HomeMy WebLinkAboutBldg Permit 06-0664
Lu "' OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND tJ IILITY CONNE", _ION PERMIT
Date Rec' d
(Please type or print and sip at r, .'. I., .)
Au'vaESS ZONING (office 1ISe)
~ 8.4 h~\n~ '\?..'n "'S"iZ
I. White File I PERMIT NO
2. Pink City . 0 (;,. 0" 4-
J Yella.. App/iu",
LEGAL DESCL.t A.LON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ,",,~lM ~'\~~
(Phone) (,.. t~. e/\F.::, '14-'eJ \0
(Address) (,.c.,(l..l ~l~1i;;; C .:'\...~
'"" ~\'7\:~~ l""\,'-1 t;'....r"'\~/Cj
,
BUILvr.A
(Company Name)
(Contact Name)
(Address)
(phone)
(Phone)
TYPE OF WORK 0 New Construction DDedc OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAddition ~teration DUtility Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of CoDStruction: I
Occupancy Group: A B E
Di"ision:
n mIVVAB
F HI MRSU
1 2 3 4 S
PROJECT COST IV ALUE S :J.. 0, 000
(excluding land)
R\.<t~u\'" R~f'le~
I 1. ~.:. certifY that I ha~ fumisMd information on thi! application which is 10 1M best of my Iatow~ lIUe and _~.._'... I also certify thaI I am 1M "watT ')I' au~ ascnl for tilt-
above-men honed ,"'r"', and thaI aU construction will COlIform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that 1M building
official can revoke Ihi! permil for just cause. Furthermore. I hereby agree that the city officiaJor a designee may enler upon the ,." ....,.10 perform needed l'~r...:!)ns.
x-4~~~ 7~L..
Signature ConlraCtOr's Lil:leDse No. Date
Permit Valuation 3. /!!JOO , 00 Parle Support Fee # $
Permit Fee $ est ;>c; SAC # $
Plan Check Fee S 5'1 . '3(, Water Meter Size 5/8"; I"; $
State Surcharge S 1.50 Pressure Reducer S
I Penalty $ SewerlWater Connection Fee # S
I Plumbing Permit Fee $ 4 o. CJO~ Water Tower Fee # S
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ TOTAL DUE S /87//
/J /J
?ZQl'~_-:__A' .. ,e' I Paid 1'(-/7... II R~NO. 5::7 ~ f..7
I Date 7. ..)-S-: 0(" B .
v "M ~w # #
nus IS to cmify that the requesl in the above application and a.........nying documents is in accordance witll the City Zoning Ordinance and may,. ....J as requested. This documenl
when signt.'l1 by tilt- City Planner constitutes a I.m,..._,' Cc:rtilicate of Zoning compliance and aUows conslIUction 10 commm<<. Before OCCUpancy. a Certificale of Oceupaney must be
issued
I'tamIing r.:. .....
Date Special Conditions, if any
24 hour notice for.II inspections (~2} 447.98!1O. fax (~:Z) 4474145
16200 Eagle Creek Avenue Prior Lake, MN 55372
AUG-14-2006 16:37
,II: c:t IO.LU.J,.
CITY OF PRIOR LAkE
9524474245
P.02
Date Rec.'d
CITY OF PRIOR LAKE PLUMBING PERMIT
I. ,,~.. t'l.
',c:.I~ C;"1
,. T~Itl]'., APfti1(,l11""
PERMIT NO. ~ · "'1i1'Ir
(pIc ~ ~c IJt JlrilII IIn4 Jlu \t ~oUoA\)
AT. DRESS 538&1 fVlOonol'" Rd. s€..
P";()f )..o.kQ.. 55J7~
ZONlN'G (~lrJa: U$C]
LE jA(.. DBSCRu' J. J.ON Comet U!C only)
LI IT BLOCK
ADJ.Jll ~ON
PID
--
~~:- s ~a.y Of\ J3;+tnY
(A. d.re~&) 5384 MCJ..I\O( Rd S E.
