HomeMy WebLinkAboutBuilding Permit 07-0760 (Suite #3)
ADDREss4rzl.Cf ~
DATE TIME
SCHEDULED ~
~ t'c.ol \ -e.:\-
CITY OF PRIOR LAKE
INSPECTION NOTICE
. '
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1~7&[)
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
YFINAL
iID 1iITE 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 GAS LINE AIR TST
O.
COMMENTS:
r) ,
-r tt'J( It'iP
/""\. . .
~O^.p ~1_1\'L~~5
..r
o WORKl2,ATI ACTORY,PROCEED
CORREC TION AND PROCEED
~ORR ( - _ 7 CALL FOR REINSPECTION BEFORE COVERING
Inspecto/~ \ .... OWner/Contr:
~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 11116t Zk N,'c.e((L-t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
g)NSULA TION
~ ~INAL 13
o SITE INSPE~IN
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECHtNAL
l;..... t~.~
COMMENTS:
..
J I f~" +t.1l tf ..
- l .
DATE
~oa
TIME
1-7NJ
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
,0
Il rfKtJ V' INN.
l I
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRErERK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
..y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 141 \ '1
Q,~ N ;c-o~W
OWNER
CONTR.
PHONE NO.
PERMIT NO.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
1:~t~ ~~,~
o FOOTING
o FOUNDATION
o FRAMING
g)NSULA TION
~ ~INAL
o SITE INSPECTION
I"
( I r~q,O ..l..t.n fc,
- , -. -
DATE
~oa
A-t0
TIME
7 - IifPl
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
-0
~~("
'-..l
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRErERK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
..y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4'll'1
erk
M ;c.o . fl.t.t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~NSULAJ1ON 1_ 0 SEWER HOOKUP
~ ~INAL 'k'H. vJ'- 0 PLUMBING FINAL
o SITE INSPECTI~ 0 MECH FINAL
COMMENTS: ~t+6 ~
(~r-:-q,o +p^~ .fl.,.-
DATE
Ll/I~Joa
, I
TIME
1 - 82.3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
-0
...)( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRErERK' CALL 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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS . Lj'111
e.k
~l6 t4.J.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
g)NSULA TION
~ ~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)i(rLUMBING FINAL
o MECH FINAL
COMMENTS: 1:-~ ~ ~~~
v ()
..
(~f~q,~ +p^~ fc,w
DATE
LI ,bat Oa
TIME
t"J.. gS-er
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
,0
?fbe...
<-J
...)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRErERK. CALL 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
LIt] \ ~
?csl l\~l \.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
P. PLUMBING FINAL
o MECH FINAL
COMMENTS:
I L
. n
1 );S()u Y
- '"
( ~'" .o_K- -t\\
O,.~
I I
v
{4:7
TIME
7- 7(/)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
)(. CORREfjT TION AND PROCEED
o CORRE WO CALL FOR REINSPECTION BEFORE COVERING
Inspector: r OWner/Contr: ,
CALlpo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lll \ 4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
11
I. ~J}y~
. -
SCHEDULED
DATE TIME
LO/3 )n/}
---, I
rcv-~ ~(GOl~1l
CONTR.
PERMIT NO.
7- 7~O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
· t?J.tA..cA.r~
o
If.e-.t .
V~
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRErJI. ORK, CALL FOR REINSPECTION BEFORE COVERING
I.spectoc \rtf1 Owne,/Co.Ie .
.cALL 44~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
47/'( ~h rv t'c..-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: tJ r...~( Je.. )
__ ...r,
DATE
~J07
TIME
7 - )(L)
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORREC'~L FOR REINSPECTlON BEFORE COVERING
Inspector: / I r ) Owner/Contr:
CAJI. ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS L\ 'II ~ f2A: 11\ .-r..\ ( W
. ,..
OWNER l7lf:......-. ~1.....~ CONTR.
. v
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
,a MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
~
~ 7- 7/,0
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o.
\. Lu:\\
/.'.A ,A
~_:V\?~ aA\....r- ep~~\'~ ~~cLl'< .\~
. U..J -
~ n t....AA --.A-
A, CrnAAA /L r- f)
'"
~~\ '1/
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECrj'fiK. ~LL FOR REINSPECTION BEFORE COVERING
Inspector: ! r) OWner/Contr: .
