HomeMy WebLinkAboutBuilding Permit 09-0044 DATE TIME
CITI OF PRfOR LAKE
INSPECTION NOTICE SCHEDULED 2
ADDRESS � t,.t/� I.�O�� T
OWNER CONTR.
PHONE NO. PERMIT NO. O'�j — QO �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNOATION ❑ MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
�rf'F1NAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL O
COMMENTS: C..L_ �°���
„
,
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC WO , CALL FOR REINSPECTION BEFORE COVERING
I nspector: Owner/Contr.
CALL 7-9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
rNSnor,
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�..,,; �_ � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� p�j'
�' `�'� , ��` ' AND UTILITY CONNECTION PERMIT � �
- 9� �
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M��'NES��P 1 Whrte Fde pERMIT NO //��
2 Pmk City O� � O
3 Yellow Apphcant
Please e or rint and si at bottom)
$ ��� � S�d— 7`��-� �/(, ZOIVING (oFl�ice use)
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LEGAL DESCRZPTION (office use only)
LOT BLOCK ADDITION PID
o x �,LT �:q� � ��Z —dra S ' '/�'�.�-�-3
r.� , �' r
�,,�.�� ,
(Address)
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construct�on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Finish ❑ Fireplace
❑Addition �Alteration ❑Ut�hty Connection l �» ,
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of ConstYUCtion: I II III N V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U (excluding Iand)
Division: 1 2 3 4 5
I hereby certify that I have furnished mformauon on this applicaaon which is to the best of my knowledge true and correct. I also certify that I am the owner or author�zed agent for the
above-menaoned property and that all construction wil] conform to all exisung state and local laws and will proceed in accordance with submrtted plans. I am aware that the buildLng
offic�al can revoke this pe�mit for �ust cause Furthermore, I hereby agree that the c�ry official or a designee may enrer upon the property to perform necded mspections
X � r Z —�--�9
Contractor's License No.
Permit Valuation Q G U v Park Support Fee # �$
Permit Fee $ 4 S SAC # $
Plan Check Fee $ �-- Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ ��(/jJ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ �'O� (/v TOTAL DLTE $ � \�
This Appl' comes Your Building Perniit Wh Ap roved Paid ,3 S.?j Re i t No. 57231
Date � G�� B
Z p O
Bui� m<� ate
This is to certify that the request m the above appl�canon and accompanymg documents u m accordance w�th the Ciry Zonmg Ordinance and may proceed as requcsted This document
when s�gned by the Gty Planner constrtutes a temporary Cert�ficate of Zonmg compLance and allows construchon to commence Before occupancy, a Certificate of Occupancy must be
�ssued
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
ement Finish or Interior Alteration to Single Family Homes
gy Date: z. �o � U �
Buildin Permit # Q 9, (�(� PID: Zoning:
Site Address � � - ���'� .
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING NO
ORDINANCE
yES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? �
Is the property located within the flood plain? Refer to Planning �
Does the alteration include any additional kitchens? Refer to Planning �
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? �
Is the proposed use of the fmished space or Refer to Planning
alteration for anything other than a normal single ,C
famil home office, ou home, da care, etc. ?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN TAE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:�TEMPLATE�ALTCHCK.DOC
Feb 17 09 01:46p Viereck Fireplace Sale � 9524405627 p.2
� fl� CITY OF PRIOR LAKE Date Rec'd
�+ ��� HEATING/AIR CONDITIUNINGlF�REPLACE PERMIT Z, /7. � 9
/
�
1� E Sp '�
2 cre.n Ca. PERMIT N .
3. Ydbw Appiunt
ELS! OL � iDa SZ �[ bOSC�
ADDRESS Z G c�tt �:�>
�300 �obcot- `�'roc.i t Nl� .
LEGAL DESCRIP'I'ION (ofTix uae only) .
LOT BLOCK ADDITLON PID
O�WNER� l� 1( T �1 �?s'CYlL! lll( � (Phone) "�.J.Z - �`t'.� - �Oq �
{Nar�)
�Aa�� 300 3 �obcc�- Tr��,1 �1 �
APPLICAtl�l'C�,2� t't r� � GC C.e S��1S ��-�'r��_ (Plwne) ��� - 4 �-� b�
�� V t ,
c��� �1�..1�—�►l�.�ca,A-„� � Prr' c� r�.a..4c� �s 372 :.
c �� c� �t�p �.oa�,
` ' (Phone) �D I o� � �P ( f0 ' 7aa-r
(Contact Person) . .
APPLICANT SIGNA DA'TE � V
APPLICANT PLEASE COMPLETE BELOW
�NEW CONSTRUCTIOV ❑ EtEPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AiVD MODEL ��'��S'r �C�. ��t�T �'I FUEL ���cS ,
FLUE S1ZE � 11 RE'ILfRN OPENINGS INPUT 'Z� d� OUTPUTa�dD�71 .
TYPE OF SYSTEM HF.ATII�TG OB POWER PLANi' pLEASE NOTE: Air ConditioQer �-
❑Warm Air Plants ❑ S�� Units and Fireplaces Cannot Encroach
��ri�. ❑ H�t Water into Required Sidc Yard Setbacks.
