HomeMy WebLinkAboutBuilding Permit 05-1196
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S:~E
ADDRESS
- qpq J# /JIU /fA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S-/l1t
o FOOTING
o FOUNDATION
o FRAMING (J?
o INSULA TIO
"FINAL
o SITE INSP C N
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 GAS LINE AIR TST
o
COMMENTS:
I C:
I;{
{~ -~ fi
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION PROCEED
o CORRECT W ALL FOR 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!
/NS/'IOT/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2,8,05
(Please
ADDRESS
5
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OS. /Iq(.,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID z~. -102-. 07 O. 0
BLOCK
TYPE OF WORK 0 Ncw Construction ODeck OPorch ORe-Roofing
OAdditJon OAlteration OUtility ConnectiOn
CODE: MI.R.C. DI.B.C.
Type of l;'nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
(Address)
,-
i BUILDER
I (Company Name)
I
I (Contact Name)
(Address)
(Phone)
(Phone)
ORe-Siding
Lower Level Finish 0 Fireplace
o Misc.
PROJECT COST/VALUE $ '3J(J(f~_ f:!Z..
(excluding land)
I hereby ('C'. that I have furnished mformation on this application which is to the best of my knowledge trllt' and correct. I also certify that r am the owner or authorized agent for the
ab,)vc-m tlo ed proper an that all Cllnstruction will conform to all eXlst10g state and local laws and wIll proceed in accordance with submitted plans I am aware that the bUlld10g
()tricial a,f''o/his g or Just cause Furthermore, I hereby agree that the Dty official ur a deslgnee may enter upon the prope11y to perform needed mspectlol1s
X ~ /
Signature
Permit Valuation 3,000.00
Permit Fee $ 7t.f. 7~
Plan Check Fee $ -
State Surcharge $ 1.57)
Penalty $
Plumbing Permit Fee (JtI oW ~at... $ -10.00
Mechanical Permit Fee' $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $ -
This Application Becomes Your Building Permit When Approved
~,~~~ /~r
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other e(.E(!:7?r.( cVn---- $ 1.00
TOTAL DUE $ /I 7 . z.s-
Paid
Date
/ /7.2)"-
/2.. g,.(/~
I ReCjIff g,el(,.
By _ _
ThIS IS tll certIfy that the request 10 the above applicatllll1 and accompanymg documents IS m accordance with the City Zoning Ordinance and may pruceell as requested. ThIS doeumen!
when signed by the City Planner Clmstttutes a temporary Certificate uf Zoning compliance and allows construction to cummence. Before occupancy, .1 Certificate of Occupancy must be
Issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
/2 ,f. of
I. Blue File I PERMIT NO
2. Gold City .05. / /9rc
3. y.now Applicant .
ADDRESS
ZONING (office
use)
50 ~ Cj
tJ c-- (/ rr If7J 7lL-.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 1\
(Name) Y1Jfl.i"
J'2R(~
(Phone) tJS1-.;1.9G-9~s
(Address)
-rho r
APPLICANT
(Name) DII.rLt',., Ji,rk
(Address) 5doq Bluff JkLJ/r 1.&J
(Address)
(Contact Person) --.1)uriftl .J'2.p(k
t2tlL
f(',iJr L... R,. ("Vl
,
(Phone) 9S;)- a.~ -'ft(ys
553')9-
(City)
(Zip Code)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Estimated Cost $ !is PO Building Permit #
PL MBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $3g0 ~ ~
rj\~uO 6. ee:l"
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~fficia~ /Z/~~
I ::';PI No
I Po;d
Date
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 Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
"
BY:~~
Date: I~/g"~s
L~al: L
B
Pill: Zoning:
~ ~ ~, S:6-,
Subdivision:
Building Permit #
Site Address SO tJ 9
Existing structure:~r NO
I CONFORJ."IS TO ZO~lNG
o RD IN.A.L~ CE
YES
NO
YES
NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ,J{)
Is the property located within the flood plain? I Refe: to Planning I ,{)O
Does the alteration include any additional kitchens? I Refe: to Planning I "';0
Does the proposed alteration inciude any outside I Refer to Planning
entrances other than patio doors? pO
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ,.JCJ
familY home (office, group home, day care, e!c.)?
Tms cm:CKl.1ST :'vn:ST BE COMPLETED .~'fD INCLlJDED IN THE BLILDli'iG PER;'rlIT mE TO
MA1NTAIN A RECORD OF THE REVITW.
.
.
T .\"j':':\,rpT ~ >::"'.l T ,(-1:("'.( DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDI~JG AND INSPECTION
SITE ADDRESS ~ 009 dCJJr ~ /16/Gt?(75 ~/)L
NATURE OF WORK L (J"'t/~)C LEJ/E7____--
USE OF BUILDING /?f;f /--)//L_
PERMIT NO. Of .1(9& I DATE ISSUED /2. 8- o~
CONTRACTOR S ZEeIi PHONE 22-0..tf -1-6.s-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARi\TE DOCUMENT
INSPECTOR
DATE
~ "]/rlull L ]
~~_~""lVI"1L_._~JU" ] ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
- ' 0(;
,
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.
l
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.
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850