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HomeMy WebLinkAboutBuilding Permit 10-0980 DATE TIME C1TY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Z� _�_ ADDRESS � (��`�2_ ��y�, �. � OWNER CONTR. �rj , /�Q; j PHONE NO. PERMIT NO. lD —�� ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/�ILLING C] FOUNDATION 0 MECH R( ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE F1NAL � FINAL ❑ PLUMBING FINAI O GASLINE AIR TST ❑ SITE INSPECTION f�MECH FINAL ❑ COMMENTS: �� �i�S C.. w� I� � �� �� ❑ WORK SATISFACTORY, PROCEED }B�CORRECT ACTION AND PROCEED O WORK, CALL. FOR REINSPECTION BEFORE COVERING Inspect . OwnedContr: CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTI DATE TIME CITY OF PRIOR LAKE o �, � /_ INSPECTION NOTICE SCHEDULED �11f / � � � Y ADDRESS ��4�� � (UI�,� ��,�,tJ(/�, OWNER CONTR. PHONE NO. PERMIT� NO. JQ —( O� I O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION O MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP � FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL ❑ PLUMBING FINAL �K GASLINE A� ST ❑ SITE INSPECTION � MECH FINAL ❑ VVIar�S�. _ � COMMENTS: � WORK SATISFACTORY, PROCEED ❑ CORRE A N AND PROCEED ❑ COR ECT RK, CALL FOR REINSPECTION BEFORE COVERING Inspect r OwnedContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �,��� ADDRESS �_ � v� � � l�U� l�,Q OWNER CONTR. - !6 PHONE NO. PERMIT NO. �p _ � ,�. �� ❑ FOOTING � PLUMBING RI ❑ EX/GRADIFILLING ❑ FOUNDATION 0 MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP CI FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FIHAL ..BT"�I,lIM81NG FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ,,0'iVlECH FINAL O COMMENTS: I, ? S� C'�.� �or �� �1�.� �„ ( e�,.. � C�-- 3 • �or '(`� L11 `�S - 4 `-� "' � y. ❑ WORK SATiSFACTORY, PROCEED � RRECT ACTION AND PROCEED ❑ RR WORK, CALL FOR REINSPECTiON BEFORE COVERING Inspecto : Owner/Contr: CA -9 0 FOR THE NEXT INSPECTIOM 24 HOURS IN ADVANCE. CODE RE UIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTI oF PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /� �� o � AND UTILITY CONNECTION PERMIT 6 U � p. ���'NES��P I Whice Fde pERMIT NO / 1 ? PmA City 3 Yellow Apphcant V �1 Please e or rint and si at bottom) ADDRESS ZONING (oft'ice use) i� q`� `Z, P C.. r�.D cP..t�. r� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ��� U� �.l� � �� (Phone) (Address) 1 ( Z (� (.(, � BUII.,DER � (Company Name)_� A U ��UI �i� ��� ( t L � (Phone) � �0 9 � � U (Contact Name) L� �CZ�J .��'w�fs (Phone g` O C� (Address) 1(�-2 '7 �' 1 U� n I� � � I�.1 b(J 1M � ��s 3 L 1, r TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg ❑Lower Level Fimsh ❑ Fireplace ❑Addition ❑Alteranon ❑Utihty Connection CODE: [�I.R.C. ❑I.B.C. sc �����/L �Z.l� /���%�/��� Type of Construction: I II III IV V A B pROJECT COST/VALLTE $��` �� Occupancy Group: A B E F H I M R S U ��' Division: 1 2 3 4 5 (excluding land) 0�`U I heieby cerufy that I have fi�rmshed mformauon on th�s applicanon which is ro the best of my knowledge tn�e and correct 1 also cerufy that 1 am the owner or authonud agent for the above-menhoned properry and that all construcuon will conform to all exisnng state and local laws and will proceed m accordance wrth submrtted plans. I am aware that the bu�idmg official can revoke this permit for �ust cause Furthermore, I hereby agree that the ciry offic�al or a designee may enter upon the property to perform needed mspections X � �-�,�..,, �vs � 2 3- 3 t� �2 Signature Contractor's License No. Date � Permit Valuation � ( b�� Park Support Fee # $ Permit Fee ' $ � 2 . SAC # $ Plan Check Fee $ ,� q• 0 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 � p �7� 1 $/ � z_ Q This App ation m s Your Building Pernut en proved Paid Z i ei t No. ' Date i o . !o i-� fo Buddin_ (�fticial Date This is to cert�fy that the request in the above appl�cahon and accompanymg documents is m accordance wrth the City Zonmg Ordmance and may proceed as requested Th�s ducument when signed by the Gry Planner consututes a temporary Cerhficate of Zonmg comphance and allows construchon to commence Befoie occupancy, a Cernficare of Occupancy must be issued Planning Director Date Special Condiqons, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 � p ltip Date Rec'd � �9 CITY OF PRIOR LAKE PLUMBING PERMIT `(, Z 4 0 � x � � � 0 �I�'NESO� 1 BWe Fde pERMIT N 2 Gold City — 3 Yellow AppLcant Please e or ' t and si at bottom ADDRESS ZONING (ote�e use) i G��� ���.,�q �ti ��� �1',�:,� � LEGAL DESCRIPTION (office use onty) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLIC�T � � Q ` � j (� (Name) r+t t i S 16'01 f� l.� M� r�'1h (Phone) /�1 � 1 � 7��� (Address) ��.l.�f ��f ���1:Z/P C'T N� ���. I�� �l �� (Address) (City) (Zip Code) (Contact Person) � � K� jOry�Srn (Phone) C I� � 3 � �� 76 j� APPLICANT SIGNATURE ' DATE I ( '- � - �c APPLICANT PLEASE COMPLETE BELOW uanti 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 I 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 $ 7s�id Building P it # �� I� PLUMBING PERMIT FEE $ �. .� � STATE SURCHARGE $ .50 Y TOTAL PERMIT FEE $ .� . 1 ) I f (Oftice Use Only) �1 I� V l V� � .� L' This Application Becomes Your Building Permit When Approved Paid /� eceipt No. � 7 � Dat By � Buildine Of�cial Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R i Q R LA K E BU L R�IG AND iNSPECTION 1N PE TI N REC4RD S C O SITE ADDRESS Z �iLIND t.,�' %%�LC� � NATURE OF WORK USE OF BUILDING �.� PERMIT NO. U DATE ISSUED . CONTRACTOR PHONE.� ' J NOTE: THIS IS NOT 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 - INS FRAMING � �s r� INSULATION Z , � � ELECTRICAL PLUMBING � � 2 i�> HEATING (if required) P f� � 2 c �� r� , � � � COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED �' �. ti � FINALS `� � BUILDING Z Z� �� ELE�TRICAL � PLU(v1BING � 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 untit all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be piaced near main entrance. FOR ALL INSPECTIONS (952) 447-9850