HomeMy WebLinkAboutBldg Permit 06-0259
(Please type or print and siRtl at bottom)
ADDRESS
I Lf l ~ q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND {; IILITY CONNECTION PERMIT
S HDf\ 6
Date Rec' d
/-. II pc,
~: Et ~:Ii""' I PERMIT NO. Oft,. 02-591
ZONING (office use)
Lf~ ~ 5
)J8
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
t t " c..- J.J e {J Yl ~ r
4 I :J q 51-10 /...6 LA-~f;
(Address)
BUll..DER
(Company Name)
(Contact Name)
(Address)
PID '25. z / 5. @4-, ()
tJE
(Phone) q S 1. - 'J... 11 - S b '11
Pr~\tK" Lak<. 5 ~41t.
(Phone)
(Phone)
TYPE OF WORK 0 New Construction o Deck OPorch ORe.Roofing ORe-Siding .ower Level Finish 0 Fireplace
o Addition OAlteration DUtility Connection 0 Misc. f/
CODE~' I.R.C. OI.B.C. PROJECTCOST/VALUE S
Type of tml1ion: I n ill IV V A B (exc:luding land)
Occup cy Group: A B E F HIM R S U
Division: I 2 3 4 5
. I hereby cenify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify lhat I am the own~'lllr authorized agent for the
above-mentioned property and thaI aU conslnlction will conform to aU existin. state and local laws and will r" ...J in accordance with submitted plans. I am aware that the bulldin.
:f!iClal can revoke thIs p~~nnore, I hereby qree thatthecity official or a desilllee may enter upon the r..r...,,' IOperfonn necdedqrZ:rt/ 0 ~
- Aianature Contractor's License No. Date
I Pennit Valuation
I Pennit Fee
! Plan Check Fee
i
I State Surcharge
I Penalty
I Plumbing Penn it Fee
I Mechanical Permit Fee
I Sewer & Water Pennit Fee
I Gas Fireplace Pennit Fee
Z, 600.0 0
$ C1' Z, 'ZS-
$
$ I. 0 0
$
$ 1-0,(/0
$
$
S
Thi~ ppli,ation Bec~me YO,IU Building Pmnit When AU'" e'
. r- cff((/ab
Buildll1l! Omciul Dale .
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid / IJJ. zr
I Date (/J/. 0'-
#- $
#- $
S
S
#- $
#- $
$
$
. $ /()3.- z.s-
~iPt No. :!n.;J...?~ J
i/
ThiS IS to cenify thallhr requesl in lhe above application and accompany inS documents is in accordance with the City Zooin. Ordinance and may proceed as requ~.,tcd. This d()(:umcnl
when signed by the City Planner constitutcs a lemporary Certificate of Zonin. compliance and aUows construction to commence, Before occupancy, a C~TtirlCatc of Occupancy must be
.ssLled
Planning Dim:tor
Date S~al Conditlons, If any
24 hour notiee for an inspections (952) 447.98~. fax (952) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
4-./1. () rP
t ~:1L ~~;Iicant I PERMIT NO.O(p . 02.511
(I'le.lse type or print and si~n at bottom)
ADDRESS
J Y I ~ q S 1+0 ~G L f'J
106
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 6
(Name) (' ,'c.....
H--e #1\.(> r
(Phone) q ~ 1. - ;L " ~ c; t '3
(Address)
l'i 1.3 q ~A-af\fS LA~6
Nc
APPLICANT
(Name) E f' ~ c... H -e PA ~r
J'-It'39 SHO(\E
(Address)
(COl1t,Kt I\,rson) C f~. ( H- of f"" ~
(Phone) 'I 5 ~ - J.. 11 - s" q .3
LA}J6 JJ~ Pt"H l6;.!-c 55~1'L.
(City) (Zip Code)
(Phone) Of S 1. -- ':2. J 7 - ~ 6q!J
(Address)
Qmwtity
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
APPLICANT SIGNATURE
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
[mJu,;rrial. COl1llllercial & 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 $ 1-. {)(!) C Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office t;s<- (111)')
This Application Becomes Your Building Permit When Approved
~JUr--e dfl ~ ~f /, ( /() to
Blliltlin~ omdul ' I t1Jate
I Paid
Date
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
-
-~ - - . ---;-;---
.
