HomeMy WebLinkAboutBuilding Permit 05-0179
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
10-12-07
ADDRESS
/ '-l'le ~
@~~./c! 7Y1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S--/7f
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAL R 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!
INS/'lOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTMCATE OF ZONING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
Date Rec'd
'3. I ( oS-
(PIeuc tYJC or print ad sip at bottom)
I ADDRESS / rh '1 gL-{/{;l7/1U? 1JtA-
I. White File I PERMIT NO
2. Pink City . OS. CJ /7 1
) Yellow AppliCll'll ,
ZONING (office Ole)
/2/
LEGAL DESCRIPTION (office we only)
LOT / BLOCK S AOOmON
/C?V p L1 /Ir(...- '-
PID z.r: 3 I 0 . 0 9-1. iJ
OWNER.
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(phone)
(Phone)
A
TYPE OF WOllK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding *wer Level Finish to Fireplace
OAddition OAlteration OUtility Connection 0 Misc. / ~.
PROJECT COST IV ALUE $ 1/ t70.
(excluding land)
CODE: OI.R.C. OI.B.C.
Type of Constnu:tion:
Omapaacy Group:
DiYision:
n
F
1
ill IV V A B
HI MRSU
2 3 4 5
I
A B E
1 brreby certilY that 1 haYl! furnished information on this appJication which is to the best of my Icnowleclte tnJC IIId correct. I abe certify tbat I am lhe: owner u.. autbonzcd .nt for Ihr
above-mentioned propMy and that aU construction will conform to aU existinc state and local laws and wiU proceed in accmdance with submitted plans. 1 am aware that thr buildin8
otnc:ial can revoke this permit for just cause. \lrthermore, 1 hereby aaree that the city official or a dcliplce may enter upon the property 10 perform needed lI1SpCction~.
'2 --. ... ./j /7. "-~
X '-:/~I /4?/0f -.-' G'- /(/ -..( /-!J
Contractor's License No. DI~
Permit Valuation I. OOO.()O
Permit Fee S Jf.1~
Plan Check Fee S ---
State Surcharge S , :sO
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee S 4b,OO
This Applic:ation Becomes Your Buildiq Permit Whm ApproYelI
Dale
Building Official
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit $
Other C t-c:- ~ (!?::r!- S /. tJ CJ
TOTAL DUE S 7{P.2.5"
I Poaida'te ? & 2 r
. 3. II ()t-
l:;m~ ~"f
11us IS to certify that tbr request ill die above application and lCCompanying cIoc:uments is in lCCordance witb the City looinS Ordinance and may proceed as requested. This ducument
when slped by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows constrUCtion to commence. Befllll! oc:cupancy. a Certificate of Occupancy must be
issued
PlanainJ Director
Date SoecIa1 CClIIdtiiou, if lilY
24 hour nolice for all Inspections (952) 447-9850. fll( (951) 447-42<15
16200 Eagle Creek Avenue Prior Lake. MN 55372
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
3_ II. O~
~.~:n ~~~. I PERMIT NO.O.s-. /7Cl
3. Yellow Apphcant , /
c.....;
u II~ {':: 1'1 Ie'!
);t:1 i / l,-/.E
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
WT BLOCK
ADDmON
PID
OWNER
(Name)
("5" r ;!-/ l/) t .-j.'
/
.,---
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x!5/-'CZ {; /,'
/ /.Y' '0
(Phone) g.!5~.../jY(7 ..7/ J
(Address) / /'i/(b 9
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1/; L/K; / rYY / !Y.f I / L~ '
/
. /~~ 1;J~ / . .,. /'/.
-(' (fCC. l! Il 33 J / cJ--...
APPLICANT
(Name) ~--7Y'~ L _
(Address)
. "
!5 ra.u /1
c> .~, ..t!/('l ./.") ." /"-' ')
(Phone) 350"-'''/';:/0 (/6
c-;;{ {~/ iz/' -
(Address)
'I/;.'/. } ,,/"""r/"7 -"7 :'2
II \.. J~);) / C"n..
(Zip Code)
';:~/L-11../ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
~. ""'.'/ y,,",
(Phone)
(Contact Person) , ~R/;?~'r "
APPLICANT SIGNATURE
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
$39.50
Industrial, Commercial & Multi-Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $ ) .:2C:X:J.. t;.? (7
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(omce Use Only)
I :iPl No
Buildin2 omcial
Date
I PMd
Date
This Application Becomes Your Building Permit When Approved
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION'RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /'..p:.+G9 8t-V6"LJ/K.-C) ~I L-
NATURE OF WORK ?tJw&7L- t...-t:.-YCL-
USE OF BUILDING ,;u:;? ~/ /L
PERMIT NO. {)S-~ 0/71 DATE ISSUED 3_1/,o~
CONTRACTOR 6' ~t//L/ PHONE 4-9(P. (J(, 79
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
HEATING if re uired)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
./f/7
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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.
FOR ALL INSPECTIONS (952) 447-9850