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!
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oF PRr CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ... � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' �' AND UTILITY CONNECTION PERMIT ��� f�J
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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 ,,,,�
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(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
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Signature Contractor's License No. Date
Permit Valuation � 0 O O� O O Park Support Fee # $
Permit Fee $ � 0 SAC # $
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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
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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
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White - Building
P Canary - En ineering
�INNES�� � c - Plannin
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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�
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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
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P R I U R LA I�C E BUP DRNG A DONSPECTION
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IN PE
TI N RE
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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
.{ •
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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