❑ Mecl�anical ❑ Radiation Fireplaces with Box Additioas or
❑Air Conditioning ❑ Special Devices C�tilevers to the Oubide of Boildiags
❑Veni. System � ��a �"��� R�qnice a Builddng PenniL
FIREPLACE MAKE Al�'D MOD6L
ta'EE SCETEDULE
)ndustrial, Corumccriat 8c Mulri-Family 1%. ofjob ca� Residentiat, Gas Fitspiace �9•�
549.50 minimum
Residential, Heating& rUC (New Construction) S149.50 Residential, Additions &.Uccretions 549.50
Residentisl, Heating Only (New Construction) S64.50 Residentiel, AC Only 549.50
�b � � Building Pecmit # p �
L�
HEATFI�G PERMIT FEE s BUILDIIVG I�RM!'�"
SrATE SURCHARGB $ SQ �
TOTAL P�RMIT FEE S
(Of6a Ust Osly)
This Application Becomes Yoor BuiWing Permit When Approved Paid Receipt N
��Z, /7. G �l By
BsilJiat Olficiul �►�
24 hour notice for all ioapeetions (952) 447A850, fax (952) 447-42� ,
4646 Dakota Street S.E., Prior Lakq Minnesots �Si72
�.
Feb 19 09 09:08a WelterBlaylock Inc Yetzer 95?_7585942 p.1 .
O�c.?Rto,� Date Rec'd
�. � Cl�'Y OF PRIOR LAKE PLti MBING PERIV�I�' .
� �
U •,: W
d ,�T �
NN Eg� .
,. �'"° ��° PERiVIIT NO. .. .
1. 6dd ay
3. 1'el4+w Ayy�emt[ ..
PICaR ! Ol � SQd S� YT �lOY�D ..
ADj�j�E.S.S • Z� C.T (office n�re) �
� �� �
„' �
�`j C:�� ��� �,,�CC�: �... .-�� � �+ ',, +,-. .
i ' '• •1
LEGAL DESCRIPTION (o�cc nacony) i ` - .
I ' x;
LOT BLOCK ADDITION PID � ' .`'
I ', `��� s,
OWNER -� -1 ', . .`; •:
��� ;C�,l ; �{ � i ��'1'` (�I��)
,
(Address) �'� 4 t1�. I ' , . ..
APPLICANT ' . '
(1Vame) ��TFy R RIAYtOdC� INC. (PhOne) � � `
201 47H AVE S1N STE 3 I, •°• ��
<.
?.,:
(Addxess) (Addressj �W PF�1Ct!F.. MLtI 5g0T� ���� , � — - �� ��� : '. +?' �
(Cornact Person) � � � �: � l �V (Phoae) `��! � � � �F° �`7 l •
APPLICANT SIGNATURE �- ' 't' � ���'� DAT� � � � `1 C � . . .� ,
� t '` . .
.
APPLICAi�IT �LEASE COMPLETE BELOW � " � �•
uantitv T of Fizture uanti � T e of Fucture =� .; ,.
Batt► Tub with or Klthout shower Rou -ins �;,� '
i Dishwasher Water �Fieater . _
FloorDrain WaberlSoftencr : •
Lavato athroom Sink Stand Pi Machinc S�:
. , .
L Tr 1 or 2 com ar(utent sink Sew ' E�e�tor � _
Shower Sta�l Back�bw Assembl ��'
Sinl:s Ba ow Assembl Test •,
1 Ber Sink Lawn rinkler .
Wat�er Closet oilet O�her '' . �' ' '
, -'
FEE SCHEDULE '� � ' .
lndustr+al, Com mercial AE Mulii-[aaeily I°k of job oost �vith a S49S0 minimum Residential, ��e�v One & Two-Family S 149.50 ,,•
Residentisl,l�ddilions & Alteaations 549.50 '
Estimated Cost $ Buiiding Pcm�it � I ::.
' �' �� � .
PLUMBIAIG PERMI� FEE s �', So BU�LDIfVG PERMI'�" �.'
STATE SURCFLaRG� $ �; . � .
TOTAL PERMIT FEE S ' . ; :
(011ico Uss Onty) .
Tl+ix Applicatu+�► Bacomes Y�►s �n�diwg Per�it � A�+prwod �a�ci ', Roceipt No �:
� ,
Dat $y ' .
1�uildiee U�'iriof Dste .
24 hour nolioe !or all inspections (9S2) d47-9856, fa: (952) 447.j�2�5 •
46�IG Dakom Strcet 9.E., Prior I.sl:�.. M�neesota 5337Z �, • .
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P R I O R LA K E BUP �RNG AND INSPECTION
IN PE TI N RE RD
SITE ADDRESS �OGL3 .b o�G� i 77�.s�I'�C�
NATURE OF WORK G�Vif�7Z_ C-El��t�
USE OF BUILDING /'�-s' �/�-
PERMIT NO. D�, v� ¢� � DATE ISSUED 2 ��- ��
CONTRACTOR F��'�!H /✓N PMONE l� iZ, �� �• -�.�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT'
INSPECTOR OATE
PLACE NO CONCRETE UNTIL ABOVE HA� BEEN SIGNED
- ROUGH - INS �'�
FRAMING '- ►
INSULATION i '�
ELECTRICAL ' '
PLUMBING t�} ' e Q'
HEATING (if required) '
FIREPLACE � 3 2 0�
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS �EEN SIGNED
__ FINALS �
,
�UILDING z �g ��
ELECTRICAL '�
PLUMBING I
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS '',BEEN SIGNED
�
NOTICE
This card must be posted near an electrical service cabinet prio� to rough-in inspections
. and maintained until all inspections have been approved. On I,buildings and additions
virhere no service cabinet is available, card shall be placed near m�in entrance.
F R L P I
O A L INS ECTIONS (952) 447-�850
