HomeMy WebLinkAboutBuilding Premit 07-0722
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS L}S3B
OWNER
DATE lh_
SCHEDULED I.
tto lM""+; ~ l?-
CONTR.
PERMIT NO. 7 - 7 t1.J..
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
a FINAL
~ SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o R HOOKUP _n
PLUMBING FINAL \J.'SU~
MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
('Jose- ~ ~'-e
~WORK SATISFACTORY, PROCEED
o CORREC AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/
/
Date Rec' d
'7 30 07
File
City
Applicant
I PERMIT NO. 07.0 1 ~z-I
White
Pink
Yellow
(Please
ADDRESS
at bottom)
'1S...3'E? ~u.mrni ()3blrdJr~~ I
(t}E
LEGAL DESCRIPTION (office use only)
LOT
r~
PID Z. \. 54" . 0 zs 0
ADDITION
BUILDER
(Company Name)
TYPE OF WORK 0 New Construction OOeck o Porch ORe-Roofing ORe-Siding
J(Addition OAlteration OUtility Connection 0 Misc.
ZONING (office use)
CODE: ~I.R.C. DI.B.c. PROJECT COST IV ALUE $ ?~ 000
Type of onstrnction: I II III IV V A B (excluding land)
Oeco aney Group: A B E F H I M R S U
ivisio : I 2 3 4 5
I hereby certify that I have furnished mformation 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
abovc-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submiucd plans. I am aware that the buildmg
:"'"' " ,,,",, '"" ""m" '"' ,m, eo"" '""'"m ,., ~,rt'''"'" "" ", "" .m,w' m , """97 ~'"'5oo ", ~"'o" W ","ocm ""'77'&:;- J LJ ~
Contractor's License No. ' Date '
Permit Valuation
Permit Fee
Park Support Fee #
SAC #
Plan Check Fee
Water Meter Size 5/8"; 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
uilder's Deposit
Gas Fireplace Permit Fee
TOTAL DUE t!aeft:.~.e e
This Application Becomes Your Building Permit When Approved
~om'~ ,/t/?!,:?
$
$
$
$
$
$
$
$
$
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 constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Bcfore occupancy, a CertIficate of Occupancy must be
iSS~ ~ f?/-S/07 ~(J<- ~ ~ ,
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
White - Building
Canary - Engineering
CPink - Planning::::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
'. -,,/
/lc ./.
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru9tion activity which is proposed at:
.
I, (
- '
._,_....
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ ~ Date: g/3!CJ7
Comments: N~ ~ ~ ~.~
d~ f~~ ;:: ;:; ~.
"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."
.----.--.----------..,.........-
~hite - BuildinQ::)
anary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~~"t7JcL~ I:.~
~. .3<;-07
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~GJ/ .J:Iu~~t<.t;,~
Accepted
Accepted With Corrections
~~
~
Denied
~ ~ Date: ~/-:!(o7
, I
Comments: t!~ 0.-1.{ ~,~ J---
jlbV3 ~ ~ ~~ nfL ~.
Reviewed By:
"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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I. Blue File I PERMI
; ~111~w ~~~Iicant T NO. 07.012..2-
J-fMmmn hi v~
~ 'J
Nt
ZONING (office
use)
LEGAL DESCRIPTION (office use on)y)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
\h ,ft\\N~~
(phone) '15'2 -S'1 5 - 8tj~8
(Address) 14~\ \
~r1~lQ.& MI\J ~~O~
APPLICANT
(Name) MCclttle---lAJ Da..n,iels. 11""\c...
