HomeMy WebLinkAboutBuilding Permit 03-1119
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4- I(r-'Os
ADDRESS
It{ ~3 q
(J,:... 14!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 - /(Iq
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JlI'l'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
---- .
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~RKSATlSFACTORy.PROCEED
o CORRECT ACTION AN ROCEED
o CORRECT FOR REINSPECTION BEFORE COVERING
Inspector. OwnerlContr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INS"''''
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8Jf.()3
I h..KlnlT NO. 03 _ / //q
I. White File
2. Pink City
3. Yellow Applicant
(Please ~ or Drint and sism at bottoml
ADDRESS /4-530/
~ PiM.t:..1 RD,
,
ZONING (office use)
Ae;SO
LEGAL DESCRIPTION (office use only) _ /
LOTI BLOCK I ADDITION N IY/.:t7A ~f(.d5J
f I
OWNER .
(Name)_AI-Pk \<'''ev>.)t'--
.J
PID25' 040. 6~7. 0
(Phone) qc:; Z. LIO IlDS
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Consb11ction
ODeck OPorch ORe-Roofing ORe-Siding
o Fireplace OAddition ~teration DUtility Connection
PROJECT COST IV ALUE (excluding Ian! $" ! I q 0 D () I 00
OLower Level Finish
o Misc.
I hereby certifY that I have furnished information on this application which is to the best of my knowledge b11e and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will confonn to all existing state and loca1laws and will proceed in accordance with
submitted PM;I am aware that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e t? perform eded inspections. '6.1 I'
X . l..l rl4o~
" Signa Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
"'It;, O(JO ,()fJ
$ 'iK/. 2-5
$ 117. "ll
$ i), 0 0
$
$ 4a,(Jd
$
$
$
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; l"j
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE ~
$
$
$
$
$
$
$
$
$
,j'!J.1. c6
This Application Becomes Your Building Permit When Approved
~?~ tYh'2-/o:J
Building Official Date
I Paid
i Date
I R.eceiPtNo.
By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a '~"'i"""''''J' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~A-' 'g~ ~I- d;'Z/07 /~ ~ ~
Planning Director . Date SpelJal Conditions, if any
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
\6200 Eagle Creek Avenue Prior Lake, MN 55372
.....
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
DATE
APPLIC~NT JlEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain ~
I Lavatory (Bathroom Sink) ~ /')J-'
I Laundry Tray (lor 2 compartment sink . f' \
I Shower Stall ~1l
I Sinks I'\'V .
I Bar Sink
I Water Closet (Toilet)
q'lease ~ or orint and silUl at bottom)
ADDRESS ~
/4-63 I /?It</C /U/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
Po\'f'.)( ~-YOV\e.--
APPLICANT
(Name)
(Address)
(Address)
(Contact Person)
al dr7 t~
APPLICANT SIGNATURE
QU81}tity
v,
./
"
f. 2-1.03
1_ Blue Fill'
2_ Gold City
3. Yellow Applicant
I PERMIT NO. OJ- 1/11
ZONING (office use)
PID u--: ~) tffJ. oo7~ d
(Phone)
'1St LIO 170'\
(Phone)
(City)
(Zip Code)
(Phone)
't/Z'l!u7..,
1
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Estimated Cost $ BUildin$,,::':;'~;?t: p D~f: plrr
PLUMBING PERMIT FEE r /'I' C/
STATE SURCHARGE $$ ___ ~ .50 t1' ,.rfiI .
TOTAL PERMIT FEE ~ VvV-,
(Office Use Only) .,.,
This Application Becomes Your Building Permit When Approved
Building Official
Date
---
I~
I D~. 1-1.01
Receipt N
By
24 hour notice for all Inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
~1
White . Building
Canary - Engineering
~K - rIH~-i"';I~~ :>
Th~ ('..nl.., of lh.. I..k.. ('ounlry
BUILDING PERM/LAPPLlCATION DeeARTMENT CI-(ECKLlS"(
NAME OF APPLICANT
APPLICATION RECEIVED
13k 06LJ:. ALGX
~_ /5.(f3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-53q PIt06 t2QAO
Accepted With Corrections /'
,
,
Accepted
,.
Denied
Reviewed By:
Comments:
~
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-=hn '_. ~
.
+~f-' Date: P'b-.;;r/o'3
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I
.....
..
No
J
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:.2 ... "The issuance or granting of a permit or approval of plans, specifications and
",V 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."
~~
Thf Ctnl.. of lh. I..h ('o"nlry
(
BUILDING peRMIT APPLICATION D.EfARTMENT CHECKLIST
CWhite - Buildi~
Ca~ Engineering
Pink - Planning
NAME OF APPLICANT
APPLICATION RECEIVED
Be OGlE. ALEX
6. /5.d3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t4-53q PttJ6 t20AD
,
Accepted
Accepted With Corrections
,,----
Denied
.
Date: tf / t..-~/Q ':5
. ,
J,-.;,.I /./2.<:.,
Reviewed By:
~
7~
0:1
I
Comments:
OYJL aLl v
"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."
I.' . I
DEPAF\TMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
I!ISslJ PtN6
,
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 11;5-/1 q
CONTRACTOR . t1IJS
NOTE: THIS IS NOT A PERMI OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~ I ~ /l6 I
I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I A rt e:...
t^t/t-
. /l:Jvt.-...
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re uired)
-. .
."
INSPECTOR
DATE
I
j
I
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/f~
. Ji\ /.-1/
. vu ~o.l
I:D!]'-lto .3
'/!)/k-t /D3
,- /J)!'}..( 1LJ3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
.4
I/I/r"
I A
I j/I/(~
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UNTIL ABOVE HAS BEEN
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.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
LI~(t-~
/
J/
SIGNED
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850