HomeMy WebLinkAboutBuilding Permit 08-0836
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3 ~ If 2-
,,-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
[J(FINAL
0- SITE INSPECTION
SCHEDULED
,i~
TIME
G \" c" a C" '5
C~~. ~_
PERMIT NO. ~ ~
v
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: "j;..;.~ r.'I.-v~ y\, k
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~LL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CA 447~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/J'ISNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(0 .t.6.6 y/
~ J~~~ew ~~~licant I PERMIT NO. 08. 083" I
(please type or print and siWl at bottom)
ADDRESS
3322
G:r,' ..~ ';
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LEGAL DESCRIPTION (office use only)
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,
ZONING (office use)
LOT
BLOCK
ADDITION
Pill
(Address)
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/,-",'--... __ ........ L;..
OWNER
(Name)
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BUILDER
(Company Name)
(Contact Name)
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(Address) ,
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(phone) "-
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TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing ORe-Siding Ql'Cower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
n
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
I hereby certify that I have furnished information 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
above.mentioned property and thlt all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official C!J/Jj/~{e thisjerr f~l,~st cau.s;! s Fu~e~ I hereby agree that the city official or a ,~ign~e"~~~ ent~pon the property to perform need}d insp~ns. /
X /l}l/lAv1vf,/, l%~ vlJ "Vr. .d.. '1 ? ~ /(J I 9/0 'X
( Signature Contractor's License No. Date
I Permit Valuation -40t1().dO Park Support Fee # $
I Permit Fee $ 7~. 7~ SAC # $
I Plan Check Fee $ Water Meter Size 5/8"; I"; $
I State Surcharge $ I. Sl) I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ stt cJ lJ I Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace P;rtit Fee $ TOTAL DUE $ /2b. Zs-
a /1 [ / - /J /
-~~~",PfimhWl<nt~d Paid h~I - R#PtNo. . 'S'i. ?/ '"
Date 0./0. OJ 7 I
/. _ , {c, (0 tv
Buil~ial------ Date' I
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 temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, ifany
~
10/14/2008 00:43 9527585255
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PAGE 01/01
t'AlJ1:. ij4
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rtc'd
(p.tQtlle ~ or rUe.. I. at ,,~)
AvuAJ!'.S5
"3 3 ~ d- ()V' ~ ~ 8,~ ,S"7;
UGAL DESCllDrTlON (ot'&tl: use only)
-
i~=:; IPERMl'("'NO. A ~~.2I_J
), v""",," A~ n O-J f(:/
ZONING (ofr.u:~)
LOT BLOCK
I
ADDITION
PID
OWNER.
(Name)
jL. A.lJJ" rr L-tnJ t
Jw-.] 0 J f(j~-S I' t.-J ~
~one) 1.J d- - 7s(f' -J-J 6 ~
If..) f:..(J 'IP If ~ C-<.. _
(Phone) [0"-)- 7.rf~' ~;16o
lU~it.tH~,*: ~~~?~)
,(Phone) ~-J-,)r d- -€..jy /3
DATE /Jl//V/Dt'
; ,
(Address)
(Conract PetSon)
~~fAN"r A'~ ~ L"'C L- PI; C:J
(Address) k.. l:> / ~e."I-"- v JJi2....
(Address>
PCLL--l A~~ltO"L-
p~~~
, v
APPLICANT SfG~ A TURE
quantifY
,
APPLICANT PLEASE COMPLETE BELOW
l f - ~e Gf Fi_;......e I Ouantity I
Bath Tub with or without ,bower J I ~u(!h..i",s
I Dt4wuhti- 'W ateI Heater
I Fl~r Drain Wa!!l ~er
I Lavj!torv (Bathroom SiJ1.lt) Sta.nd Pi1)e (Wa.thizm Mac:bine)
] Laupdrv T:rav (1 or icomoartment sink. I Sewae;e Eiector
S?o1ver StalJ I Backflow Assernblv
Si1l~s I Bac.\cflow AS5tm1blv 'rest
, Bill' l5inJf. I Lawn Sorinklcr
.I W&~ Cloget (Toilet) I I Other
lVoe of Fbmre
FEE SCHEDULE
Industrial, COmmef'tia, &M:ulti.1'aml'y 1% of job CORa with II $49.50 mimlTl'lllJl ResidenJial. New ()l)e & Two-FlImlly SI49.50
Resid.ntlal, Additions & A1lemion$ $49,50
EstjmatedCo~t $ 17~--o~--
Sui lding Permit #
(Otrlft UR ODM
Tld, Application Be ~m.. Y~r Batldtng Permit Whm App,-oved. Pa~d
PLUMBING PERMlTFEE S
STA T.B SURCHARGE $ ,
TOT A,L I .-l.,,-MIT FEE $
Beftdtall ~
Dne
hta
!4 hOln' ~. ., for odlhup8e60.!l (9!2) 447-9~ 1'1IX (9S) .....,....245
4M6 DBkon 5.1 ",:, S.I.. PrloI' t-b, Millaffota 55372
~
...' ...-.,-. - -.._,. -,.,,' ,._,,,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3382 G~C3i<i.r St.
NATURE OF WORK L.avEft- ("G}Jt;,.f-,
USE OF BUILDING ~ AIit-
PERMIT NO. /)66 Da.1b ~ATE ISSUED /0,,10.00
CONTRACTOR _r:. ~. {AIl.I/ PHONE--.bIZ. 2-90. ::>7Z-8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRE" UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
H :rING (if required)
/2 f-L--.
b
WA/
/LIt
i
.'
Ie /Ib/ Of;
r
{o/w/ob
t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLl!MBING
HEATING
DO NOT
""
1f1J
~ I
.J
r
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
1 ,
/I Is- j"e
I ,
ViJ
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