HomeMy WebLinkAboutBuilding 05-1159
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
.
ADDRESS ~v\Q, V.\PA." '\
f)'['\u.Q
OWNER
CONTR.
PERMIT NO.
S- - I' r; '1
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~i~S~ ~ ~\
~'*~trlo
o WORK SATISFACTORY, PROCEED
~ CORRE A I N AND PROCEED
o CORR CT ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT // _ ;l;). --0 <
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ~5 - J) 15ql
(Please lYtle or tlrint and sil!:n at bottom)
ADDRESS
ZONING (office use)
pu~dJ
d g'~ 'I
'P /''.1;c --u /'e/L-LJ
fJr
LEGAL DESCRIPTION (office use only)
LOT:3 BLOCK L/ ADDITIO~k
bu21
PID,
qr;- OLI,;) - -.,
OWNER
(Name) f>cn
(.Lnd Jd I ..AclcuYl
(Phone) [(52. '-t~S. 3io1-
(Address)
BUILDER -r:- h . I /'IP hi II I/'/
(Company Name) Ilmut VI d'j~er0, I nc.
(Contact Name) ---.N d~ t.. L.J) LLfY\O Yl n
(Address) ., I (".I,"" w'-.KC N
(Phone) (1 ~ 2 . ~ YD. 33/ ~
(Phone) QS2. 4/2.. 347&
55-312
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roof1ng ORe-Siding 'i'!'Lower Level Finish 0 Fireplace
OAddition OAlteration DUtiJity ConnectIOn ' '-
CODE: DI.R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ 3 6e)O ,--
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have furnished mttlrmation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above~mentlOned property a that all con~t'titm\\'itt~form to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can re.v"k1111S per t r Just causf Furthermore, I ~reby agree that the CIty official or a designee may enter upon the property to perform needed mspectl(lns
x
Permit Valuation ~;s..
Permit Fee $ .5
Plan Check Fee $
State Surcharge $ /J~
Penalty $
Plumbing Permit Fee $ '- (), {)O
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ ("/0
-,---
Contractor's License No.
II 1.)[; / D~
I D~te
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
./
TOTAL DUE $/0tJ,3~;
es Your Building Permit When Approved
Paid
Date
/f~fl",
I~O 5{Jt; / r
II ~ L)., dj-
Date
ThiS IS to certify that the request in the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner conslltutes a temporary Certificate of Zomng compliance and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must bc
I issued
Planning Director
(2-t'<fc! Lf/WY I-('<ft.! l~cJt:?../ r
Date Special Conditions, if any ,
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior _cUten.rion to Single Family Homes
BY !1M f.b:- Dare II- ;r)-O~
Building Permit;:;'
Site Address
Legal: L
Pill:
') 0 '1 /;~ . . (;
,~0~ - / ~//)L-t., L)lj'~~r 1~'~/2(/).I'C:
Subdivision:
Zoning:
B
E.:risring SCTUc:ure@ NO
CO~~ORLyIS TO ZONING
ORDlli.Al~CE
NO
"i"ES
NO
Is tbls an ex:pansion of the exi~Wlg :ootpf.:r:: or Refe:- ~o Plafu~~g ~
building height?
Is me proper:-j loc3.:d wirh1T'c cb,e flood plain? I Refe: to Plar.uring I ~ I
I Does tb,e alteration include any acdirional k:tcne::s?
Refe:- to Plarn:ing
~
Does the propose::' alteration include any outside R~fe:r ~u PlaT'7'~g
entrances o the::- tb.aI: pati 0 doors? ~.
,
Is d:e proposed. !.l.se of me ,- .. . Rer~ P I aI1T' ,,... g
C!:lsneo::. 3?ace or ::0
alte:-lrion for all:rtbng oche:' :b.:m a aOr:TIal 5j,ngle -----
f.!I:lil y , (or::ce, g:OU"9 c.or::e. 6y C3I~, ~~:.) ?
r:or:..e
THIS CRECKLlST yl1iST BE COMPLETED .~'fD llKUJDED IN THE BL1LDlNG ?ERl'llIT FT~E TO
l'IlA.INTA1N A RECORD OF nIT R.;::vITW.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~l~icant I PERMIT NotF./I5'1
ADDRESS
ZONING (office use)
2867 PINEVIEW DRIVE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name TIMBER RIDGE BUILDERS
(Address)
(Phone) _952-445-3434
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11-22-05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-550TR-D
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39,50 minimum
$99,50 Residential, Additions & Alterations
$64,50 Residential, AC Only
$39,50
$39.50
$39,50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.5~UILDING PERMIT
(Office Use Only)
Buildine Official
Date
Paid Receipt No.
DatfJ E C 0 . ?OO'J By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
'1 ult!.JW [)r
DEPARTMENT OF
BUltDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 0 -
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r.... I
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
..........----- --
~ .;
FRAMING fI/J J2/7/~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) J
FIREPLACE
GAS LINE AIR TEST "l'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
g)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrica' 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