HomeMy WebLinkAboutBldg Permit 06-0617
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l.u i OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY ~l!,aa"'aCATE or ZONING COMPLIANCE. .
AND La u.ATY CONNE\.. a .ON PERMIT '7- '"3 - 6
~ ~..................
ADDRESS
/47/01. ~~\)Ka1'\;D "'o~*~\
~::- ~ I PERMIT NO. O(P. 0&/-2
) v... .-..... T
ZOJONG (oIIce_)
fc.--I S D
LEGAL DESCJUPTION (oIIce \lie Oldy)
LOT L/BLOCK ~ADOmON )//f/dh
1-1, 1/
pm 3/0" 0 1'7
OWNER aL ~ "'^ A-I. 'Ie: -= ,-., ""'1-...
(Name) vL,",' -. tv~L\~ rv\. "~=-\ lCL-U
(Address) ~ 1?o~o\') ~ ~~~-r
=~Namel C-D u..8:;t.C-ITj ~cugu~6-
(Contact Name) ~j ~<;.~
(Ac:l,:,.~..,,) 1~IO L~''--~~LEVAi))
(Phone) . (n (:.2 - 31.;) - '+ ~-':1S-
(Phone) '1 s;l- '-t \0 <1-<0 q ~
(Phone) qSrl- -;;;).o,a-/~ ~4
TYPE OP WOIllt S:W~~~Ji,~~iJc:. ORe-Sidial OLower LewI FiIliIb 0 Fireplace
. COD~OI.B.C. ROJECT COST/VALUE S ,Z.{ ~ 000
1)pe . I n m IV V A B (~""""'1alI)
0caIpDcr a...,: A B E FBI M J. S U
DiYiIioa: I 2 3 . 5
I....., ~ ... IIIaw IlnIIbId idlI...... oa ... ~ wllidliI ID die .... fI., I,., .,. , ..._... ... I aIIo c:miIy _... die _.. &lIlIlariIed ... b lIIr
l., ""'" I .' ,,", 11III ....ul CGMnICliaa wiD CIlIdIna ID II aillllllII.ulld local laws ... will . " .... 11..<< 11' n LIe wilIl ............ I.. _IR .... ... ........
://~~~~~.I"''''''dleca,~~'~'f'l'i3-''lIIr' .. .... 1D--~3'jo'~
r ' ~ Si6acuN~ CoIIaIdar'. u... No. . DIll
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Permit Valuaion
Pamit Fee
Plan Cbedt Pee
State SurdwJe
Pena1ty
P1umbina Permit Pee
Mechanical Permit Pee
Sewer ~ Wiler Permit Pee
0.. FirepIIIce Permit Pee
2/,000.00
S 353.75"
s 2..2-1, 94-
S /0 , 5?J
s
s ~tJ, 0 0
S
s
IS
TIIIIt ~...... v.....................~
~~
8llikIiH om- '
7/?k,
DIll
Put [. IpIIOIt Pee
##
S
S
S
S
S
, S
S
S
S (,3 -f-, 19 ,,/'
51Yf J
- --------
SAC
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. TIIII illO artilY dIat die ..... ill die aIIlM ~ .. H' J WllYio,. ___ iI. .t..- J II j wilIllllr CIlr ,..., 0nIIII.a.. ., ...... ........... 1111I *-
....IIpcd'" lbe CIly .....lXlllIliNa. ......, ~ fI"" .....__...,..~ IO~. Iebe OllClIpIIICJ,. ~ flOot f' ~_1Ie
~ ~ 71?~,
....... oncear . , DIlle 1II11CIIW .... ....
24...... MIce fer "I.'I~'" (952) ..,........ (952)"'.au
16200 &lie Cnet AWIIIIIe Prior lAte. MN 55m
Wa1el'Mecer SiR 5/1"; I";
Preaure Reclucer
Sewer/Wiler 0..... ..:..... Pee
Wa1el'Tower Pee
##
##
BuiJder'. Deposit
Ocher
TOTAL DUB CIf'Ue?:) 7-1/.0(,
Paid
Dale
G...J~,/,
7. /.;J."l<
rN~
/"9Ihite - Bulldliij::>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPlJC.ATION DEPARTMt:NT CHECKLIST
NAME OF APPLICANT 0/ /~.ft:. (] rly Re1/HOde..f2j
APPLICATION RECEIVED '/- 3-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application Ii ;;;;;;on a~w;:;::::;;r ,{J oL
Accepted
Denied
Reviewed By:
Comments:
.t.:F 111.
..
~
,..
~
~
Accepted With Corrections
/'
~ ~ Date: 7/7/0"
~ ~ aLl' V~'#'.n. ,::c.;j. Jj.... ~L;
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-----
"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."
