HomeMy WebLinkAboutBuilding Permit 08-0849 TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED o Z�I l o�� 3 v
ADDRESS ��� T'" L �� S J' '
OWNER CONTR. � ��
PHONE NO. PERMIT NO. �'� r ( �'
O FOOTING �PLUM8ING RI ❑ EXJGRADJF1LLiNG
� FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ F1REPlACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL � GASLINE AIR TST
O SITE INSPECTION O MECH FINAL ❑
COMMENTS: � �L�, � ,
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���WORK SATISFAC RY, PROCEED
�7 CORRECT A 10 ND PROCEED
❑ CORRECT K C LL FOR REINSPECTION BEFORE COVERING
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Inspector. � Owner/Contr:
CALL 447-985� OR 7HE NEXT INSPEC710N 24 HOURS tN ADYANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETY!
rnsnor,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION N0710E SCHEDULED � 3I ��
ADDRESS �OZ-� '�+`'� S
OWNER CONTR.
C
PHONE NO. PERMIT NO. �'�
❑ FOOTING O PLUMBING RI O EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
❑ FRAMING C] WATER HOOKIlP O FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
,�-FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE 1NSPECTION 0 MECH FINAL O
COMMENTS: G 1�05� � t t�� o.� T�
Co� � , �,
WORK SATISFACTORY, PROCEED
Q CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. � OwneNCoMr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
rnrswor,
o � rrt� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ,- ., � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � Q/� �l �
�' :��' `::�;_; x AND UTILITY CONNECTION PERMIT
U � ° t�j
��A'NESO�P I Whrte File
2 Pmk �,� PERMIT NO. v�_ (�
3 Yellow Applicant
Please e or rint and si at bottom)
ADDRESS ZONING (oeece use)
`T�z� L-�rc�S .3�'
LEGAL DESCRiPTION (oflFice use only)
LOT BLOCK ADDITION - PID
OwivER / �,/� �SZ- Z3�- �O 4b'
(Name) ���'►� � l�ri (i" /fv� (Phone)
(Address) Kto� `urL� S�,
BUII.,DER � T f � �S��c�ia�. / lZ— p �
(Company Name) 4 `i (Phone) C� �� � �� SO
(Contact Name) �I' (Phone) �� ' ¢� ` � ��
(Address) u7 � � rtre !+-�y� ,. SS.33i
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fir��sh �-Fireplace
❑Addition �Alteranon ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. � Misc.
Type of Consmiction: I II III IV V A B pROJECT COSTNALLTE $ �. �d •�
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have turneshed mformauon on this appLcahon which u to the best of my knowledge true and correct I also cerhfy that I am the owner or authonzed agent for the
above-menhoned property and that all consh�uction will wnform to all exisnng state and local laws and w�ll proceed m accordance with submitted plans. I am aware that the building
official ca his permi�ust cause F hermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspecnons
X .�. ` ,,y. Zv4�� /O- /S- o
Signature Contractor's License No. Date
Permit Valuation ��j d, �(� Park Support Fee # $
Permit Fee $ ��, UQ SAC # $
Plan Check Fee $ ��s Water Meter Size 5/8"; 1"; $
State Surcharge $ �� Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permrt Fee 2�U v� TOTAL DUE � $
'fhis Application Becomes Your Building Perntit Whrn Approved Paid ei t NO.
Date U � / , G B
Buildm_ Uftiaal Date
This is to cert�fy that the request m the above appl�canon and accompanymg documents is m accordance w�th the Gty Zonmg Ordmance and may proceed as requested. Th�s document
when s�gned by the Ciry Planner consututes a temporary Cert�ficate of Zonmg compLance and allows construcaon to commence. Before occupancy, a Cemficare of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for ail inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
� r RI CITY OF PRIOR LAKE Date Rec'd
� � 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT � v.. l 3�
� �
�
�jNNES��A � P�,� File PERMIT NO. ��
2. Green City G�
3. Yellow Applicant
ease ar' t and si at bottom
ADDRESS ZONING �ot�,��
�� �� ���
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
�aWNER ��m � Lu�'s` ��''C.� (Phone) �SZ ` ��" � �
(Address) Y� �o � V�'u�"
� �� f`'� �� �� ���,,,_ (Phone) llj2— lc �' p �
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(Address) Z� � 3 r � L.! �'G�f ` /�i✓� �ii�1 ���"Z
(Address) (City) (Zip Code)
(Contact Person) � 7 , � `�` S (Phone) �l2` `TlU` d �l��
APPLICANT SIGNATURE �� DATE ��— � � d v
APPLICANT PLEASE COMPLETE BELOW
�NEW CONSTRUCTION ❑ REPLACEMENT �ALTERATIONS
FURNACE MAKE AND MODEL FUEL ^ 1.�0
FLUE SIZE RETURN OPENII�FGS INPUT OUTPUT
TYPE OF SYSTEM HEATIN�G OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Boz Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49,50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ �!• � Building Permit # UY"
HEATING PERMIT FEE $ '�� - r' u �y I I`"
STATE SURCHARGE $ .50 p Y'
TOTAL PERMIT FEE $ ,.�U, CJv �
(Oftice Use Only)
This Application Becomes Your Building Permit When Approved Paid Receip o.
Dat y 6 � 3 v By
Buildine Ofticial Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
� � pRip�� Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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� 1. Blue F�le
Z. �oia �; PERMIT NO. Q�
3. Yellow Apphcant
ease or ' t and si at bottom
ADDRESS ZONING (ot&ce use)
lz L� � ti �
LEGAL DESCRIPTION (otT'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(NameCANT � �c�� ( (�- �.� � (Phone) �� Z � � 9���
(Address) ll �� � L� yQ`� rn.�t�../5�1 � 1� '
(Address) (City) (Zip Code)
(Contact Person) � 'v (Phone)
APPLICANT SIGNATURE DATE �'D �� a d
AP CANT PLEASE COMPLETE BELOW
uanti T e of Fixture Quanti T e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
1 Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other L ��/ � Fti �. vf!✓�✓!�
FEESCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $ � �
STATE SURCHARGE $ 50
TOTAL PERMIT FEE $ �3 ,�
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid `� R e' t No. ��,�?
rs
Date
BuildinE Official Date �U • ?i !�, U �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �'G Z�o LO,e,� 1' � �
TYPE OF �IVORK /N% . f! L% .
USE OF BUILDING /�!' H/�-
PERMIT NO. O S. 084'9 DATE ISSUED l0.I3.4$
BUILDER �f! l�iuEl��r�' G'oN.sTiti-• PHONE # b/z. �94, SG 9�q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE �DOCUMENT
p�. - l7� LI 4 �'.�• ��' .�. � L� . INSPECTOR DATE
��
PLACE NO CONCRETE UNTIL ABOVE HAS EEN SIGNED
FRAMING � , �a ZB v8
� ' �A�s � P• � - ! t �� 7 08
FINAL
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FOR ALL INSPECTIONS (952) 447-9850
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