HomeMy WebLinkAboutBuilding Permit 01-0436
05/10/01 09:38 FAX 612 699 0322
06/07/01 ID~ 15:58 FAX 8124474245
CROWN BUILDERS
CITY OF. PRIOR LAKE
~002
1ZI002
CITY ()II' PRIOR LAKE BUILDING PERMIT,
TEMPORAltY CER.H~"...ATE OF r."'.~",\GCOMI'LIANCE
AND UTILITY CONNE,... ......~ ...w..I.....
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Date Rec'd
,5'-/b,. 01
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14:14 651 633 BBB4
FIRESIDE CORNER "'~.ft'7,;~OtIOO:t '. ,'~
,-u { OF PRIOR LAKE, : \, ,,'I!_llleReC'd
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT'
',.....
......
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S...I PERMIT NO. OI~Q4-3'1J
~ l\2' Dr oriat IOl4 Ii",,"-"')
I ADDlUSS
/ '!y ~ ~LJL. ty.
LEGAL DESCRIPTION (olII...... 0JlIy1
LOT BLOCK
ADDITION
. OWNER.
(NJIIIC)
CA4cltess)
(#)41.., ~"..r,r_ ~
(Phone)
APPLICANT
(Name' ALLIBJ) FUESIDl!: DBA PIllEST.DE CORNER.
MAY I 6 2001
ZONING (__,
PID21).~~~- MI*O
(PhoDC) -&.U-633-lli1
(Addtas) _2700 W. FAYRV1:EW A\7ElilUE
(AddJnI)
(COIttaCt Person) BIU!:NDA HTJST~
APPLICANT SIGNATURE ~
ROSEVTT.T.~ ~T
(City)
(Phone) 65l-633-256l
DATE .ml./u
'5"1' ~
(%4> Co4c)
APPLICANT PLEASE COMPLETE BELOW
QNEW CONSTRUCTION 0 REPLACEMENT ~ALTERAnONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE'JURN ~,.:..<,..G5 INPUT OUTPUT
TYPE OP SYSTEM HEATING OR POWBR PLANT
OW""" Air l'tlll1ls ~ SIePm
3EvllY Hot W_
Mec:hIII1Ico1 . RsdIIllOll
Air Concllltonms Spcclol J;levICCI
JVonL Sy_ JOlhaDeYi=-
FIREPLACE MAKE AND MODEL . iJ.., Jtl (4'" J'r- a-
FEE S~D.olo...JLE
I!IliuSDiaJ. Comm~iol &: Multi.Family 1% of Job _ Rosld""t1Il1, 011 Flrepl_
$39.'Ollllnlmum
Il.oticlcnlle.l, HE8lina.t AIC (1IIcw Construc:lillll) $99.'0 RQjdcaula1, Addillon. &: Ai ." . ..;. I
RostdCllllaJ, HCltini Only (New Canstruelion) 564.'0 IU:slclentiol, AC 0II1y
Eslimllted CQII $
BlIllding Pannit II
PLEASE ..~'w 1.Jr..:
Air CondltlDIIIII' Unils
c- Eneroach Into
!leqlliJ1ld Side YsnI.
~
539.SO
539.'0
$39.50
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
WL ~NG PERMIT
(Ollloc lJIlt 0111"
TIt" Application Be_II Your BuNIIII Permit When Ai,. I' . J P8ld
......... Ollldol
0.11
:u ho.r .oac. fo. sII.. ,/:... (95%) iN7-91l!O,Iill ~) 447-C:US
, kacelplNo~
---;!;:; lj
-ay /JiL--
I
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
q?lease type or orint and sism at bottom)
. ADDRESS
; ~~ ~:~ I PERMIT NO./)'1_ ~ ~'2 t. I
J. Yellow Applicant V', -, c-J
1"1'11.. 'L
Dd"'fl.
CI-
ZORTG<Officeuse>
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION fA/O b
Lud~.
PID,.J!) ~1Io9-tX>I-~
OWNER
(Name)
(Address)
t:,,:t,,"- I ;]:t1.H....4-..........+-..
Sf. Pe:w I
(Phone)
APPLICW
(Name)~J\ AI'l.......L,.......
(Address) 4)<..{05"
p J b... (Phone) .1.">1- </(.6 . i"Yz 2-
. J
w /Y7d~.f rAr,...,",y,';,_ C;CS-O-z Y
(Address) '{City) (Zip Code)
(Contact Person) . -:s ; ~ . J (Phone) ~.......
APPLICANT SIGNATURE \\......-- L'i-f DATE <)-/7-~1
\} APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
i Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
I
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
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID WITh
BUILDING PEF.i.,,1
"--
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid .---...
I Date 5"-/7 -0 I
Receipt No.
24 hour notice for all inspections (952) 447-9850, fa. (952) 447-4245
BlA(' ./
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PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 144::t"2 \:)~_ CJ:::..
NATURE OF WORK ~~) L. L :t:=;"v..L~}..., (3) ~
USE OF BUILDING ~t='7;:) "'---'/
PERMIT NO. _OI-043h DATE ISSUED
CONTRACTOR ~k\.R_r- PHONE
NOTE~ THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
,
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
,
.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-
.,..
f
1 /jJ- _ 5/S4i~ I
VI V/ /_-;
'h.d ~'f iflJO{
COVER NO WORK UNTIL ABOVE HAS BEEN SUiNED
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
'N01'ICE
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.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
. SCHI!DULED ~ -:;)..-9-0; ?;tJ1J
/LltI.?d- D6 CJcCII
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- '/3 (,:.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIOIt...
~NAL /..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
ji[ PLUMBING FINAL
~ MECH FINAL
COMMENTS: ~A'-q~L,
o EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
(......-.:~~~'~~~~-~
. . '?~ "-;J1 )
~ ...-... ..../
~ WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY/
INSNOTI