(Address) /5 ~3 D Ca.r-y~ ~\J~
(Address)
(Contact Person) JV\a.::H- .\.-\ \.U\-\-) ~ tDVj
(Phone) ~f) J - '-l;L 3.- "3 -7 ?S' ('I
'RC5e..vY\.D lUlt ~ lvt AJ 5'501.0 8
(City) (Zip Code)
DATE
SE COMPLETE BELOW
Quantit
Cj/7'/t? r-
APPLICANT SIGNATURE
..-.------.....- -----..-
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New one.~ ~milY $99.50
Residential, Additions ~\~;~ns ~~9.50 .,.,
Estimated Cost $ ",1/10. cro Building Permit # ~Q 0 ~~Y.\"
PLUMBING PERMIT FEE $ gcr,S"b ~\~'
STATE SURCHARGE $ ~
TOTAL PERMIT FEE $
(Office Use Only)
Buildine Official
Date
~
Da~ 10. 01
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
':25~M MEnO AI~ 952-447-8'26 NO. 752
LII x VI1 y,l<..lvR LAKE
HEATING/AIR CONDITIONING/lrIREPLACE PERMIT
P. 1
vale Rcc'(]
i ~;~~ ~!~iC'''l C)iEffrvl~~~!!O~~7ZZJ
~'l.;.~!/l"'!y~liJll ~r\(l..!!1l!1 at lJol!92W__________ ,_____.___ _'___'__._.,__
l:~~~~s -, ~ ~~0'\~~~f\r4'l 1_______ L~:~: ,..m":J
~nO^L DJ3SCRlP'l'lON (olIke use o;tly)---- .------.-----...--------.--:---.-:--J-.
~ LO'l' BLOCK ADDITION PIJ)
L..__......,....-.:. ..._.____..__....__..._........_._..,.._..__._
..---.-.----....---
IOWNER '\\' \ I (\- \.\ . (\C-). I....J\'. " 1.)\"jH Ii
i (NilIllC) .--.\ ~ 1\ l} "" t,~ ~~ \\\...)r.i'\..:.\.~ (Phone) __!_:_.:....;.~\.2-..:..~...:'__~__
I \
I (^\~~~ :i:l~\.. G.. 'v.':" 'I '\ '\ {\ 'I \.. ' \_-.0 '^ ,- "\ ~ \) .j \~ .___.. ~.; c;, _j.~)~_____________
ABPPCAN r {\ -..\--. .
(Nal!lc)_._~~_-\.:r\:) ~ ~ .~ --\ _ 1'\ ~
(^~dlcs~) \~0(\ ?5\J ~,IIt..\ llJ""-l.. f\ \j '-
(Addl'~5S)
(CI./Iltac[ Person) (~C\ V\ "- ~_..? l.'~\ I? ~ \ \.
._APf.!:ICANTSlGNATURE _ '-~~
_..___ (Phone) C" S :~ ~i'-\ -L:..~~ ~~~___
~) r ~ (I - \.l.. \ u.. ~\~\J ___::~ .l:.'_)_~2-~~~_.
(Cily) (Zip emir.)
(Phone) '-~~. /, - \;\ \"tl_._~J_~~l...'::\___
_ DATE _c::t~_. _'_'._
....---.-.------.....,....".-".--......... -.--..------..-,-
APPLICANT PLEASE COMI)LETJ1 DElJOW
1'-- - -.--.----ONEW CONSTItuCTION 0 REPLACEMENT )d ALTERATIONS-----.------
rUf.~ACE MAKE AND MODEL ___________.___________.__ FUEL _____._._______..___
FLVP. SIZE __.______ RETURN OPENINGS INPUT ________ OUTPUT _____._____
I '[YPE OF SYSTEM IlEA TING OR POWDR PLANT ____._____
I
I . 0 WaJ'1ll ^iJ' l'lmllS
OOl(wily
o Mechnllicnl
b D^ir COll\liliullill[\
oVenl. Syslem
FII~~'L~CE MAKE AND MOUEL
o Slc~1I1
o llol Willer
o RadiMiul\
.0 Sllcciol Devices
o OlherlJcvim ~;:~rl\~~~_.:
~b," r"" ~ 0:; fl 0.......
