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Home My WebLink AboutBuilding Permit 09-0156 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � Z$ f( ADDRESS I � � � � UCk OWNER CONTR. PHONE NO. PERMIT NO. C f " I S�� ❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ ULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL ❑ GASLINE A1R TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: � ,�7.WORK SATISFACTORY, PROCEED ❑ CORRECT CTION AND PROCEED � CORREC O , CALL FOR REINSPECTION BEFORE COVERING lnspector: Owner/Contr: CALL 447 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFBTY! /NSNOTI y 0 � P R I�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� , U " �' AND UTILITY CONNECTION PERMIT � j �'NES�� I Wh�te Fde pERMIT NO . �l' �` O/^�' /� I 2 Rnk C�ry �� 3 Yellow Apphcant «� lease or rint and si at bottom ADDRESS ZONING (oteice use> s 3 � u1 c� o n�VC.►� ��2. �;�. �I r,-✓ LEGAL DESCRiPTION (oflE'ice use only) �IZ �(��f LOT BLOCK ADDITION PID �a�VNER � I I rA �.f � C 1 E�2 S(.� I'�� (Phone) �� Z'� 5 �'" lfl �o V 7 (Address) I�� 31� w� v�� Dvc.l� '2 L nt �.✓ � ��t I�� . M� 5S 37 2 BUII.DER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Parch ❑Re-Roofing ❑Re-Siding wer Level Finish ❑ Fireplace ❑Addidon ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc: Type of Constnution: I II III N V A B Occupancy Group: A B E F H I M R S U PROJECT COST/VALiTE S Division: 1 2 3 4 S (excluding land) I hereby certify that I have fumished informadon 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-menaoned property d at all consaucaon will mnform to all existing state and local laws and will proceed in accordance with submitted p s. I am awaze that the buildiug official oke this just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne inspections. �,,,,� -'- �f - � � - 0 9 X �"V� Signature Contractor's License No. Date Permit Valuation � O 0� U O Park Support Fee # $ Permit Fee $ � � ""' SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / . ,�'� Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ �~O �� U Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5� vv TOTAL DUE $ 17�is Appli comes Yoiu Building Permit When Approved Paid R ' t No. � Date . /' � U �p—, p uil m Official Date This is to ertify that the request in the above application and acmmpanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. 'Ihis document when signed by the City Planner rnnstitutes a temporary Certificate of Zoning compliance and allows construction to wmmence. Before occupancy, a Certificate of Occupancy must be issued. Planning Ihrector Date Special Cond�tions, if any 24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245 4646 Dskota Street S.E., Prior Lake, Minnesota 55372 Residential Building Permit Checklist - --- - - - - gasemeQt F3inish or lnterior Alteration to Singl�Fainily�i��es -- - - - -- - -- - BY: Date: �. �'- �� Building Permit # Q Cf Q�S� PID: Zoning: 5ite Address � `�.�'� Z � (� Y � � (� � v N�. - T - � �-- Legal: L � Z B '¢" Subdivision: Eacisting Structure: YES or NO CONFORMS TO ZONING YES NO ORDINANCE � YES NO Is this an expansion of the existing footprint or Refer to Planning building height? X Is the properiy located within the flood plain? Refer to Planning k Does the alteration include any additionalldtchens7 Refer to Planning x Dces the proposed alterarion include any outside Refer to Planning entrances other than patio doors? . �l Ls the proposed use of the finished space or Refer to Planning alteration for anything other than a norn�al single � famil home off'ice, ou home, da care, etc. ? THIS CAECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUII.DING PERMIT FILE TO MAINTAIN A RECORD OF THE REYIEW. . L:\TEMPLATE�AI.TCHCK.DOC p4 pRIO,�, Date Rec'd � D� CITY OF PRIOR LAKE PLUMBING PERMIT �� -� y � r �'NES�� B��e FJe pERMIT NO. GT . � 2 Gold C�ty / 3 Yellow Apphcant lease e or rint and si at bottom ADDRESS ZONING (o�'ice use) � s 3 Z 7 c�vo P� /�v�,r� - r/1 L �vv✓ LEGAL DESCRIPTION (oti'ice use only) LOT BLOCK ADDITION PID owrrER �� i.4�/ /�ETElZS onJ 9S Z- Y� /-66 �7 (Name) (Phone) (Address) � S 3 Z 7 (/t/ U V� I)�/L/G ! 2 L /I�N/ APPLICANT (Name) �i / r4-i✓ j E i�' 12 S V/� (Phone) g' —�-/ g !—(o <o U 7 (Address) /.� 3Z 7 v✓� o�� D v�./� ( 2� �l/v✓ /�ri �r L►�4K C �'�3 7 Z (Address) (City) (Zip Code) (Contact Person) �'w' E (Phone) �s �'"" �� APPLICANT SIGNATURE �'�` DATE `'� �� v ' v 9 APPLICANT PLEASE COMPLETE BELOW Quanti T e of Fizture Quanti T e of Fizture Bath Tub with or without shower Rou -ins Dishwasher Water Heater Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laund 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 FEESCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One 8c Two-Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ �ot�� use oo�y� �� This Application Becomes Your Building Permit When Approved Paid Date By Buildin¢ Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �� PRtp� CITY OF PRIOR LAKE Date Rec'd � D� HEATING/AIR CONDITIONING/FIREPLACE PERMIT �.,�, o� � l �'N E S�� 1 Rnk Fde pERMIT NO . / 2 Green City � � �� 3 Yellow AppLcant �� ease e or rint and si at bottom ADDRESS ZONING (oflFice use) /-� 3 Z 7 Gt/�'@ v.f�v�.IG � 2 Z /�/�.�/ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID �aWNER �/( A �t/ � C 7 E i Z S O N (Phone) 7-S�Z " y S/��o � � 7 (Address) �$ 3 Z 7 vl/ d(� � v�/Gk l 2�4/ L!1/r APPLICANT q �� i l/�k .✓ j7E7c`lt S o i✓ (Phone) ! S z' y�l — f� 6 U 7 (Address) 1 S 3 Z 7 W O U l� � vGk 7'lL✓} / L /✓ K/ (Address) (City) (Zip Code) (Contact Person) l9'v✓i � (Phone) �,J APPLICANT SIGNATURE w � DATE �' � O' D APPLICANT PLEASE COMPLETE BELO ONEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENII�iGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ S�� Units and Fireplaces Caanot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation �Air Conditioning ❑ Special Devices Fireplaces with Bog Additions or �Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE 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 549.50 Estimated Cost $ Building Permit #�+�rN rqp� 9'11V YYI HEATING PERMIT FEE $ ��I� I�IN+� PERMiT" STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Oftice Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildins Ofticial Date 24 6our notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R I O R LA KE Bt�P D�ING AND�INSPECTION IN PE TI NR E RD SITE ADDRESS 3 OO� ��. NATURE OF WORK USE OF BUILDING PERMIT NO. TE ISSUED CONTRACTOR PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING u�� ,� INSULATION ELECTRICAL PLUMBIN � v�p 2 HEATING (if required) FIREPLACE GAS LINE AIR TEST Z D COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING t 2� , ELECTRICAL PLUMBING HEATING DO NOT 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