HomeMy WebLinkAboutBuilding Permit 10-0980 DATE TIME
C1TY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Z�
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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