HomeMy WebLinkAboutBuilding Permit 07-0104 DATE TIME
CITY OF PRIOR LAKE
INSPECTIOIY NOTlCE SCHEDULED
ADDRESS � �r� � � ��C�.�/�J� _ _
OWNER CONTR.
PHONE NO. PERMtT NO. 7`���
❑ FOOTING � PLUMBING RI � EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMtNG ❑ WATER HOOKUP � FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�
�IdIORK SATISFACTORY, PROCEED
❑ CORRECT CTI N AND PROCEEQ
❑ CORRECT O CALL FOR REtNSPEC710M BEFORE COYERING
Inspector: OwnedContr.
CALL 447- 50 FOR THE NEXT INSPECTION 24 HOURS (N ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�sevort
oF rs� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 Z/ U�
.. x AND UTILITY CONNECTION PERMIT
U �r
M��'NeS��r ��„� F��� PERMIT NO. 07. D/¢�
2 Pi� City
l Ydlow Applinert
Please or 'nt and si at bottom
ADDRESS ZONING cotlra use)
I���O W�D CI�C. TYA�i� N W P�'lc2 �•k� �,s ��
LEGAL DESCRIPTION (ofiFice use only)
LOT BLOCK ADDITION PID Z��. � d¢. 0�/. O
(Na�meE �t � T Ove i�G�vU�T -- (Phone) �c� �-� l 6' it fas T
�A�� l �t 186 � �" ' � w ���cxt. 553 �
B��
(CompanyName) N'bME �WNe.�'2._ " S�E /�BO'l)� (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORg ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing �Re-Siding ower Level Fimsh ❑ Fircptaee
�Addition �Alteration ❑UH1ity Connection o Mi�. 3 r�.s
CODE: ❑I.R.C. �]I.B.C. PROJECT COST/VALLTE S
Type of Construction: I II III IV V A B (exclnding land)
Occupancy Group: A B E F H I M R S U
Division; 1 2 3 4 5
I Aercby eertify tlut I have fumished informadon on this applicadon which is to the best of my Imowledge we and coirect. 1 also certify that I am the owner ix authonzed agcnt for the
above-menua�ed properry arM that alt conswction will confam to aU existing state and local laws and will procad in accordantt witA submltted plans. I am aware that tl�e build'r�g
officiai can revoke [his permic for �ust ca�hnmore, I hereby agree that the city official or a designee may enter upon the property ro perform needed mspections.
X _ a�41AA���t�`?
Signature Contractor's Lianse No. Date
Pamit Valuation �(� p p v Q Park Support Fa # S_
Pamit Fce S ��� SAC # S
Plan Check Fee S Water Meter Size 5/8";1 "; S
State Surcharge S S"� Pressure Reducer S
penalty s Sewer/Water Connection Fee # S
Plumbing Permit Fee � � � Q Water Tower Fee # S
Mechanical Permit Fee S Builder's Deposit S
Sewer 8t Water Permit Fee S Other S
Gas Fireplace Permit Fee S !� � U TOTAL DUE ;�,�G • Z J�
This Ap 'on s Yaur Bnilding Prnnit When Approved p�d . Z RCCC TTO. ,3Z./
l ��� Date 3. G B
Bui din Uf'ficial Da►e
Th�s a to certify that the requrst in t6e above applicanon and accompanying documents is in accordac�ce with the City Zoning Ordinance and may proceed as rcq�sted. This document
whcn signed by the Ciry Planner coraatutcs a temporary Certificate of Zoning compliance and allows construction to commence. Beforc �ccupancy, a Ccrtifieace iN Occupancy must be
issued
Plmaing D'uxtor Date Special Ca�didoaa, if
24 hour notice for sll inspectiona (9S2) 447-9850, tax (9S2) 447-42�5
16200 Eagle Creek Avenue Prior Lake, MN 55372
p� pR1 �,p Date Rec'd
� D 9 CITY OF PRIOR LAKE PLUMBING PERMIT
� � 3-��•°7
� ��-
�'NES�
' B,"e F''e PERMIT NO. D
2. Go�d ��ty
3 Yellow Apphcant •
Please e or rint and si at bottom)
ADDRESS ZONING (oEfice
I $ o� �k lV �ia�. lR� (�tr� �53�'� °�'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �
(Name) �V�� ��N� ��� S 1 (Phone) 6 � a ..� � 6 ' �5��
(Address) + ,�j w � l.aKt M�.3 � � � � �
APPLICANT�L
(Name) 1`1�1��.���.lZ '" S�� �FgOV�. (Phone)
(Address)
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE .�-� ----'- DATE � MA'V� �.�
APPLICANT PLEASE COMPLETE BELOW — C� l.
uanti T e of Fucture uanti T e of Fixture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra 1 or 2 com artment sink Sewa e E�ector
I Shower Stall - ON Backflow Assembl
Sinks • �R, pNt�.Y Backflow Assembl Test
Bar Sink � �tL �, b1a1- Lawn S rinkler
Water Closet Toilet • Z o Other
FEES HEDULE
Industrial, Commercial & 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 $ UC� WITH
STATE SURCHARGE $ .sQU ���p���;, pERMtT
TOTAL PERMIT FEE $
(Ofi'ice Use Only) _
This Application Becomes Your Building Permit When Approved Paid Recei t
Buildine Official Date Datq! � �� By •
7
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
�� P R 1��
CITY OF PRIOR LAKE Date Rec'd
� D� HEATING/AIR CONDITIONING/FIREPLACE PERMIT Z � 0
�
3� �
l �'N E S��
' P "� F, '` pERMIT NO. �J G
2. Green C�ry /
3 YeOow Appl�canc �
lease e or rint and si at bottom)
ADDRESS ZONING (office
��(�g6 t�oa�w� �'"aa Pr"�o�. C. �ltc.. M� 553��, °�'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITTON PID
OWNER � � � .
(Name) ti �U1 (Phone) 6��►'?�6' �SS�
(Address) �y� p uC�,C„ 12. t �����
APPLICA T
(Name) ���WC� ' �� ���� (Phone)
(Address)
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE � DATE /�� I�M�II� �L /
A,PPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Wazm Air Plants ❑ Steam PLEASE NOTE:
❑Gravity ❑ Hot Water Air Condltioner Units
❑ Mechanical ❑ Radiation Cannot Encroach into
❑Air Conditioning ❑ Special Devices Required Side Yard
❑Vent. System ❑ Other Devices Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace �39.50
$39.50 minimum
Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ PAID WITH
STATE SURCHARGE $ .50 E����D��O(7�'` ���,'r'
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Recei
Dat� v' Q By
Buildin¢ Official Date '
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
P R I C� R LA KE sUl DRN� AND INSPECTION
.
IN PE TI N RE
RD
SITE ADDRESS / -�/ .�i� ��'� � � ���-- ����" Z--
NATURE OF WORK l� e�C=1<-- ��=�/C- L.-
USE OF BUILDING %' � �'�L
PERMIT N(J. O 7. U/4-v DA E ISSUED 3 z �. o
CONTRACTOR 6 v/� C1 v-1"% PHONE �i z.�• Zt��
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - 1NS
�
FRAMING � o g
INSULATION
ELECTRICAL �
PLUMBING
HEATING {if required)
FIREPLACE
GAS LINE AIR TEST f �
COVER NO WORK UNTIL ABOVE S BEEN SIGNED
FINALS
BUfLDING � ��
ELE�c;TRiCAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SICNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until ail inspections have been appraved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850