CALL FOR REINSPECTION BEFORE COVERING , Inspecto OWner/Contr: CA~ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI IN$NOTl