HomeMy WebLinkAboutBuilding Permit (Addn) 10-0030 DATE TIME
CITY OF PRIOR LAKE
tNSPECTION NOTICE SCHEDULED la
ADDRESS � 'J�I�Q �rY r �h�� _ �aI . ��.�Q
OWNER CONTR.
PHONE NO. PERMIT NO. 1D— 30
O FOOTING 0 PLUMBING R{ ❑ EX/GRAD/FiLUNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMiNG ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSUTATION ❑ SEWER HOOKt1P 0 FIREPLACE FINAL
0 FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE {NSPECTION O MECH FINAL ❑
COMMENTS:
�Gl WORK SATISFACTORY, PROCEED
/ ❑ CORRECT ACTION AND PROCEED
❑ CORRECT , CALL FOR REINSPECTION BEFORE COVERING
lnspector: Owner/Contr.
CALL 7-9 50 FOR THE NEXT iNSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY!
wsNOri
��� ; P I �� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�' '� � TEMPORA R Y CERTIFI C A T E O F Z O N I N G C O M P L I A N C E Q'
, '� �
"���--I ��.�`� AND UTILITY CONNECTION PERMIT � �'. 3O . � /
�-
f �'N E 5�� �
1 V✓hne File pERMIT NO . /� oo��
2. Rnk CiTy
3. Yellow Appl�cant �
(Piease or "nt and si at bottom
ADDRESS ZONING (oflFce use)
�`�a1O � Lw�ai RO
LEGAL DESCRII'TION (oflE'ice use only)
LOT q BLOCK �� ADDITION p„� ► '� (t� Z2, PID
OWrTER �
(Name) �Eba. .� D�� S i C�t£C" (Phone) QSZ' !�"�? � S� �'
(Address) � � �f Z,
BUII.,DER
(Company Name) �i �O��s t�.-)Oa+D tA��mavJ � (Phone) Q r ✓' Z-- �Z �'- O 3
(Contact Name) �1�L ST�n�I (Phone) q5 Z— 6$�` 34'$ 1
(Address) G�a�- .�T. cibC. Z
TYPE �F �V�RK ❑ New Construction �Deck �Porch �Re-Roofing �Re-Siding �Lower Level Finish ❑ Fireplace
�Addition ❑Alterarion �Utility Connection
CODE: �I.R.C. QI.B.C. ❑ Misc:
Type of Constraction: I II III IV V A B
Occapancy Group: A B E F H I M R S U PROJECT COST/VALUE $� 1� � ���
Division: 1 2 3 4 5 (exclnding land)
I hereby certify that I have fumished infoxmation on this applicarion which is to the best oF my knowledge true and correct. I aLso certify that I am the owner or autho:ized agrnt far the
above-mentioned property and that all wnstrucdon will rnnform to all eacisang state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o�irial can revoke this pexmit for just c se. Furthem�ore, I hereby agree that the aty official ar a designee may rnter upon the property to perfocm needed inspections.
x i� � �_-�--'— I S3 2 2.
• Signature Contractor's License No. ate
Permit Valuation � J J �, - Park Support Fee # $
z
Permit Fee $ � D � � - SAC # $
Plan Check Fee $ (�j � 2, � Water Meter Size 5/8"; 1"; $
State Surcharge $ ,� � ,� Pressure Reducer $
Penaity $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ � Water Tower Fee # $
Mechanical Permit Fee $ D Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE .' ( � $ ( � � ��
This A cation B c me ur nilding Permit A proved Paid /''f 8 ,�U R t Na (,r
Date � (,� �
t ll 10
Buildin Official Date
This is to certify that the mquest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documrnt
when signed by the City Planner mnstitutes a temporary Cavficate of Zoning compliance and allows construction ro commrnce. Before occupancy, a Certificaze of Occupancy must be
issued.
�
P4 ig Direcror Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447�245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
o � rxro�,
h �
U t
White - Building
, ,� Canary - Engineering
�'NES� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ��P.fi WO O.0 (`�.D .
APPLICATION RECEIVED Z- ,� 0, 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/��U 0�lfrrz� r�v S oN i 5�. �.
Accepted Accepted With Corrections �
Denied �
Reviewed By: Date: � 1 / l d
Comments: ��'����r� ��v �1�nt�� �
,� �,��s
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
, . . ,�
�
4�
O � PRIp�
�
� ��
U rr1
White - Buiiding
, ,��, Canary - Engineering
NNESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE�KLIST
NAME OF APPLICANT ',�" �!'. i ,'�' � � � {� �` � _�.� s'.r` �> .
