HomeMy WebLinkAboutBuilding Permit 07-1123 Alter, 07-1155
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS r, ~ -z.. t <::>
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~H~
.fATf TIME
"1 (1/ fOb
C:~c.~
D-r-1\2~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
th--wORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECr;oORf/:CALL FOR REINSPECTION BEFORE COVERING
Inspector: f0_ ~ Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNon
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OAT'
3~o!01,
b4-bLC CfZeE;~
TIME
ADDRESS
[&2-10
OWNER
CONTR.
PHONE NO.
PERMIT NO.
07- IiS5
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
:;gl.PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
A Pp p-6 \J G6 <- Cu>;G Pl L.G-
;f.:t;ORK SATISFACTORY, PROCEED
o CORRECT ACTION fND PROCEED
o CORRECT WORK, bALL FOR REINSPECTION BEFORE COVERING
Inspector:. Rp.--
Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
Il'iSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
f<o'L\O
c~~
C::::^b~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
of- 1-='lt\O 0- ~lL5
D~iA ~\. c;.&.
(Address)
~\~
~4{O
BUILDER
(Company Name)
(Contact Name)
(Address)
'S~.:=-
Date Rec' d
White File
Pink City
Yellow Applicant
\\ \ifl ft> 1
PERMIT NO. 0 7 - II 25
A-JC
ZONING (office use)
C3
PID 2C::;'OOI - 037 - 0
(Phone) '\ S 2. -JA "1 - G{ s t:; '()
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition ~lteratlOn DUtility Connection
CODE: DI.R.C. ~I.B.C.
Type of Construction:
Occupancy Group: 1ft> B
Division:
II
F
1
III IV@A@
HIM R S U
2/V4 5
I
E
o Misc.
PROJECT COST /V ALUE
(excluding land)
$
\ 7-,000. -
is application which is to the best of my knowledge true and COlTect. I also certify that I am the owner or authonzed agent for the
form to all ~j(isting state and local laws and will proceed in accordance with submltted plans. I am aware that the building
ore, I here at the CIty official or a designee may enter upon the property to perform needed mspectlllns.
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Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Tmj;"J""j!i~Buildm,p'~i;;;"
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Date
#
#
$
$
$
$
$
$
$
$
$
f
.\/"
I" 'V
#
#
Receipt No.
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
:~~endSigne; 2Y Planner consutt 'S a temporary Certificate of zon;:;l;: a: ;OWS construction to commence. Before occupancy, a Certiticate of Occupancy must be
~ P~ing Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
(Please type or print and si~ at bottom)
ADDRESS
I,. ......
\.;/ C 'C...
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
CAbc_C
/'/". ..... ...~.
L.(2_~=\L
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
c::. \ 1-\
4 G 4 (...,;
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ADDITION
<.: (C-
Mz \~(''-' LA \L~
DI\ '?-D -I A-
"-, - ('-.. E:- .
< ;./\./v\ ::.=:-
Date Rec' d
1
11 \ ~t) 1
White File
Pink City
YeJlow Applicant
PERMIT NO. G 7 - it Z S
ZONING (office use)
~pj
c 3
PID 2C;'001~O-;7-0
(Phone)~S," AA"1- q~ t;~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition ~lteration OUtility Connection
CODE: DI.R.c. ~I.B.C.
Type of Construction:
Occupancy Group: Qt> B
Division:
.....
I hereby certlty that I ha;e);lrntshed (or
above-mentIoned proptv1 andjthat I~'co
:fiClal can revoke 1>;;I7Jr JU
,1\ - -
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I
E
II
F
I
III IV ('J) A c1P
HIM R S U
Z(".f)4 5
DMisc.
PROJECT COST IV ALUE
(excluding land)
$
, L ; JOU. -
is application which is to the best of my knowledge true and conect. I also certity that I am the owner or authorized agent for the
form to all 'existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
ore, I here at the CIty official or a designee may enter upon the property to perform needed mspectlOns.
$
$
$
$
$
$
$
$
~
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------., ~.
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Thijl:;tr!LO~Boild;ogp'"7r::;'d
, It BuIld~lg 01liclal Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
I
Builder's Deposit $ I
Other $ 1'\
TOTAL DUE $ NIG
Paid Receipt No.
Date By
//'h~/ .
- " t"'j
PI~ing Director
ThIS IS to certity 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 const!tl es a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued ,f /'
.//
j'/
(7
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
Date Rec'd
1. Blue File
2. Gold City
3. YeUow Applicant
CITY OF PRIOR LAKE PLUMBING PEAAUJ
q?lease ~ or orint and si2ll at l " .oJ. __,
ADJ)RIIS
J ~'-l 0
b~k
Gr~ _ fr~
...., -
LEGAL DESCRiJ:'uON (office use only)
LOT BLOCK
w=~ .~~~ fltc7~~ S~~ ,;-~p :1
(Address) (City) I (Zip Code)
=~:;:GNA~~6~. 1I~.1_~~ne)p~;S 0--- ~7
J V
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
OWNER
(Name)
(Address)
Quantity
1
ADDITION
PID
~ )-~
L-\} , (
-~~ UJ~
(phone) 1\r
[f<J i) ~
~7JY
Type of Fixture
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
.- amily 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & AlteratIons $39.50
Building Pennit # I V
LUMBING PERMIT FEE $ .3 9. SU ~ \ I
STATE SURCHARGE $ ~ .50
TOTAL PERMIT FEE $ ~, C/D
/'
comes Your Building Permit When Approved I ~
Il~~-d1 -
Date Dat1 ~ , if- ;' 01
24 hour notice for all inspections (952) 447-9850, fax (952) 4471.245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Industrial, Comme .
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