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HomeMy WebLinkAboutBuilding Permit 07-0795 DATE TINIE CITY OF PR{OR LAKE ��� INSPECTION NOTICE SCHEDULED ADDRESS y� OWNER CONTR. PHONE NO. PERMIT NO. �"' 7�� 0 FOOTING ❑ PLUMBING RI ❑ EXIGRADIFILLING ❑ FOUNDATION � MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE Rt O�MISULATION ❑ SEWER HOOKUP ❑ FIREPI.ACE FINAL �� FINAL ❑ PLUMBING FINAL O GASLINE AIR TST �O SITE 1NSPECTION ❑ MECH FINAL ❑ COMMENTS: WORK SATISFACTORY, PROCEED CORRECT ACTION AND PROCEED CORRECT WO CA L FOR RElNSPECTION BEFORE COVERING spector: OwnerlContr. CALL 447- 50 THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HE9LTH Qc SAFETY! �vsxori oF PRr CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� ... � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �' �' AND UTILITY CONNECTION PERMIT ��� f�J v � � � ' M�A'NE50�P I Whue Fde PERMIT NO . ? Pink City D�7�, �"� 3 Yellow Apphcant � � (Please e or rint and si at bottorn) ADDRESS ZONING {of�ice use> y�S� O �r�s c� � 1� .5�,� t /b ✓ �a- K � /N'� � LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID �S.,O(� , D 20. (� OWNER . (Name) �t r ` 4' �✓ 1 I�S o� (Phone) g S� '� I.O r�J ,,,,� � � � � �� (Address) �' G �. b✓ � o,r I e� �.�C. �'� d I oti YL g 7'�'Q BUII,DER (Company Name) �G�- �L (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction �eck �'orch ❑Re-Roofing �Ze-Siding ❑Lowe L vel Fimsh ❑ F�replace ❑Addinon �lteration ❑Utiliry Connection � CODE:� R.C. ❑I.B.C. ❑ Misc. . Type of Construrtion: I II III N V A B pROJECT COST/VALLTE $ G d OQ� Occupancy Group: A B E F H I M R S U (excluding land) � Division: 1 2 3 4 5 I hereby cerufy that I have h�rnished mformau n on t is appl�cation which is ro the best of my knowledge tnie and correct I also cert�fy that I am the owner e�r authonzed agent for the above-menhoned properry and that a 1 �cho ill conform to all ex�snng state and local laws and will proceed m accordance wrth submitted plans I am aware that the buildmg otTcial can ermu for�i c� F� rmore, I hereby agree that the c�ry official or a designee may enter upon the property to perform necded mspecuons x �' �'' °? Signature Contractor's License No. Date Permit Valuation � 0 O O� O O Park Support Fee # $ Permit Fee $ � 0 SAC # $ � Plan Check Fee $ Z Water Meter Size 5/8"; 1"; $ . State Surcharge $ S �� Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ �� �/�L $ 3�, g�' Sewer & Water Permit Fee $ Other �T (o. O D Gas Fireplace Permit Fee $ TOTAL DITE $ 2 q8 � This Application Becomes Your Build'utg Pernut When Approved Paid , ReCei t No. S , %_� �� / O 7 Date B �c ' Bmldu��, Ufticial D e This is to certify that the requcst in the above applicanon and accompanying documents is in accordance w�th the City Zonmg Ordmance and may pruceed as requcsted Th�s d�xument ` when signed by the Ciry Planner consumtes a temporary Cernficate of Zonmg comp6ance and allows construction to commence Before cxcupancy, a Ce�teficate of Occupancy must be usued �� /.�'�,C �Ge ��.y►n�tint - ��ee1'� P ning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Sueet Prior Lake, MN 55372 O � P RIp� � ti x U t�i White - Building P Canary - En ineering �INNES�� � c - Plannin � BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT � ��` f ` �`�'� r /�" `� `C /�� APPLICATION RECEIVED � . l �j.� . C � The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: � .`., �� � � �. �-/ � /`_l f�..� %� ..,,"�� �. L; I _� Accepted Accepted With Corrections Denied Reviewed By: Date: � i7-a7 Comments: /�/w R�� 1;►►� ��,,.� P,���l �i�. of ex��� r�a�' an ea,st�`p�e o�T t�e �ailairlol. "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancef the provisions of this code or other ordinances of the jurisdiction shall not be valid." O � PRIp� 1 � �� U txf Whi ,� ,��, Canary - Engineering NNES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT �� �'✓�l �✓SO � APPLICATION RECEIVED 8 � �4' . a� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: �� d /���5��✓i � Accepted Accepted With Corrections ✓ Denied , Reviewed By: �e�—�. Date: � S a� Comments: ��� Ld�.� f . "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." �Q pR �O,� Date Rec'd � � CITY OF PRIOR LAKE PLUMBING PERMIT �a„ y,,� 7 � � ���'NES�� �. B�°° F��° pERMIT NO. � cj7.3 z coia aty 3 Yellow Applicant lease or ' t and si at bottom ADDRESS ZONING (ot�►oe use) /�� �H Ts� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT , t � — (Name) �' / c a�. uJ � J Y� S o V� (Phone) �!� `� 6 8�!� / (Address) ��6 � �a ►�. c � /�� �L� /'��'� v ✓�c. �-� � 5 3 72 ., ,. (Address) (City) (Zip Code) (Contact Person) r� '� �� I H S o�^ (Phone) � cr H"'��-- APPLICANT SIGNATURE DATE ��'� l � �j APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commerciai & Multi-family 1% of job cost with a$39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ � 9 SO STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ - U (Oftice Use Oniy) This Application Becomes Your Building Permit When Approved Paid � vL Recs' No��,B�� . Date Building Official Date �� � �� G� . 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 t P R I U R LA I�C E BUP DRNG A DONSPECTION � ,, - IN PE TI N RE Rd SITE ADDRESS �S�e d � T" ,S�T+ S• +�+i NATURE OF WORK « a ~ j USE OF BUILDING + , PERMIT NO. . DATE ISSUED CONTRACTOR G' PHONE r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPE IONS BEL011V THE PERMIT tS BY SEPARATE DOCUMENT �,r•+�.. �+�"� INSPECTOR bp� FOOTtNG �,J' � � z � NTIL ABOVE HAS BEE�t SIGi�Eb ROUGH - INS F�ann�NG � INSULATION � . ELECTRIGaL .{ • � . �,. COVER N� WORK UNTIL ABOVE HAS BEEN SIGNED > �� U� -� iNALS �UILDING 2 �� �LECTRICAL DO: NOT OCCI�PY UNTIL ABOVE HAS BEEN SIGiVED-. ;� , , NOTICE � � This card must be posted near an eiectricai service cabinet prior to rough-in ittspections and maintained e�ntil aii inspections have�b�een approved. On buildings and additions where nv service cabinet is available, cGrd shall be placed near main entrance. FOR ALL lNSPECTlONS (952) 447-9850