HomeMy WebLinkAboutBuilding 02-0384
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l,t~21
OWNER
SCHEDULED
JI..,t.J--Y.. ~
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~
TIME
1..3~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
C(o;,eUf):i D.(~ &f -b <v-.a.JuZY
~L~ft,
o WORK SATISFACTORY. PROCEED
o CORRECT A AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJtISNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4--/~~2-
I. White File
2. Pink City
J. Yellow Applicant
PERMIT NO.02. ~
-~~1
-Ave.
\5
LEGAL DESCRIPTION (office use only)
5r
PID Z
LOT I L BLOCK
~Av.D V ,te....J
ADDITION
ZONING (office use)
e, <> j)
OWNER
(Name)
..:,i \\ t.i\.~
ltS(o~
~(! \\ \ LL\ ~b I Qehb~'1 e
t \Ie.
952- m-3'3D-
2.-
(Address)
~ ~kke~ (Phone)c:lt7"l-Ltll-e,C{ (C{
(Phone) to 12 - :S 38 -0(0(0 S-
~v\L
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe~Roofing
ORe-Siding
'17~,. _... -\ OLower Level Finish
Misc.~e~ ~~ ~~ e
o Fireplace o Addition OAlteration OUtility Connection
Ol'.
PROJECT COST/VALUE (exc1udingland) $ 6 DoC -
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the buildmg official can revoke thIS permIt for just cause. Furthermore, I hereby agree that the CIty official or a designee may
~'" upo tho prop t porlb= n"de,!;",pectio", --1/1 !c
2-0'7..{) -to 58 Ie> () 2-
Contractor's License No. DatJ
#
#
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8"; 1";
State Surcharge $ 0 Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $
#
#
$
$
$
$
$
$
$
$
$
This is to certify that the request in the above application and accompanying documenIS is in accordance with Ihe City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
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
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
April 26, 2005
J ames Schilling or Current Resident
15629 Highland Ave.
Prior Lake MN 55372
RE: Building Permit Number 02-0384
In review of the building permit files it was discovered there is an open building pennit for basement bathroom
finish. The City would like you cooperation to provide access for a final inspection. Please call for an inspection
by May 6, 2005.
To Schedule an inspection time, call 952) 447-9850. If you have any questions feel free to call between 8:00
and 8:45 AM Monday through Friday at (952) 447-9853
WWW.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
Residential Building Permit Checklist
Basiint Finish or Interior Alteration to Si g1e Family Homes
BY: (!JJ bet Date: 4 (6 02..-
Building Permit # oz -3Bt- Pill: Zoning:
Site Address ~ ~ Z-cr ~ (,f(~
Legal: L B ~'t-- Subdivision:
Existing Structure: YES or NO
NO
CONFORMS TO ZONING
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? 'f
Is the property located within the flood plain? Refer to Planning '"P
Does the alteration include any additional kitchens? Refer to Planning ...p
Does the proposed alteration include any outside Refer to Planning 'f
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning ~
alteration for anything other than a normal single
family home (office, grOUP home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TE.MPLA TE\AL TCHCK.DOC
'..
. . Type of Fixture ; :., Quantity Type of Fixture
Bath Tub with. or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Sohnsr
LavatorY (bathroom sink) I Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejeclor I
Showsr Stall Backflow Assembly (RPZ..DoubIG Check, PVB)
Sinks Backtlow. Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) '. Other . .
,
'r ustrial. Commercial & MUlti-Family .
(1' ~ of Jab cost. $39.50 minimum) .
/1/ ;identiai, New One & Two Family
/,! ;Idential, Ad~itions & Alterations
SI' Ie Surcharge'.
----. ..."':11:. vU
'th" C"rJjlu or fit. L.II~ I .'In.,.,.
-,
Quantity I
I ,
:
/
/
/
FI f= SCHEDULE
r1l.A tlU4474245
CITY
('"i< LAKE
.
/-
@OOl
'. .. C'TY OF"Pij'OR LAKE
PLUMBINGPE8Mli
Applicant: f!1:Z k~';*" r/~
Address: ~f e 0 e-<'t-t- ' ~ *" ()
SI9n~turE!: ,../'."" h"- -==--_
Legal D~Plion: Lot - _Sub_
Site Address: J)-" ,.il 7 ".......,. /f../ ""J
. Building Porm" N O~- (2384-- ' PID#.2=- -/43 _ 0/2-
NOTE: This perl'!1it will not b~ processed without complete information.
FIXTURE UNfTS
PPNo.
.-?_Phone:..?~ J
. /;:.e,~l .. ..'"
L I1lu~ /'ile
2. Cold Ci 'Y
3, y ~now Applitallt
02-03f?4-
3J / ~ )-r--S-
w
I.:
$
$
$-
$.-' '~jJD WITH
. . BUILDING PERMIT,
GRAND TOTAL $
$99.50
$39,50
'.:,
, ..Thiil permit is granted upon the exprl':ss condillon that ~aid
contrllctor. Shall Comply in all rcspecls with the ordinances
of the State: Plumbi~g 0 e anrihe ::nd. m.e: nts~. her of.
.--- .'.. DATE',
. '. .... ~. 'AITEST:.
:::-
. ,
. Call for all i
16200 E gle Creek Av. S.E. Prior Lake, MN 553721 Ph (612) 447,98501 FAX (612) 447-4245
An Equal Opportunity Employer. .... .
PRIOR LAKE
INSPECTION
DEPARTMENT OF
,BUILDING AND INSPECTION
SITE ADDRESS <0
NATURE OF WORK l-. L-.
USE OF BUILDING _ "Z-
PERMIT NO. Oz...-:<"R~ DATE ISSUE "'l: Ib <?"Z-
CONTRACTOR ~u.e.. _ PHON -~~ 5:
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ECORD
INSPECTOR
DATE
FiI-~ ==-_, _ Jii!f __
- FRAMING
INSULATION
ELECTRICAL
PLUMBING W {.i~ J.50d
HEATING (if required)
~- -
~NI;.MR T&8T ~
p.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 I
FINALS
;
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 a~pro::'ed. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
rior to Sodding)
,
\
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850