HomeMy WebLinkAboutBuilding Permit 11-0002 DATE TIME
CI7Y OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � � ��
ADDRESS `� '2 i�, M Qf SL�-�� 'C�� �
OWNER CONTR.
PHONE NO. PERMIT NO. 1� C�O2
❑ FOOTING ❑ PLUMBING RI ❑ EXIGRAD/FILLING
❑ fOUNDATION ❑ MECH RI ❑ COMPLAiNT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPIACE Rt
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
SITE INSPEC710N ❑ MECH FINAL ❑
COMMENTS:
�' WORK SATISFACTORY, PROCEED
❑ CORREC AC i AND PROCEED
O CORRE T W CALL FOR REINSPEC710N BEFORE COVERING
Inspector. OwnedContr:
CALL 7- 8 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
tNSnor,
oF PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ,: � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� Z C� � Q
� N ���� ��,-,. x AND UTILITY CONNECTION PERMIT /'
U - �
M��'NESa�P I Whrte Fde
2 P�nl. �„ PERMIT NO -- �r` U U v �
3 Yellow Apphcant �
Please or rint and si at bottom)
ADDRESS ZONING (oflice use)
� � � �.� �'"� � f S � '�'� c � ' u. �^ �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER • 1 U
(Name) TI r�. v���• A� � n �L.1' (Phone) 9 ��/ (��" S�'��
(Address) � � v S� /1�(s-/S �. �i �(.I ��,�.,�, P t � / r /�, �
BUII..DER `
(Company Name) /� ���J + L �. h �shti•-, (Phone) � �l a �`r " l � .2 3
(Contact Name) AN (Phone)
(Address) o'�1 � S,�.d�. S� � i� ti L l�'1 n/ Sa �3 ,�
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fireplace
❑Addition � erauon ❑Utihty Connection
CODE: I.R.C. ❑I.B.C. ❑ M�sc.
Type of onstruction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ . O JU
Division: 1 2 3 4 5 (excluding land)
I hereby cerhfy that I have fi�rmshed mformation on this applicanon which is to the best of my knowledge true and correct 1 also certify that I am the owner or authonzcd agent for the
abuve-menhoned properry and that all constructton will conform to all exisang state and local laws and will proceed m accordance with submitted plans I am aware that the bmldmg
official can revo this permit for �ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspections
x ��� �„ Zr�G Z� SS,S' l/-1`� /b
Signature Contractor's License No. Date
Permit Valuation � J�� _ Park Support Fee # $
Permit Fee $ 3 -17 SAC # $
Plan Check Fee $ �` 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 Permit Fee $ TOTAL DLTE `� 30 $
This Ap tio ecomes Your $uilding Permit Appr ved Paid Recei t No.
Date 3
tl '?�O (o
Bui�au,�� • �� �ce
Th�s is to cerhfy that the request m the above applicanon and accompanymg documents is m accordance w�th the City Zoning Ordmance and may proceed as requested Th�s document
when signed by the City Planner constrtutes a remporary Certificate of Zonmg compLance and allows construcuon to commence Before occupancy, a Ceruficate of Occupancy must be
usued
Planning Director Date Special Condidons, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372 ,
O � PRIp� Date Rec'd
� � CITY OF PRIOR LAKE PLUMBING PERMIT /� c �/
� x
� �
�
1. Blue F�le pERMIT NO . — � 7 �
2. Gold Crty / �— L
3 Yellow Appl�cant
1 ' t and si at bottom
ADDRESS ZONING (o�ce u�e)
�� Z .�Z /'�.4"l�l����Z,/� �� .
LEGAL DESCR�TION (ofl['ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
AP T
am -� (Phone) ����^ ��'� �� ��
Address) � `7 g �P� � /' 1�' v� ��e� �� ���'" �� �.���V
(Address) (City) (Zip Code)
onta.ct Person) t� d N �'l�i�� ��P/�' (Phone)
� J
LICANT SIGNATURE D I'� ��/ I
APPLICANT PLEASE COMPLETE BELOW
QuanN T e of Fixture QuanN 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
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
FEE SCHEDULE
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 Pernvt # I^ �
PLUMBING PERMIT FEE $
.�J� 1 QJ
STATE SURCHARGE $ .50 � , I �
TOTAL PERMIT FEE $ v
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildin¢ Official Date
24 hour notice for all inspections (952) 447 fax (952) 447
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
P R I O R LA K E BUIL[�RIVG A D
IN PE TI RE
N RD
SITE ADDRESS 1 ��? �. I�q ��s N- E-1 �~� �.
NATURE OF WORK � � -
USE OF BUILDING -�-- s �-
PERMIT NO. �'�4 `�v�� DATE ISSUED ti 3� to
CONTRACTOR x�-c�ss► g�� I" �t�5 PHONE la�l - L� 9- I���
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
u�s�croR oAre
� N (Prior to Backfiil)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRaMiN� � � �i
i����
ELECTRICAL
PLUMBING �J; �S � �J �»
i�i (if required)
E
AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
�'G (Prior to Sodding)
BrUI'�DING � �s ��
ELECTRICAL
PLUMBING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricai service cabinet prior to rough-in inspections
and �'naintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be ptaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850