\. J _/
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-g/zg/o 7
f : '30
ADDRESS,~ 47/Cj p~ ~.~
OWNER l(:U- .~ (J n ~ ()-h. L CONTR.
~ J
PHONE NO. PERMIT NO. 0 7 ~ 7 to 0
o FOOTING
o FOUNDATION ~
'lit, FRAMING
1'0 - INSULATION
o FINAL
o SITE INSPECTIO
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:
^
~, ~,l, {/~--o-L
~ A...1'(\~O;".'1 _
~ '+0 rtl (J ,ryrJ'~-"'^"G
U I --.....J
.~V~ iJ~J~
. - ~. -J-;- __ g _ . v I
. r~ -.-.
'fJO\t::-~
a6l ::h::.u
~~
.
~/
I . ..... J
}tJWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , OWner/Contr:
I
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
e. '- 07
I While
Pink
Yellow
File
City
Applicant
PERMIT NO. () 1- 1 ~o
(Please type or print and sili:n at bottom)
ADDRESS
471'1 Pa~K N,'(.';pluf _4v~. S,E.
ZONING (office use)
( 1////age G~m~rce ~loi'$~_9)
(~4-
LEGAL DESCRIPTION (office use only)
ADDITION V I L..l.-AbC ~N\ (!vz..a;-. /\v 0 . ~
LOT
BLOCK
PID 25. 4--5',. 001. 0
(Address)
T,.,e;h.,,!: ?~/~ ~ \\O~3 . (Phone) g<)a-l.\40. ~ qLl-()CJ
4~q ~~(\( N\enllet 4Jp~.S:: ~()(" \.o.'U1-\ Ml\\ 5SC;7~
c,.
(Phone)
(Phone)
Shiff If bl.ee: I'k N
er>~- t./1' -2.22. 7
OWNER
(Name)
BUILDER /"
(Company Name) Gr-tt..v..s h#tL LQ"S-/rl.AC/1-'/6,.,
(Contact Name) r:::6 ,.~,'< ~i,.,." f-z...
(Address) S-()tJ.5. Mal"$c!tl! II If~: :1131/1J
I
S-S3'7Cf
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. f(J1.B.C. XMiSC, uuu,r,,1 Bu/IP'- t9ul-
Type of Construction: @ I tD III IV V A @ PROJECT COST /V ALUE $ 9(). (JOt)
Occupancy Group: A E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certily that I have hlrmshed mformation lm this applicatIOn whIch IS to the best of my knowledge true and correct I also certify that I am the owner or authOrized agent lor the
above-mentIOned .op' and that a Clltructlon will conf{Jlm to all eXlstmg state and local laws and WIll proceed 10 accordance WIth submJtted plans I am aware that the bUlldmg
official can reVll ' permit for JU c< ,c .thQ'mo' hereby agree that the cay official nr a deSIgnee may enter upon the propel1y to pertcxm needed mspcctlons
x
Signature ~
}1 /,4
Contractor's License No.
-.2/31 Ie
bate
TOTAL DUE I
- I
r'. "\ ~I ~I f -,,/07
Paid 1 <0 loc... 1 ~
Date <1".-=> I ..,
U(\~l;)1
# $
# $
$,.....-----
$
# $
# $
$
$
$ {(P~. l~?
~---
1
1
1
I
State Surcharge
Penalty
$
$
$
$
$
$
$
$
'to f ~n
, -
~ea .sO
" ~ .a.....G.-"'?
t..I~.";7
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
I
!
I Plumbing Permit Fee
I
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fir~lace Permit Fee
/) '"
. t"'tr/J}R' Buildiu, ;~~7~;""'d
~ng Urticlal Of f /)atc /
Sewer/Water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
Receipt No, 54'::> 'f .S-
By ~
"r,.
