HomeMy WebLinkAboutBuilding Permit 08-1026
DATE TIMe
CITY OF PRIOR LAKE 5J,,),?&)
INSPECTION NOTICE SCHEDULED
I ,
ADDRESS b L/z 4 fku{-elQ ~t'l""
I
OWNER CONTR.
PHONE NO. PERMIT NO. S- JO:J (,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
. 0 SITE INSPECTION 0 MECH FINAL j
COMMENTS:~~ ~~C/'-1
I
o EXlGRAD/FllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
~
^ \ ( , ' I
l~\~/~t-..~
;( WORK S~ACTORY, PROCEED
o CORR~T ACTION AND PROCEED
K, CAll FOR REINSPECTION BEFORE COVERING
'j' "---> Owner/Contr:
CALLA47-9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Il, '2,108
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. 8. I 0 z~
(Please type or print and si~n at bottom)
ADDRESS
tF'iZ i /J~e?/r:;/d 4L.-h
ZONING (office use)
~~_E:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~'::e~~~';// ,~f/#/ld
(Phone) fl2 -2Z~-n?~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIOn
COD~: I.R.C. DI.B.c.
Type 0 Co truction: I II III IV V A B
Ocm ancy oup: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding ~ower Level Finish
Z 1:./115.
o Fireplace
o Mise.
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnIshed Int(lI"matllln on thIS applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner Dr authollzed agent t(lr the
above-mentIOned prope' and that all constructIOn will conform to all eXIsting state and local laws and will proceed in accordance with submllted plans I am aware that the building
:flClal can revoke th pe ml '7 ~bY agree that the City offiCial Dr a deSignee may enter upon the plOperty to pel form nee; ;P:2'i -cd t3
· Signature ~ Contractor's License No Date
Permit Valuation 0':,000,00 Park Support Fee # $ I
Permit Fee $ ~ 2, zS SAC # $ I
Plan Check Fee $ Water Meter Size 5/8"; I"; $ I
State Surcharge $ / 00 Pressure Reducer $ 1
Penalty $ I Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ 50. 00 I Water Tower Fee # $ I
Mechanical Permit Fee $ I Builder's Deposit $ I
Sewer & Water Permit Fee $ I Other $ I
$ I TOTAL DUE IJ $ //3.zbl
.- II S 718 jt
llUlII!; c l'1'Ift4 When Paid J /3: ~-:, Refipt No.
Date . /Z-J VI Ob 81_
t2. J
...- Dlte
ThIS 15 to certit)' that the request in the above application and accompanYIng documents is in accordance with the City Zoning Ordinance and may proceed ilS requested ThiS document
when signed by the City Planner constltlltes a temporary Certifkate of Zonmg compliance and allows construction to commence. Before occupancy, a Certtfkate of Occupancy must be
issued
Planning Director
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
JAN-12-2009 (MON) 111: a 7
POOl/DOl
*- \-\0N\e. O\,)..:)(\cJ" ~ c.\N.v.cto f\JYGt\~
~~-
CITY OF PRIOR LAKE PLUMBING PERMIT
p.epr;:.. It--
Date Rcc'd
(l'lta.se t~ IJt vrim ;md siJ:n at bottom)
ADDRESS
542Y De~.:(~~e.\ol (j fC) t.
~:~ ~~ I PERl\fiTNo.c2. '0"- n.-
~ Vell_ ADpI;""'1 (J ~
ZONING (onier \&:;(')
LEGAL DESCRIPTION (offia: u.'iC only)
LOT BLOCK
ADDITION
PIO
~~R:20~+ .~ \.l\D.(u~ ()S~.A,:(\r.J (Phone) 9~ ddlo Slo~~
,
(Addre!;~) ,~4d.l..\ D.uJ -h Ud ~I 0
~~:;~~ANT ~~ Ot\J~\~'C -\-\ to*\~ ~_~_. (Phone) 0g.. 44S" f.J LL~Llf__.._.
(Addn:s~) \lfd{L.\}.)._~ ('~ _.. _..._.~UI_l)()AJ. __ '" .S2;9
(Addrm) (Ciry)' (Zip Code)
(Conlilct pcr:;on~ ~ \ \\~~lo\ _____0.____ (Phone) q~~YI1r- .Y..l.}Y~
APPLICANTSIGNA1.URE ~. DATE1::..J:::::V~
APPLlCANT PLEASE COMPLETE BELOW
Quantity Type of Fixture OUDntity Type of fixture
Bath Tub with or without shower Rouch-ins
Dishwasher Water Heater
Floor Drain Watcr Softener
Lavatory (Bathroom Sink) Stand Pioe (Washing Machine)
I Laundrv Tray (l or 2 compartment sink Scwat:!;e Eiector
Shower Stall Backnow Assembly
Sinks BackDow A!>scmblv Te!':t
Bnr Sink Lawn Sprinkler
I Water CloseT (Toilet) Olher
FEE SCHEDULE
Industri3.l, Comm~ci:!.1 & Mulli-rurnily 1% of job cost y,ith a $49.50 minimum R.c:sidcntiaJ. New One & Two-Fornil)' $149.50
Rcsidcn!i3.l, Additionc; & Allcn'Uiotl~ $49.50
Ec;tim:l.leu Cllst .$
Building PennillJ
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAiD "VvifH
_f.~fJ~LDiNG pr~RMIT
ThiS Applic:ltiuD Becomes Your 8ulldlng rennlt When Approved I Paid
Bulldln~ omcbl DUIC I D1. P. (J ej
24 bnur nutice: for :all inspections (952) 447-9R50, rxx (952) 4J7.ts
4~6 D:akota Stue! S.L. Prior Lake, Minnonu 55372
(OIJiC<o Use Only)
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 542-4- Oe&I2F/bL-O O/G.
NATURE OF WORK L-OWe/L. ~t::--Vc;c-
USE OF BUILDING ,ee;r /9-/ ~
PERMIT NO. {)8. /O?-(p OATEISSUED /2-.2q~CJb
CONTRACTOR (']Sf-V IV.D ~ /C.OL!EJL::( PHONE q SZ. zz,(, . 5lP33
,
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 CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
-- ,"", ,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
f6 1
I
I
~
l/zotcYi
.1
~ ~ < ~ -.. -- - -
- ~-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
p ~ ~!1nP
~
~
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850