Residential Building Pel.w.it Che~klist
Basement F"umh or Interior Altention to Single Family Hom~
/J .~ ;~.
BY:~~
Date: 1/1 ,!tJ "
Building Permit # PID: Zoning~
SIteAd~~.) ('-/ /3c; ~ ~ JJ b;
Lep1: L B Subdivision:
EDting sauctnre:@r NO
----
CONFORi"fS TO ZOi'il:NG
ORD IN'A.l,{ CE
~
~.O
Yl:S
NO
Is t1ris an ....~......sion of the ~~g fO\'/,:,.a.~t or
bm1ding hCg.."t?
R=ze:- to Pk...:..g
Is the zu....-:-e::.q located ~~.b.. the flood plain?
Re:e: to P~g
tJo
.,..1 0
JJ!tJ
Does the alte::1tion inciude my additional kircho.s?
Refc:' to PWming
Does the l".a.l.J~osd alt&::'3.tion include my outside'
Qtrmc:s othe: than patio doors?
Re:e: to P~g
~D
Is the :,.a.I.J,:,osed use of the furished spac: or
alt&::'3.tion for mything othe:- than a llor:::nal single
family home (ace:, gral.I;J ho~e. 6y e~e. e~c.)'?
Refe: to Pl~g
po
Tms L.cu:.CX!..lST :'YfUST BE COMPL.ETED .~'fD ll'fCUJDED IN Th"l: Btl:1DG'iG p~:R.yn7 FT~E TO
:'Yl-\lNT.-illI A RECORD OF rA! REVtEW.
"
..
..
..
,.
P R I 0 R LA KE DEPARTMENT OF
BUILDING."'AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /.!!1m sH4Ce ~Ne
NATURE OF WORK a. ~
USE OF BUILDIN AfA.,
PERMIT NO. MTE ISSUED ~. ,'-,"
CONTRACTOR ~HONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTI
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/J
1;1,,(/
FRAMING
INSULATION
ELECTRICAL
PLUMBING
I ~ required)
rw/ /J
;ftY/
~VS~
5">~~
~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
rvi
,
BlJlLDING
ELECTRICAL
PLO'MBING
HEATING
DO NOT
J ,
7/j.-(J td b
~J~6/
7fi'~~
7 ~rr;"
, .
BEEN SIGNED
~
OCCUpy UNTIL ABOVE HAS
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~~
'i' ,
;C;/J'? ~r~ ~~e.
nUE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-~
o FOOTING
o FOUNDATION
o FRAMING
o JtjSYLA TION
~FI~L.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/'
~
~~. .
/' 'P1~
.
/
(
/J
/ilL
(-/{C
.-
'"
.-
~
/.-/'
//'/
AoRK~~ED
o CORRECT ACTION AND PROCEED
o CORRECT WORKf.ffY~EINSPECTION BEFORE COVERING
Inspector: /~V Owner/Contr:
,
/l/
~/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SCHEDULED
/VS? ~~<r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~R HOOKUP
.Ai""P_IJIMBING FINAL
.- mcCH FINAL
~~(, nME
,
4~~
~ --2~ 7'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMJW€NT~_ / ,/' "
~~Pt~/ //.,h., (
,.- / /' / / ,/
( /J /IL~ed _ ~/ Y 0...-, (,?~
-:r';'!p ~ (\4....;.~_ L/
~ -JI'/ / J /' /
(3) /Ye~d ~ c' ~vAJV~ c..-1", c:k-
~cL6'\~ L o/l1/,~ t./-c (/
'" ) ./ / /),/' / ~ /
(! ~€ed~ ~~L! rI,-r~<~..~
/), .~~e~ cr- ~ 4!C/' ~
r~j,r ?~~;Z;. // U/~
r ~// / ) /- /I
~6[.,~~~
/ /
7#clh~
, ,
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~vAAEC" WORK~C~L~~?SPECTION BEFORE COVERING
Inspector. ~. vwnLr/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI