HomeMy WebLinkAboutBldg/Plmbg 08-0344
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~Pf
ADDRESS
3(~5 Ll~/
OWNER
CONTR.
.........
~ - ?A4-
.. (
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~LUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
_. 11.
I. CJ.JJ. J(19r-1'1 Tl )
//
LI C/1- /81)
v,rJ /
.~(\jJ' Y
)'{ ~ ~ .\\f
.~
1\\
o WORK SATISFACTORY, PROCEED
~CORRECT A<;JlqN ~ND PROCEED
o CORRECT;;VoAAAALL FOR REINSPECTION BEFORE COVERING
Inspector: I " "'" Owner/Contr:
~ALr447-~~~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellmv
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
C,./ /G r!-.L&
3115~
L-/NDt5Af
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
0<
D Vtevtl\"-lICA-L
;JUD\4'
~'\J . rfvv\). I 0 I
I
(Phone)
(Phone)
~~'AvAGlC/ (
(Address)
QOZ}5
Date Rec' d
Co.q.otJ
PERMIT NO'OfJ. ~
ZONING (office use)
R-ISO
PID 25_ /4-1. 02,7. 2-
890 . B288
M~J 55376
/
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddltIon OAlteration OUtIhty ConnectlOn 'fMlSC ~'c. (I
r/ H~IU ~PUte.EM6N(
CODE: OI.R.C. OI.B.C.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5 (excluding land)
I hereby cerllty that I have turmshell mtillmatllln on this apphcatlOn which IS to the best of my knowledge true and correct. I also certdy that I am the owner or authollzed agent tor the
..lnnvl'-mentlOncd property ilnd that all constructIOn will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the huildlng
~"'''~ '~' 'c'" ,U", ""'OM",' 'O,<eo, ." cc "" ""'" em,,,, '" c' ""'C,, m.,,"''' ",c" ", ,m,..., m ,.."",m ",C,C", 'Z',? !1L1J3
Contractor's LIcense No Date
I
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 50.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace PermIt Fee $
Park Support Fee
SAC
.-
Water Meter Siz~l";
Pressure Reducer 5/ B
Sewer/Water ConnectIon Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
450 o. L/U /
l~. ~ vy
Paid
Date
Buildlu~ UrtlClal
Dat~
# $ I
# $ I
$ 3z-~. 0 0 I
$ I~-OO I
# $ I
I
# $ I
$ I
I
I $ I
I
II $ 4-50. 00 I
,
~eipt No. 5CeOl ~
<<Bl r
0
rillS IS to certlty that the request 111 the above appllcatllln and accompanYlI1g documents is 111 accordance with the City Zoning Ordinance and may plllceed as requested Tim document
when signed by the City Planner constitutes a tempmary Certificate of Zonll1g cornphance and allows constructIOn to commence. Bcfme occupancy, a Certlticate of Occupancy must be
Jssllcd
Planning Director
Date
24 hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake. MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'1
&.1. OJ
ADDRESS
(Please type or print and si2l1 at bottom)
3)75~ LJ.NJ~ G rck-
~. ~~~ ~:~ PERMIT NO. QQ<. ^ ~~j/ ....
3. Yellow Applicant V ~ ~
Pr? j 0 f. LAke
ZONING (office use)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
~~;~~ANT J) gJ~ (1 e-e.-AAJJ JCA J G. INC
(Address) 9025 W #u.JV J/)/ ~J~.}--e ./3
(Addre6s)
(Contact Person) 3)Pt V C ~S r r; j? KPr (Phone)
APPLICANT SIGNATURE ~~ Ii. ~;-.L/~/tLi--
/ ~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
OWNER
(Name)
(Address)
Quantity
3
1
~
I
I
I
,
L/
BLOCK
Ch~( (" ',sse S/AS+
5) 0 0 C!-nNdDf113 sf. S t
Pn(JI Llllte
PID
(Phone) CJS;2.-2J 0 ~ 5D37
r1N 55372-
(Phone) 9.S2 -89().-32~
:5ttV4GC 5531g
(City) (Zip Code)
C)5-Z--89o-32g~
DATE ~ -C}-()X
Type of Fixture
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other .- Gubp.((, b~~ (o.$.ft ,
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $]49.50
Residential, Additions & Alterations $49.50
(Office lJse Only)
Estimated Cost $ 5, 0 00 ~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
Buildin!! Official
Date
'-19.50
.50
.,O.L)()
/J
Re1Pt No. .5Z:> b /~
B-1-
Pai d e:::--r. . /7 .,
~J v.. V V
Dat~ Cu.I' /
1 .k'
",-
()
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372