ThiS IS to certIfy that the requcst Ll1 the above applicatIOn and accompanymg documents is ll1 accordance With the City loning Ordmance and may proceed <IS requcsted TIllS document
whl'll signcd by the City Planner consl1tutcs a temporary Certiticate of lonmg comphance and allows cllOstruction to commence Before occupancy, a Ccrtlflcate of Occupancy must be
Issued ~ 6'-&-07
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
I ~i~i~e ~~:~y I PERMIT NO. 07. Oa, IJ... \
Yellov.' Applicant V ~ V
.pQ,V'kJJ~C!)~~~ ~ 4\3
TI~FAtJy f?-eAcry I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.~\(b .
(Please type or print and si~n at bottom)
ADDRESS
L\1\q
LEGAL DESCRIPTION (office use only)
Date Rec' d
8.Z ~.(rr
ZONING (office use)
LOT
BLOCK
ADDITION
PID 2.S. 4-S~. 001. ()
OWNER
(Name)
(Phone)
(Address)
~~I~~~~Name) ~ ~ \ S~\~.
(Contact Name) ~ C5 6~
~()~ ~/ ~AUayf/~
(Phone) Q?;;,r-ffilJ-346jJ
(Phone)
~~Zf)
TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish o Fireplace
OAddition OAlteration OUtility Connection ~-~--
CODE: DI.R.C. DI.B.c. Mt\:..,l ~MiSC 'IttJ~ F1fJl~
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ et ~ao. a')
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
I hereby certily that I have hlrmshed mformatlOn on this applicatlon wlllch IS to the best llf my knowledge true and correct I also certify that I am the owner or <luthonzed agent Illl the
abllvc-m' tloned property lat <ll mstru tIDn Will conform to <lll eXlstmg st<lte <lnd 11)(<lII<lwS <lnd will proceed in accord<lnce with submitted pl<lns. I am <lW<lre th<lt the bUlldmg
llrticial an .cvoke tlm pe It I'll jU. cau' rther~re, I hereby <lgree th<lt the City offici<ll or <l deSIgnee may enter upon the propel1y to pert()rm needed mspectlons
Y;?-;.a..-87
x
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Sf 500.00
Park Support Fee
SAC
#
#
.so
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water ConnectIOn Fee #
Water Tower Fee #
Builder's Deposit
Other
sS'.oo
l TOTAL DUE ~ ~. ~7'()7
~r "u B~9m" Y un' Bnil';., P';" ;?p,"",
BUI Ill!! Ui'ticlal I Date
Paid
Date
Date
$
$
$
$
$
I $
I $
$
$ 8550
Receipt No,
By
ThiS IS to certify that the request In the <lbove <lpphC<ltlOn <lnd accO p<lnYll1g documents IS 111 accord<lnce With the City Zuning Ordinance ami may proceed as requested TillS document
when signer! by the City PI<lnner constitutes <l temporary Cerl1ticate e I' Zomng compll<lnce <lnd allows construction In commence BcfellT occup<lncy, a Cerl1ticate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ..\..\7-9850, fax (952) ..\..\7-..\245
4646 Dakota Street Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8.z7.o1
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07. 08 z3
(Please type or print and sign at bottom)
ADDRESSil PFA....J''7 IHIAl-f7'1- VILL"-Gn COf1M,~n..c.fi 8LOt;.
4Tl..t:t PARt<. N' c.O L-L-n.'/ Avff SF.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
l-flt!-I--Fir~ Protection
21175-Me~dov,'hrool~ A "e. N
Scandin. [\in~ ,,""71
(Phone)
pFi7fi-fl (Phone) /.:/l _2-l..,-1.. -L.r~ 7(.
