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Home My WebLink AboutBuilding Permit 09-0300 DATE TIME CITY OF PRlOR LA4CE INSPECTION NOTICE SCHEDULED 3 7 ADDRESS (D,��l ��i C � OWNER CONTR. PHONE NO. PERMIT NO. � — �O ❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING ❑ FOUNDATION D MECH RI O COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FtREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL FINAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ S TE iNSPECTION ❑ MECH FiNAL ❑ COMMENTS: �0 WORK SATISFACTORY, PROCEED �— ❑ CORRECT A TION AND PROCEED ❑ CORRE WO , ALL FOR REINSPECTION BEFORE COVERING 1 nspector OwnedContr: CAI. -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYl rNSNOr� oF PRJ�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� ; �„� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��` U c� �' =` � s�:_- x AND UTILITY CONNECTION PERMIT .. . U `` �j M�'�'NESD�P I Whire File pERMIT NO. a� v�0 � 2 Pmk C�ry 3 Yellow Apphcant � Please e or rint and si at bottom) ADDRESS ZONING (ott'ice use> � U i c. CQ LEGAL DESCRiPTION (office use only) LOT BLOCK ADDITION PID .:-°�� er� � �,�� l� c��re...-� . (phone) q� � �-I �( (� ( �( 3a' (Address) BUII,DER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Cons t n ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ F�replace ❑Addit�on lterarion ❑Utihty Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc Type of Constiuction: I II III IV V A B pROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (excluding land) I hereby certify that I have flimished mformanon on th�s appLcanon wh�ch �s ro the best of my knowledge true and correct I also cert�fy that I am the owner or authonzed agcnt for the above-mention operty and that all construction will conform to all exisnng state and local laws and will proceed m accordance with subm�tted plans 1 am aware that the building offic�al can re h m it for �ust cause Furthermore, I hereby agree that the c�ty official or a designee may enter upon the property to perform needed inspecaons X �� +t. t �.t�� Sj� Contractor's License No Permit Valuation Park Support Fee # $ Permit Fee $ SAC # $ Plan Check Fee $ 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 DUE $ This A lication Becomes Your Buildin Permit When A roved ' pp g Pp Paid � Re i t No. j`7 Date ,� _ a B Bu�ldma Otlicial Da[e Th�s is to certify that the request m the above appl�canon and accompanymg documents �s m accordance with the Ciry Zoning Ordinance and may proceed as requcsted This document when signcd by the Gty Planner consututes a temporary Certificate of Zonmg compl�ance and allows construcuon to commence Before occupancy, a Certificate of Occupancy must be issued Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 � � Rjo Date Rec'd � �� CITY OF PRIOR LAKE PLUMBING PER�VIIT � �^ c<< (� . � � v �, (,�, G `1.. C�3��) � t. Hlue Fiie z. c�ia �� PERMIT NO v! U f - �� 3. Yellow Applicant lease e or riut and si a at bottoiu ADDRESS ZONING (ottice use) S7O �G! S G /� � LEGAL DESCRIPTION (otPice use oniy) � L�T BLOCK ADDI'TION PID OWNER (Name) �/l�/� �22/L� � (Phone) !�/L -.��•S`— 7y''.� (Address} � ,$� 7 v �� S �""� G �v � ,l.�. APPLICANT �/ / �,// (Name) —,,�-�� H IL�,L, LG Gr a! .z c��C.. {Phone) 9.S ��yr' T!