PLEASE NOTf~:
Air Conditioner Unils
C<1nllol Encrllllch into
RClluil'ecl Side YUIU
Scthack.9
.:.-:-...=---==--.___._..____J
I'-EE SCHEl>lILE
I % of job cost RcsicJenti!lI, Gn! Fircplnce
$39..50 millillllllll
Re~ltlel'lilll. lknling & Ale (Ncw C(JIlSU'\lctioll) $99.50
l1..cSjlJc,'litl/. Hcaling Gilly (Ncw COIISll'\lClioll) $64.50
Estill1tltetl Cost ,$ ~m\\ ~/
1l1dllstl inl. Commcrcial & Multj-F:lIl1ily
$19.50
Hcsitlelllinl. ^t1tlitiollS & ^llclatiol1s
Residelllilll, ^C Only
$J9.50
$J9.;0
l3uiltlillg Permit II
HEATiNG PERMrT FEE
ST^TESURCHAROE
TOTAL PERMIT lrEE
$
$
$
- f.iAID '.,dlTH
.50 ,.... '.' r"'" -"', '-F" ~ ..
t.. u ~ L, j ;...' I". . ,~'...j / ,f
,~ ;.,'-> .. ',!;! "
(orlico 1I,e Ollly)
:':' A(I(lII.. lI." Bet. "''' Yo or B,t1I~I"g 1'...."11 Wht" Approved ]
Ull1l11lUf: Orriclnl J)"l~
P1\id --- RCc;:r1ilNO:--.----l
t~l~ j- :~l1J;- -Uy ~~=-_~=~.~-=~~
2.t !tl)ur nolice fo!' nil illspcctions (?52) .t47-9850, fnx (952) -1.17-4245
FAX 7635530887
GUYERS BUILDERS SUPPLY
[4J ~JQL. _~
CITY OF PRIOR LAKE
HEATING/Am. CONDmONING/FIREPLACE PERMIT
(Please type or Plio.t and aiRn at bottom)
jADDRPSS 453'6 t-\1AmmL-n9.bLr-ol
Date Rec'd
~:~ ~!~ r PERMIT NO~
3. YoU&-' ApgU.,1Il L ~
ZONING (office we)
LEGAL DESCRIPTION (office use oDly)
LOT BLOCK
ADnmON
PID
OWNER
(Name)
\N \Y\c\WODL\
(Address)
(phone)
(p12 - 3~3~ l{L;O I
(Contact Person)
(phone)
p l'jtUOJ+,^- SSYY I
(City) (Zip Cock)
(phone) llP3- tpq ll- l{ l? (p L-
DATE q~ 20" 01
APPLICANT PLEASE COMPLETE BELOW
APPLICANt
(Name) () 'i e r- ':,
(Address) j , 3 LJ 0 5
DD
APPLICANT SIGNATURE
~w CONSTRUCTION 0 REPLACEMENT 0 At TERA nONS
FUR.NACE MAKE AND MODEL ,SlLpe--v-i ov- S;; D\JT3':73 0 FUEL ---.f1D...-N.-ra..J 9as
FLUE SIZE <6 (I RETIJRN OPENINGS rnPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWll1ln Air Plants o StCllm PLEASE NOTE:
@Gra.vity o Hot Watr:r Air Conditioner Units
Meohanical o Radiation C8.DIlot Encroach into
OAir Conditioning o Special DcvicC9 Required Side Yard
OVent. System SIAfW i'Dy- o Ocher Devices Setbacks
FIREPLACE MAKE AND MODEL ~SbV'\ 3c;3()
FEESCJfEDULE
]% of job cost Residential. OIlS fireplace
$39.50 minimum
$99.S0 Residential, Additions &. Alterations
$64,50 Residential, AC Only
rndlJSll'ia~ Commercial & Molti-Faml1y
Residential, Heating &. Ale (New Construction)
Residentllll. Heating Only (N!:w Construction)
Estimated Cost $
$39.50
$39.50
$39.50
BuJldinS Permit #
HBA TINa PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Oaly)
Thi, Application Bc:c:ome~ Your Jluilding Permit When ApproVed
Building 01'l1d.lll
DI~
2.f hour notice fw- aD inspections (.952) 44
'~?ta41:"__1... ""__t. ....
$
$
S
.50
By
J
TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
'5.3
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~.'11,-7- DATE ISSUED
CONTRACTOR __ fNlltO PHO E . -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
j
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST r
COVER NO WORK UNTIL ABOVE HAS B&lpNED
1liIl1i4; z:7JktM~ ~ #4/ ~ _~
~, FINALS
4t:
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
v'
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTIC.E
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