White - Building
~arv : :::~~g
BUILDING PI;RMIT APPlrlCATION DI;fARTM~NT CHECKLIST
"///'1
NAME OF APPLICANT (' t-/f:; /.,L7I/('
I -
/- ~-t.,
APPLICATION RECEIVED
(Ii / ~l\ I
/
i}j~{ 11/ J( / I /I /
. /
.'-.-.....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction act~ which is proposed at:
///?Ic) ,;~\-:~ 5(~::'/,u(..--~~d )f{/
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~
Comments: A-,....
~~
~
-
~/7
tJ
~, ~ 'I?,..-(/.~.. ()
~~' ~.
/
Date: 7/17/0'
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~ ~,-'- t?'4a :"..-J
t7 .
or.
to'
"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."
...
;:/
CITY OF PRIOR LAKE PLUMBING PEAAllT
Date Rec'd
(Please type or print and silm at bottom)
ADDRESS
1. Blue File PERMIT NO '7
2,Gold City . /' - W '
J, Vellow Applicant (~J
~(Id
Ru5cWWQ ed, NE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
, ~=e~R ~ rr fJ\ (Jj) S fi -eJ d
(Address) S ~
(Phone)
APPLICANT /1_ n
(Name) ~- ~lJ~{V\
(Address) 21-00 W. !-tvv ~j k3
l/i (Address)
(Contact Person) ~ Jrvl I
APPLICANT SIGNATURE ~ ~
(phone) qc:i1:-tl1i1 - (ODO
BUtlt1C,V die., M N S"J~--!:>'37
(City) (Zip Code)
(Phone) Uf5d- 707- (OLD
DATE --; /11 /0 to
Quantity
I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower I Rough-ins
I Dishwasher i Water Heater
I Floor Drain Water Softner
z..- I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
Type of Fixture
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 $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
COl. '5t> PAID WITH
, ~l'\.D'NG PERMIT
HO.~
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
DattV] r {}~ - &
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tv~e or print and sign at bottom)
I ADDRESS .
\ L\1 \~ \~SfWOOd ea. f\~
;:~~~ ~!~ PERMIT NO. ~... / IH
3. Yellow Applicant {/? tp / I
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
0tW fVlOJl?;f:1'G{d
, (Phone)
(Address) ~
APPLICANT (' Q
(Name) L--:reVYt_ -<...l A (J Yl
.J
(Phone) qr-)~ -7 1f7 ~ 1000
BU..YVlSvi lie c:JS3~-7
, (Address) (City) (Zip Code)
(Contact Person) ~{h\ f '--- ,(phone) qL:)J.-7(Of' )OUO
. APPLICANT SIGNATURE r!l!4irJ !~~ DATE ---( ILl I~
"--"'" APPLICANT ASE COMPLETE BELOW I, /'. .f-i^ rJ ~f
DNEW CONSTRUCTION 0 REPLACEMENT KLAL TERA nONS UlJV.v(!fYl{)../I'- .
FURNACE MAKE AND MODEL , FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)~;?LO
UJ,
t-tW01 13
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner 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
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39,50
(Office Use Only)
I
This Application Becomes Your Building Permit When Approved
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BUil~ing Pe3t It ,5V PA'D W\1'H
$ ..50 U\I ID\NG PERMIT
$ J.f() , ~ B a.;
Paid
Receipt No,
Buildinl! Official
Date
Jr;J&r(p
By g-.
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /1/7/Z. A"A'2LJ"D ~A )J.E.
NATURE OF WORK ~~~-.:--r ~.IIA~ ';'
USE OF BUILDING s: ~ ,,--;
PERMIT NO. 0&'.0&/7, . D EISSUEq .71'/'.
CONTRACTOR c.u..~ C/h' ON~ -nz -I'ily
NOTE: THIS IS NOT A PERMIT FOR ANY OF T INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTME,NT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
J
, ,I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~OUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired)
/I
IN'\//
I I
? / Zf:) /tf/
/ 1--J/l~
~
P,ff
!J /n~ill_
II~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
BUILDING
ELE~TRICAL
PLUMBING
HEATING
DO NOT
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.
. ./
9'/-?916b
9pr/4b
i;'az;~
'~ ?~
" '-......
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
,I
-#L7~
~
~
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/j/7/ ,2
_ ~ TIllE
SCHEDULED ~~
~5~U/OOj d
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER CONTR.
PHONE NO. PERMIT NO. a -Co//'
[J FOOTING [J PLUMBING RI [J EXIGRADIFILUNG
[J FOUNDATION [J MECH RI [J COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~LATION [J SEWER HOOKUP [J FIREPLACE FINAL
INAL ~LUMBING FINAL o GASLINE AIR TST
[J SITE INSPECTION ~ECH FINAL [J
COJ8I}1ENT$: " --- ./ ~/ / /
.81Bc7F; Cc:, ( r:;-~ ( O(e W41J'b
..... 4' ,/ ./ ,I ~
///v~.6;-~ /7~/ C/A-
~ ,,---- / /
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~ORK SATISFACTORY, Pko\;t:t:u
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK, ~A~ ':~EINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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