► f�— (Address) _,� � � J�It�J� rv r� �/�l l�•L �Hi9'�tOJ�� SS (Address) (Ciry) {Zip Code) (Contact Person) / �J (Phone) g.s - �� ,, A1�PLICANT SIGNATURE DATE G � � APPLICANT PLEAS� COMPLETE BELOW uauti e of Fixture uanti T e of I�`izture Bath Tub with or without shower Rou h-ins Dishwasher Water Heater - �laor Drain Water Softener Lavato Bat[uroom Sink Stand Pi e ashin 1Vlachine �" Laund Tra 1 or 2 corn artment siiil� Sewa e E'ector Sho�ver Stali Backflow Assembl Sinks B�ckflo�v Asssmbl Test Bar Sink Lativn S rinkler Water Claset Toilet Other FEE SCHEDULE Industrial, Commercial8c Multi-fainiIy 1% of job cost with a�44.50 minimn�► Residential, New One & 1'wo-I�amily $149.50 [tesidentiaf, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ � � rP STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ S""O �— � (Office Use OnEy) Thfs Application Becomes Your Building Perm(t When Appraved Paid� � Rece' t o. �.�� Date� � � � BuildinH bf[Icial Date � 24 huur notice for all lnspectiaas (95x) 447-9850, fax (952) 447-9245 4646 Dakota Street S.E., Prior LAke, Minnesota SS372 � 4 rRro� CITY OF PRIOR LAKE y Date Rec'd .. � HEATING/AIR CONDITIONING/FIREPLACE PERMIT " � c, � `� h � _ � �,, � �, G�.s'c��} � '. P '�` �"` PERMIT NO r z. c�� c�� 'Q �, G�.3s� 3. Ydlox Applicant lease or dnt aud si n at bottom ADDRESS ZONING to�a use) la S70 /�� S �l /��,�—� LEGAL DBSCRTPTION (o�ce usc only) L�T BLOCK ADDITION PID OWNER (Name) �/t�•4 �'L rL r n� (�'hone) (Address) S 7 O /2`c S T/ G �o� (T�iame) ANT��l3:- �2 �l'•�t ./ ��c.�.� ! G� (Phone) _ �S� ''y7 � Z �i f � {Address) �� rJ�fZ D.�t /i v,�— s�?�i0!' Ss.�� (Address) (City} (Zip Code) {Contact Person} / d � � � � / �✓ (Phone) �� y � 1��' Al'PLICANT SIGNATURE ` DATE � �� APPLICANT PLEASE COMPLETE B�LOW QNEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPEIVINGS INPUT OUTPUT TYPE OF SYSTEM . HEATIl�IG OR POWER PLANT � � PLEASE NOTE: Air Conditioner ❑warm Air Plauts ❑ Steam Units and Flreplaces Cannot Eucroach ❑Gravity '- ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanicat ❑ Radiation I�'ireplaces witli Box Additions or QAir Conditioning ❑ Special Devices pvent. System ❑ �dier Devices CanHlevers to tlie Outside of Buildings Require a Building Permit. FIREPLACE MAKB AND MODEL FEESCHEDULE � Industri�l, Commercial8c Mulfi-Family I% of job cost Residential, Gas Fireplace $49.50 . $49.50 minimum Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residentiel, Heating Only (New Construction) $64.50 Residentiai, AC Only $49.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ � 5' J'� STATE SURCHARGE $ .SO TOTAL PERMIT FEE $ ST> — (Ofl'!ce Use Only} This Appllcation Becomes Your Buildiug Permit Wlaen Approved Paid � � Re ipt No. �/ � G Date� . / U _ u � . Bui�at�e orn��a� naee 24 hour notice for all inspectlons (952} 447-9850, fax (952) 447-�1245 DEPARTMENT OF A K E, BUIL�ING AND INSPECTfON P R I R L . I N S P E C TI O N R E C O R D � S1TE ADDRESS NATURE OF W4RK USE OF BUILDING ATE ISSUED PERMIT NO. PHONE CONTRACTOR pERMIT FOR ANY OF THE INSPECTIONS BELOW NOTE: THIS IS NOT A THE PERMfT IS BY SEPARATE DOCUMENT DA � INSPECTOR � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 10 p FRAMING INSULATION ELECTRICAL PL"UMBING HEATING (if re uired) C OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDlNG ELECTRICAL PLUMBING HEATING OT OCCUPY UNTIL ABOVE HAS BEEN SIGNED DO N NOTICE is card must be posted near an electrical service cabinet prior to rough-in inspections Th roved. On buildings and additions and maintained until all inspections have been app where no service cabinet is available, card shall be piaced near main entrance. FOR ALL INSPECTIONS (952) 447-9850 r � � K *�� . � � � . �.. +� �-:. . ,�� . 'g�„" i � ""' '�' '► +p � * .�° ,s'�► �., :,� � y.} � $p'" Y -r- �." ° ''� p +'�^!! V.o, * M ,� s "� �� .�. ��e � , �'� � +, c ; � j ,�,.`4'� � �, � ;,�,� �� .��„ "� . �� ►`� �� " ' �'��,� � ;,. :��