HomeMy WebLinkAboutBuilding Permit 08-0755
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ."] f) bS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~I SULATION
FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED ~I tJt
~IJ_\).>~
TIME
CONTR.
PERMIT NO.
g _ r~0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f\
/", I / jJ
( /' C t9se rvu....
I \ (
+ It \0
-,,{ WORK SATISFACTORY, PROCEED
/6 CORR1fJJCT N AND PROCEED
o CORRE W~, CALL FOR REINSPECTION BEFORE COVERING
Inspecto. L 7/ Owner/Contr:
CA ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND lJ IILITY CONNECTION PERMIT
Date Rec'd
r;, /1. () I
~. v;.~~' ~~ I PERMIT NO. ~ - - I
] Yellow Applicant D~ -O7,~
q'Jeasc JYIlC or orint and silll1 at bottom)
ADDRESS
37/5' ~~/ t//~ r:~ c4
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
~~~R /4~3/- rJ-if~ ~S-t'1L
(Address) .3'1/5 ..:;::7;~ v:~ ~e/"
/"
(Phone) e?5';;Z, 9"~7- ,9513
~)()'^ ~A-~
BUILDER ~ ./'? L /
(Name) /~,J~ () d. c~",./ 5 r/U-tL r/6 r'-'
(Contact Name) 0 ,c. K ~~ 5
(Address) / ~ 7 9"t' L. 7'~~ ~~ f /
TYPE OF WORK
o New Construction
OLower Level Finish
(Phone) 9.5~ree6'-.5G"78
(Phone)
g4~#1 /ill./.,'>>r/t 4? N' b5' ~2...0
o Deck
Dporch
OAddition
ORe-Roofing
~teration
PROJECf COST IV ALUE (excluding land) $
o Fireplace
ORe-Siding
OUtility Connection
o Misc.
I L._:_ J' certifY that I have tiunished 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 ",."...~j and that all constrUCtion will conform to all existing state and local laws and will ",.",....4 in accordance witb
submitted plans. I am aware that the building official can tn"olre this permit for just cause_ Furthermore, I hereby agree that the city official or a designee may
;terupon)'~.~ons. _ _ <>?.3'37 ~-/5"~~8
(~ Signature Contractor's License No. Date
Permit Valuation /~, ~. -
Pennit Fee $ /11. s".:>
I Plan Check Fee $ I 2..4."~
I State Surcharge $ 5". -
I Penalty $
Plumbing Pennit Fee S 50. -
Medtanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
~Zm
I
, .
~-;;r;t:
, Dale
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
sip. <;Ie
~
#
#
$
$
$
$
$
$
$
S
$ S7~.'8
#
#
Recei1,Jt No. ::>"'"~::)~
B.... I2.a+-
. This is to certify tbat the request in the abovt . e.' : ....- .. and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by tb~ City Plann~ cOllSlirotes a tw.... "'~J' Certificate of Zoning compliaDC~ and dews CODSlIUction to commence. Before occupancy. a Certificate of 0ccL.,.. -.' mu."t be
isNed.
Pllllning Ditector
Date Special Conditions, if any
24 hour notice for all i~D8 (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
I, Z/' D?
/
~. ~~I~ ~:~y PERMIT NO.O Q () -1SC"'
3. Yellow Applicant () l...p
(Please type or print and si2n at bottom)
ADDRESS
---
~re-~
37IS IJl/ffNo vlW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
APPLICANlA I I
(Name) /Vv/!XJ
C60
fe-~~
-
'- C.
(Address)
(Contact Person) Jt'~ ;0, bo _
APPLICANT SIGNATURE _~___ ~
F'. '1'-
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
-z-- . Water Closet (Toilet)
PIl/M, b, YIIJ
. (/
~ t;/~~J
(Address)
9SL
weWv-
(City)
(Phone)
ZONING (office use)
PID
~/ 2.,7~?
55()<l~
(Zip Code)
(Phone)
e;sl---Zqz:- gar7
/-Zl -CD
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sorinkler
Other
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49~ "
BUildin~$g/permit~#. /50 r{).~0D\ l;V) 1$
PLUMBING PERMIT FEE ~ r \ V VI'
STATE SURCHARGE
TOT AL PERMIT FEE
/'
~
Date /. ~r 0 C;
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DATE
Quantity
I
..5
I
l
I
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $49.50 minimum
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Type of Fixture
By
PRIOR LAKE
INSPECTION RECORD
'3. -, ~ 'S'" (<;;<.....A'VO V ~ c( ~c...S
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK At- ~'::'.2-A.,\ l.~
USE OF BUILDING P--.~ fr / (L
PERMIT NO. OB'" t9i?~ DATE ISSUED
CONTRACTOR I2or-s c.coa. ~STfl-G-i"""\.-J PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I /
f fce I o~
~
INSPECTOR
DATE
I
aeldill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
w~
~/J- f
/
/
4-,
""
/ ,
f!I.e <./ 0 ~
/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ing)
-
(117
;/al"
, ..
BUILDING
r
ELECTRICAL
PLUMBING
HEATING
DO NOT
y
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