APPLICATION RECEIVED 1::�:-- . ��' � . � �-�'
,
� The Building, Engineering, and Planning Departments have reviewed the building permit
'� �-� application for construction activity which is proposed at:
/.'."� � !' �, : i � r. 'i i j�. � f / . � _ C.. . f�_.,.,r ,; .
�
%
� . Accepted � Accepted With Corrections
Denied
Reviewed By: Date: �—��— J _
'"� Comments:
�
��
"The issuance or granting of a permit or approval of plans, specifications and '
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..�
� .� rRrp� Date Rec'd
CITY 4F PRIOR :{ PLUMBTNG PERMIT
H �
�
�l�'NBS��4� v ) � �
C� C� FI LG Il� C4 • Od�O
J �. Hlue Fite �
:. oow a� PERMIT N .
3. Yepow Appliant �
lease or at and si n at bottom
ADDB13S5 ZONING (qAta,ue)
� r � I C� �1��1hSC)I'1 � 5��� �.�- , �
LEGAI, DESCRIPT�UN (oHrice use onty) '
LOT BLOCK ADDITION PID
(Na e ��� �'�� � � "C/ (Phone) - I" J� � y"(� �� b l�
(Address)
�ame "�' I L �-l. �")�- �Ol� - �' / � /
(N ) (Phone)
(Address) 0 � I � � � 2 ' �
(Address) (City) (Zip Codc)
(Contact Person} (1'hone)
� APPLICANT SiGNAT a DATE � 2 f O
APPLICANT PLEASE COMPLETE BELOW
uautt e of Fixture uanti e of Fizture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
� Flaor Drain Water Softener
Lavato Bathroom Sitilc Stand Pi e aslun Machine
'" Laund Tra � or 2 com artment sink Sewa e E'ector
Sho�ver Stall Backflo�v Assembi
Sinks Backflow Assembl Test
Bar Sink La�vn S rinkler
Water Closet Toilet Other
FEE SCHEDULE
Lidastrial, Commercial & Multi-family 1% of job cost with a 549.50 minimum Restdentiai, New One &'I�vo-Fsmily $149.50
Residentiai, Additions & Aiterations $49.50
Estimated Cost $ � Building Permit #
PLUMBING PERMIT FEL $ � SD
STATE SURCHARCiE $ 0
TOTAL PERMIT FEE $
(Oi'Qce Use OaEy)
Thfs Application Becomes Your Building Permit Wnen Appruved Paid �. � Rec No. �2id", �
J �
Datc�� � r � B
Bultdln¢ Ofticlal Date
241�our nottce for ail lnspecUons (95x) 447-9854, fax (952) 447-4245 .
4646 Dakota Street S.E�, Pr1or Lake, Minneaota 553T2
r l �_ , � � �=� : -'/ �� � 1
-""""�- �C��'�`I'"'Cl►�+` P!$I(�� �A�.t�+' llat� R�c'd
4 ��U �
. � r'` ��':c'�����'�slr'�� ��. �.��V�.� ���'��.��
�+ �'�' '
� �
. e���. ��ir 7yL�^�� !y `� 1
�' 2. L,te!n Ctiy � I 1ulU4J.1 ��\,,. �� . vV ��
1 �{Ilaw' A�ptiran� �._ �_ _ _ _ --•--..� �. ---�
Icas� evp_e r,r�rint �znd �€ n at bt+ttvm _ .�_ _ _ -. —�
t'����5�il'� �����i' {p)Yv.:z usc) �
.._..� _ _. _ � � � (9 0 � �,A1 �, j "� S 0 nl _1 S Z� � Z t� 1'V , t , . r.._.___ _ � ..�... �_.—�
� LB .('xAi, DESC.�t3I'�`IIQ1V {of�icc usC ozty)�_ �__ _..�._.._..� ._._.__�_._._�.___._._.______... _ _ —__�.-�
z,c� r �l.t�;�� !�DL71'1'ION __. _��____ �._.._—
Pll� ._Y.___.l
- --- __ � ._._..____.�_�.____�.__--__- _ --_.__..__.- ---- ----- -- _----_____- _------,
� ow�v�x � �� � � � r � - - c��7o���) .�.�� _
�Tamt:)__��_..._._______.. . _._�_._.__._._.w__.__ _.....______�._.----
� ct��dre�s> .___ r � ! _ ✓►�/� �?-� , �v �� � _ � s� �.�` --�--�? —N � —__�.— _ r ---- --
i�:r����.%c.�;�r ��� ---__-- -- - -- _.�,..._._________..�. � �
I (��[1TT1��� – / _ / � � �/ /� C� ��'��.^! �_� ��_.._..W __ �L'11�171�� �...._..� ` ���–�----H--�--�_� — 1
� � �'� � ( � L t�A �.q IU � .A �=� • �c5 � c� 4so "? , _ � .�� z..o _--- �
i (r�.�c.�e�sj______ ��. -- �_ _______�� _____._�._.,_._..e . . _ .