_ (Phone) G, I ~ 805 'L1 8b
Pr ;or Lo.K.~ (\/\ N 5537~
-'
AI'LlCANT 6'
(}lIme) Cr~d~Sid.E', ~\uYV"\ IhG\
..,
(A' dress) I~~D Pne.a5a.rrt RuY\
(Addl'e,.';)
M;Ke. MarX
(e, n[act Penon) .
AI ?LrC^NTsrG~AroRE ~~-
L,./ -C-/
APPUCANT PLEASE COM:PLETE BELOW
Type of Fixture I QU.IU,ti~ I
f.3ath Tub wlfh or without shower Rougb-ins
Dishwesher Wa.ter Heater
floor D,fl.in. Water Softn~t'
l_ I...avatory ~Ba.th~?orn Sink.) ~ Pipe (Waslting ~ybchjne)
Laundry Tray (lor 2 compa~nt sink Sew:1ge Ejector
Shower St3!1 B'Icldiow ASliembly
, Sink!> BackOow Assembly Test
Bar Sink. Lawn Sprinkler
Wal~r Clo~et (Toile.t) Other
t-Jtw ~i c1roo "d
(phone) 1 \S d.~ \/7~
54D\;
(Zip Code)
(l'horte) tol d Li I LJ 3807
DATE ~IJ~ I oL,
WI-
(Cit)')
I ~U3htity
- ,
,
l'ype of FilCture
I
.t'.I1..r..SCHEDULf.
IduJlrlal. COrt\lncrei.u &. Multi-family 1% ofjoh co.cl with:j. $..19.50 minimum Ret:idtnlilll. No... One: & rwo-FII",ily S99JO
R.e.~idcnli:1l. Adtlltlt'll'l$ & AllcTllions S39.S0
Estimate<! Cost S q"OOO, 00
8ull<ting Parmit 'II
(0 j~ USA: O'lly)
. Ill' App\ll'l'tion 'RecolIJe5 YOllr Bujldi,,~ Permit Wheft Approved
Paid
J~?~tAtT
aUU "
IR~
I By /J~
/
PLUMBrNG PERMn FEE $
STA 1E SURCHARGE $
TOTALPER~FEE $
U.,IlIl;",Omeilll
!hilt
Dalta. IS. ~ (p
te'l:0"d
:Z.. htlur ""dce f<< 1111 in'I*UllU (952) ~47.91S0. rlO~ (9~1) 44'-U4S
lti;lOO bgl.c: <:~kAve.., S.[~ 'Prio.. Lllk", MN S5312-17JIt
lNI~ 3~~1 ~OI~ ~n AIT~
~.-- ---
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS s3 J>~ //%"eo Y ,.e:d
NATURE OF WORK /#~c.r~ ~ 0'--'
USE OF BUILDING S ?C
PERMIT NO. ~ - 6b~ , DATE ISSUED
CONTRACTOR SA4-"'~~ ~#/1er PHONE_~...t.?a)"..?.y~b
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
-E~ ,-....,__.4- ,ftI ~ - ..~~HI) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.~~:~%t~~k;
INSULATION
ELECTRICAL
PLUMBING , /1 I
HEATING (if required) )tl~fl{ 61i1~
FIREPLACE AI/lJ
GAS LINE AIR TEST .40 J1 f e,
,J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
5119Tlrtt;...-
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X/~/'Jb
,?/I~86
~.~ f'l/21 ~"-
,
,1M
?/2~b
\'
FINALS
GRADING (Prior to Sodding)
. BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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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
ADDRESS
S~0{ (h CVI (jj,
OWNER
PHONE NO.
SCHEDULED
fld
CONTR.
\
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
#FINAL
10 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
----------~
/ / / (\- --'
( (..J U--:7L
\
---- ---
DATE TIME
/UrL(vr,
(~,- &( c;
r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-------
~
)
/
~
i
r/
r- iU
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND CEED
o CORRECT WO OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI