HomeMy WebLinkAboutBuilding Permit 10-0272 riMe
CITY OF PRIOR LAKE � ��
INSPECTION NOTICE SCHEDULED
ADDRESS ,�j O �
OWNER CONTR.
PHONE NO. PERMIT NO. l(�- Z��
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
CI FOUNDATION 0 MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ' ❑ SEWER HOOKUP O FIREPLACE FINAL
�-F1NAL O PLUMBING F1NAL 0 GASLINE AlR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: L . L.., . ���./t ��' �
�d
L�
� WORK SATISFACTORY, PROCEED
c
O CORRECT ACTION A 0 PROCEED
❑ CORRECT WO L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT IN5PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�rsnon
�� P R Ip�
CITY OF PRIOR LAKE BUILDING PERMIT', Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" __ ' �" AND UTILITY CONNECTION PERMIT
�t ,
�'NE5�
I. WYnte File pERMIT NO .
2 Rnk City f�' / I�
3. Ydlow Appltcant
�CS4t OI' � aLd SI 2t bOrtOID�
ADDRESS ZONING (�,�)
1�Z1� C'��o-I C���le �� r-�
LEGAL DESCRIP'PION (otTice use oniy)
LOT � BLOCK ADDITION �" � Q r � Z "/ O U �
nv�ej l�c,� a w� � f� e�� VJ ��anQ �Sa G' cPn�e) `j52— `I d Z ��fT
(Address) � �I 2 4 p � � � /'�� Q,..
BUILDER f - p f
(Company Name) 4—� Y'S 011� _ c� 5�� Y►^ �� �(h pr.12 ( i Y� al (Phone) C 'I S Z" � c l �- — 33 Qq
(Contact Name) ��e i -� �'l �, a r S b Y1 (Pho�e) Sc� w� �
(Address) �o � Q � � eGl i' � A a l�
`I`YPE �F w�RK ❑ New Co�ucOion �Deck (]Purch �Re-Roofing ❑Re-Siding �ower Level Finish �Fireplace
❑Addition �Alteiarion QUtility Connection
CODB: �I.B.C. QI.B.C. ❑ lvi'isc:
Type of Con4t�uction I II III IV V A B
Occupancy Group: A B E F H I M R S U PBOJBCT CO5f /VALUE S
Division: 1 2 3 4 5 (exctudin� land)
I hereby ae�oA'y that I have fiuni�ed 'nformaoion an thB app}i�tian which is cu U�e be� af my lmowkd� troe and coaeri I slso aeitil'y that I am thc owner or w�niaed agmt �r dx
above-mrntioaed psopeaty a� thai all oo�:�uction w�l ca�'arm w all atiatiog a�e ad lonl laws and wil p�oceed in awo�danoe wih �bmiA�ed p1�ns. I am awae 16at the bolding
oE'icial can 11� pvmit f� ":x cause. Flttthermore. I heteby agRee thaR the citq a�'icial or a de�ee may enar uP� � ProP�Y m P�+� ��s-
-x ������� � — � Z � � 86 �� `i `�' Z� / a
Signature Contrador's Licen4e No. Date
Permit Valuation �� � Park Support Fee # S
Permit Fee S Q T Z- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; x
scar� sunchar� $ z Pressure Reaucer s
Penalty $ Sewer/Water Connecki� Fee # $
Plumbing Pemut Fee $ �_ Waxer Tower Fee # S
Mechanical Permit Fee � Bw7�r's Deposit S
Sewer 8c Water Permit Fee $ Other $
Gas F'�replxe Permit Fee 8 �. � T(3TAL DUE � � a . 2 S
Tl�s Y � r�ru�c � .�1 Paid „Z R t No.
Date yd c B
� Zo j 6 �
Bnil ' Offiaisl D�e
This is w certd'y tLat th tequest ��e above sQp�wuon and accompanYnB d«u� is m accordance wAh dx Citp Zonrog Ord'mance a� map p�oceed as requesoed. 'lhis docvment
when signed thc ' Planner c� a tempocuy Certd'rate af Z�ug ��liance a� allows c�uction Lu oommence. Before om�Pancy, a CeNifxate d Occapaacy nut.st be
� om
i�uad.
'ZD f0
Plaiming I�te Spac�sl Cadilions, if �tY
24 haur oMice fnr sll iospecfions (952) 447-9830, fsz (952) 447�245
4646 Dakofa 9treet S.E., Prior I.ake, Minne� S53T2 \
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: � Date: �, ���
� �
Building Permit # PID: Zoning:
Site Address t ,�. L , � C•� o�' t,., t�� c�E ��'
Legal: L B Subdivision:
Existing Structure: �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
X
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 finished space or Refer to Planning
alteration for anything other than a normal single x
fam�l home office, ou home, da care, etc. ?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMTT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE�ALTCHCK.DOC
- o � �Rro� CITY �F PI2TOR LAKE Date Rec'd
,,,, HEATING/AIlZ CC}NDITIONING/FIREPLACE PERMIT
h
� (a, 27 z--
�mvaso��' 2: c� c';ri PERMI'T NO. �EyZ•7 Z
3. Yeltmc Applican[
ICSSC Oi t�ri� altd Si St �tOEEOm 7
l�DT1��+s e- ��t�Jlit\3 {O�CC USt)
A/
f`�v�� � G(��-
LEGAL DBSCRIPTION (offrce ase only) �
L�T BL�CK ADDITION pID
QWNER
(Name} {Phone}
{Addressj
{Name) � � L irJo�lA�s � � � ) Z �� ^ � � � ^ � Z �
one
(Address} �� O r3° � ����`' �' ZZ
(Address} (�) (z� �}
(CantactPerson} �� � (Phone) � �
APPLICANT SIGNATURE DATE � � a
APPLICANT PLEASE COMPLETE B�
QNEW CONSTRUCTIC?N ❑ REPLACEMENT ALTBRATIONS
FURNACE MA�E AND MODEI, g�L
FLUE SIZE RETURN OPBNINGS �P[3T DUTpUT
TYPB OF SYSTEM . • H�ATING.OR POWIIR PI.ANT p�ASE NOTE: Air Condi�ioner
❑Narm Air Plants ❑��� Unf#s and Flreplaces Cannat Eucraach
QGravity '• ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Rsdiation I+yreplaces wi[�h l3ox AddiHons or
❑Air Conditioning ❑ SPeciai 33evices Cantilevers to the Outside of Buildings
❑Vent. System ��ther Devices
Reqn�ee a Buildiug Permit.
FIRFPLACE MAKS AND MODBL 1�� � /�
FEE SCHEDULE •
Industrial, Commercial & Mutti-Family 1% of job cost Residential, Gas FireplacE S49.SU
$49.50 minimum
Residential, Heating & A/C (New Const�uction) �I49.50 Residentiai, Additions & Alferations �49.Sfl
Residential, Heating On1y (New Conatnierion) �64.56 �� Residential, AC �niy $4I-SQ
Fstimated Cost � �� Buildiag I'ern�it # � W�
11VC PERAAIl`
HEATING PERMIT FEE S �p ��
STATE SURC�ARGE $ .54 w �'�
�TO�AL PERMIT F $
(Oftice iI nly)
Thi n Becomes You ilding Permit hen ppro�ed Paid. Receipt Na.
JC,! Date By
� � �1 Date
4 hour no8ce for all insgections (9SZ) d47-9850, fax {452) 447-�1245
4646 Dakota Street S.E., Prior I,ake, Minncsot� 55372
O � pRI��� CITY OF PRIOR LAKE Date Rec'd
�
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� x
� �
�jNNESO�A '. P"� F°e pERMIT NO �� Z
2. Gteen City
3. Yellow Apphcant
lease or ' t and si at bottom
ADDRESS ZONING (o�t'ice use)
/y�/d �u �e L��2
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER � / n /
(Name) E'O( f•fGlLtt�ltS (Phone)
(Address) ��oZ 1(� �j OCL �✓�2
APPLICANT �-
(Name) �'� �� D�� 5 Lv�C (Phone) Q�� 70 7 d f�(�
(Address) R�S'�J` GJ, l�w� �C, � ���.� J�J�37�
(Addres (City) (Zip Code)
(Contact Person) U/l 50 � (Phone)
APPLICANT SIGNATURE DATE �— 3 � � �
APPLICANT 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
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation � �`
❑Air Conditioning cial Devices �IQN�tGI.C�'e Fireplaces with Box AddiHons or
❑Vent. System Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Conshuction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ r �
STATE SURCHARGE $ .50 W � ��
TOTAL PE IT EE $ � �
(Office Use O y) `"'
Thi cation Beo uilding Permi Wh Approved Paid Receipt No.
/ � O Date . By
Bu 'ne Official Da e
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Miunesota 55372
p4,PRI0� Date Rec'd
� j �� ��, '� CITY OF PRIOR LAKE PLUMBING PERMIT
\ �_ ����
�-
�
' B '"� �''� PERMIT NO. �
z. c�a cn
3 Yellow Apph�aot �
1tf! �3 Ji� � S1Q � f�1�
�Dg� ��� �� �)
z �d ��
� �ca��� c� � �T}
10� B10CK 11DD161011 PID
mrnea -�{�^
p►an�e) --�.J � ./�� 'S W�)
c�Da�s� / �Z l0 l O� �`!'�•
�,"��:�" P � � �� 6sf - �t 3G °%q� 7
c,�Dg�� I`� Z I'� ��'" 5t. ,� ��l�r,��z►�' ,�� � v$Z.
t��) cc�) c�
co�)
cc� �) �� V1��rf��r/ �� � � Z - 14/ ��3
Arr�cAm s�anmuae � 'Z b' �!�
arrr.ica�rr r�ssE eo��� s�ow
uanti T of Fizture nanti of Fiztnre
Bat� Tub with or wii�out shower Rou -ins
Dishwasher W�ter Heate.r
Floor Dra.in Water Soffie�
Lava athro�om Sink St�nd P' as ' Machine
Laun Tra 1 or 2 co eut sink Sew E'�tor
Shower Stall Backflow Asse�nb
Sinks Backflow Assemb Test
Bar Sink i,awn S' er
Water Closet (Toile4 E�er
FEE SCHEDULE
Industrisi, C�aam�m�erciallRc Mutri-faaWy iS6 of,job � with a S49.50 minimum Rt�ad�sl, Nevr Oae � Two-Family �149.50
Residential, Addi�s & Alte�ati�s 549.50
�
Estimated Cost $�Q� Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50 P�{D WITH
TOTAL PERNIIT FEE $ BUILDING �'ERMIT
(Office use Oaly)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
n� By
B�ildinS Official Date
� 24 hour notice for all inspections (952) 447-9850, fu (952) 447-4245
4646 Dakota Street S.E., Prior I.ake, Minnesota 553?Z
P R I R LA K DEPARTMENT OF
E B�I[.DING AND INSPECTION
,
INSPECTI N RE RD
O C
0
SITE ADDRESS �4z � o G o y o ; E C+2c.�.s; N• �•
NATURE OF WORK F+r+� H t..�•��n. �v��-
USE OF BUILDING R�- � rz
PERMIT NO. t� Z�1 �- DATE ISSUED q Zo �o
CONTRACTOR t-Aaso+�l C�srb.�. fZ�ao�+-,�� PHON E q�2 •�01- 33�9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
TiC
FRAMING � � � ��
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
l�l�P�.�a c.�
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
(Prior to Sodding)
BUIL�ING � �( ? �
ELECTRICAL G� �U
PLUMBING
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 until ail inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850