VOJ)6J....((<..A
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAddition ~lteration o Utility Conn~tIon
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III IV V
HIM
2 3 4
A
R
5
B
S U
PROJECT COST/VALUE $2 1:>130. c)'::
(excluding land)
I hereby certlty that 1 have tlJrOlshe(l Informatlon on this applicatlon which IS to the best of my knowledge true and correct. I alsll certify that I am the llwner or allthllllzed agent It)! the
dbllve-mentlOned property and that all CllnstrllctlOn Will conform to all eXisting state and local laws and will proceed In accordance with submitted plans I am aware that the blllldmg
:'"'' "M'm;:;~mm'. ,",,,ii, 'Om "" ", ,.., "Oh,' ,'" '''~m;;;;: "'''" ", ,,,,,ory ,,, ,,,ii'~ ""~ ;~':';:.,
Signature Contractor's License No, Date
Permit Valuation ').OOO,p, I Park Support Fee # $
Permit Fee $ 71. 7 c;- I SAC # $
Plan Check Fee $ tJ,"}.fc.t I Water Meter Size 5/8"; I"; $
State Surcharge $ I Pressure Reducer $
! .crO
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permtt Fee $ l TOTAL DUE $ / z z. roCl
~f6' -- /) ,
T s i nB om.esyourBUildingpermitWhenAPproved I Paid /2-7__ (u'l.- ReceiV'No. S~S'
, _Jj ~ !Date 1/2};,_"7 By.....[.
. _"t 77 a~:P (.Ie- -1f 59""'~
[31Yng OnlClat Date ~ 1
9 . 'L. . 0 .
Tim IS to certify thallhc lequest 111 the above application and accompanYll1g documents IS m accl1ldance With the City Zonmg Ollhn, ce and 1I1,1Y ploceed ,\S lequested Tim document
when signed by the City Planner :onslitutes a temporary Certificate Llf Zonll1g compliance and allows construction to CLlmmence, Before Llceupancy, a Certlticate of Occupancy must be
issued
Special Conditions. if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
/
I. Blue File
2. Gold City
3. Yellow Applicant
Date Rec'd
C( /0.07
PI G6 W /'07
PERMITNd. 07. 085~
ZONING (office
use)
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and si~n at bottom)
ADDRESS
Jf7/q
P...,~
Nlco(lc+- Avo(.
$&
3>1A4f'e ~ ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
7I1ht""-V
/
;2<:-/ "7
(Phone)
(Contact Person)
~ 111 nc: J....1v... A tI'C. "'-~
(Address)
Jok..... I+AA5Cn...
W<s~
cro~ ~ (,J--I_ 7 1S-. fj(P!:;). U
(Phone) ( ~S() ~r'l-~(,'15
So). P...-.- f
(City)
~51 0 ~
(Zip Code)
(Address)
APPLICANT
(Name) rf1.)u-trc.
m~C. ha.vt.,.,...../
(Address) 575
(Phone)
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
(l3oS wnF) DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity'
Bath Tub with or without shower
I Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
11/)~ /07
APPLICANT SIGNATURE
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ :J.t, 00 Building Permit #
PLUMBING PERMIT FEE $ ~. 5'{)
STATE SURCHARGE $
TOTAL PERMIT FEE $ J.fo !!
;00 B"om::-Voo, Boild;o. ..lit -Ih.. App"...d .a;d 40. () 0
---. 10/01 \ Datetl /0.07
uildiD!! Official______.. t / ! Date I
---- ~ hour notice for all inspections (952) 4~7-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
.50,
(Office Use ODly~
Thisfu
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ReceiptNo5 4-~2-0
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
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\.
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Accepted
'X
Accepted With Corrections
Denied
Reviewed By:
Comments:
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Date:
8-(-07
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CtR~ Ys'/VA/E
I
6./.07
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: 1- n-- - My
411 9 p/lKK- ;VICOL.-{..,ef /W c:; (/~~~7Y
, \. Jl:;7t./,q ~
Accepted
Accepted With Corrections l"
Denied
Reviewed B .
Date: ~
Comments:
I. ~~ t:c.\\ CDU4"-'l...~ ~ a.~ ~....
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~1<=t ~ "Ncc.l'l\\e.\- ~\J€....
NATURE OF WORK ~'^~ f,.\,A_:-c;~,
USE OF BUILDING c..D\A.;\..~ I '
PERMIT NO. DATI; ISSUED 8 /1 ~ 107
CONTRACTOR~. ~)~)L (\~ PHON,E t c/<~,(p.. ~
NOTE: THIS IS NOTA' PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
~_ to Backfill) I !
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
130UGH - INS
v .
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
'~
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
137,
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<:&~g(07
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yi2-~t 07
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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II . ''51tfJ
If Il!fh
f I
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
( ,
SIGNED
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