� {Aackc;s) (Ciryj tZip C�3dcj
� � ; (t'�;*�tacti�ersr,n} __..__--�—��_- ?✓N p 2!� _ (i'�.nne7 __�. � �
� ��i�PLIC�F�r ��r�i�A�U"R� ���1Y '�_._'__�__-.-�� � _..._.� - 1�A i E 3_� �_� .. �
APPLI+L.Af�'T �'LEA�L C`t�MPL�;'1�� �EL�"VV __�__
j —�_ ------- � a�w C C���*ISTRUCTIO:�! �_�. � �PLAC.EMS�•� u �lJr�;i��rzc�r�s
r: � L V�� O�� �U�� �� ��
� r� 1 a:��.c:,t� C��Kr� gh'D Mt»L�, __�� - -----� � -- � — �
� `^ ! < G r►1 uu'i ��u'r G '
! �T.i.t� SI�.E _ .�_� ..�T[;RN u�t'3`dn�TC`T�S __ I�1�I1�LT � ---_ ��- I
- -- -- -- �_�__.___.. r
j : "tt'''� {��+` S�''`,�'�`E?1�� HEATl'[Yti C�FtFQ�VY'�RPL.4rI`3' � ------ ` y- -
� �'L,E:�;E NCD'i`L+': Air �un�ltlotier
��J�rm ft.�r Pia�,t� � Stc�am 1luits ancl l�ireplace� �'�����►t �mroa�h
(�Gr� ti ❑:tct 1t°atr.r lute Required `�s"? Y�3rd �ctbacks
' � Meclani�cx�l . L� l��c�iatior� Fii°e�?lace� ti��lEh Bax Adcifflc;ns or
� � �ar�c3ifio:�iia� ❑ �Pr;:e:�l I�GVives _ ^ „_
�,jy, nt. S��cerr� ❑ uther I7cvic�s — C�ait9lez��rs to tlie t3ufside oi �uiIdings
�{e���ire a 73u1ic�in� Permtt.
�____.�. _
��1R.�P!:.tiCii 1'��1AI�',1? Arill� 1°vIOD�L�_ �-�� � Y._._.__� _--_—_..=�-v-- _ --____e_._._..� __.�_J
� ��. .�e� �iEV U i,�;
<•� c�t�r.•in:zrri4l ��! M19�f.i-��IIIIC� 2°,�� af jcrb c�st R.rsi�l�ntial. tias Pirrpl�c:e �49.5U
�44.5� minimu�t�
':.esicir.naie:l, Heat;ng �'.: A,�C: (.`dew C:or,slauc.iionl �149.St1 �tesidrnir�l, Aci�ii�ians ��r AftCr�tivt�es b�9.50
ii.e�ir!ctitit7l I`ICa�itl� C�RLy {iI�N� G���'��11Irf1UTi 3b4.57 R�idential, AC 4nly �
Estim�tec3 C��-t S __,_ Builc�ing Yzn:iit #� �_
_ _.__._... (�. J
HEATII�7r� r��R�RIYI�T F.�� �.�.._---- . �
�,TAT�'. ;.1JF,�;HAfLC '� �a"�.._._ _._...._..-_ � P ��
'.LU"I`��, F�I3IYYI`l �'lEE 5��.�_.__.�_____ �
(t:l�ce Yrsr C)nl�•) ~
r'.i�lifs ��ic• fl B� n ur Bt c�in� 1'erax�3t he Approved �'aid ��-�--- v.— � _.._� ftecei�,t N{�. ._� �.�
i
i _ /d n�;���' ._-___ ;
I suud�n o[�Icial Iiat . _ ----,____._._..�...
P R I R LA K E BUPLDRNC AND
IN PE TI N RE RD
SITE ADDRESS 1� I ot� T7.42.T S� I S�� �D tJ ��•
NATURE OF WORK .�.. � �-
USE OF BUILDING
PERMIT NO. - DATE ISSU D it �n
CONTRACTOR G ��- � PHON E 9 5a • ro8� • 3�c S I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
CTOR DA
FOOTING � 2 z � a
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING �G �
INSULATION " ,�f ��z6 , �
ELECTRICAL
HEATING (if required) �, �y tp
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
)
BUIL.DING r�- 3�a 9' �
ELE�TRICAL
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
��,,� �� �f �� N OT I C E
This card must near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where �o service cabinet is available, card shal! be piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850