HomeMy WebLinkAboutBuilding Permit 10-0026 ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 17 1! ��
�--
ADDRESS �� L
OWNER CONTR.
PHONE NO. PERMIT NO. � • ���
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL i� . j� � ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
G �b5 � r i LC
�WORK SATISFACTORY, PROCEED
� CORRECT ACTION AND PROCEED
❑ CORRECT W LL FOR REINSPECTION BEFORE COVERING
, `-
Inspector: er/Contr:
CALL 447-9850 FOR PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
/NSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED .2 1� l I
ADDRESS I�I �'VV V P� 1��
OWNER CONTR.
PHONE NO. PERMIT NO. �v — GO ��i
❑ FOOTING `�PLUMBING RI V�SV� ❑ EX/GRAD/FILLING
❑ FOUNDATION �' MECH RI ❑ COMPLAINT
�RAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
�CINSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �, L � I._.
�� TD U� Q.,,S a
❑ WORK SATISFACTORY, PROCEED
�CORRECT A TION AND PROCEED
❑ CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTJ
�F PRIp�
CITY OF PRIOR LAKE BUILDING PF.RM[T, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�, � /� /d
� �, , x
`� AND UTILITY CONNECTION PERMIT l�
�
2 N E S O ,�
' "','" '''e pERMIT NO. Z �O
' PmA Ciic
1 V'cllo�� Applicanl � i
(Please tv e or rint and si n at bottom)
ADDRESS ZONING (o�ce �.e)
�'`�y�� �� Icc �,� - j.�u,�� l ,��
LEGAL DESCRIl'TION (office use only)
LOT BLOCK ADDITION PID
OWNER .---�" /
(Name) l�i►�/ L—P�/� (Phone) �s� - yvs -sir3
(Address) �vyo s� - �� 2 L-cc 7�, � /t/� f'�" D/ `--ct �C� �,�U S_� -3 7°�
BUILDER S � I F
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Const�uction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding �Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construc6on: I II III N V A B `)v J` ��
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that 1 have furnished information on this application wfiich is to the best of my knowledge truc and correct. 1 also eertify that 1 am the owner or authorized agent fuc thc
above-mentiuned pruperty and that all construcnon wil( co�form to all existing state and local laws and will proceed in acco�dance with submitted plans. I am awaze that the building
ufficial can revoke this ermit for just caus � �thermore. [ hereby agee that the city ofiicial or a designee may enrer upon the property to perform needed inspeaions.
x � --_�.✓ G _~ - - - - �� ----- -
Signature Contracto�'s License No. Date
Permit Valuation ��Q v��Q Park Support Fee # $
Permit Fee $ SAC # $
Plan Check l�ee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Z Q v Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ . n'7 Water Tower Fee # $
. V[�
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ �_,� TOTAL DiJE $
This Applica n omes Your Building Permit When Approved Paid , 2i ecei t�TO. �
/ / / ! � Date ,
� `
ildine Ofticial pa��
This is tu rtify that [hc request in the above application and accompanying dne�ments is in accordance wifli Ihe City Zoning Ordinance and may proceed as requested. Thi+ document
when sign d by the City Planner constitutes a temporary Certificate of Z.oning compliance and alluws eonstmetion tu commence. Before occupancy, a Certificam of Occupancy must be
issucd.
. . ._.. . _..___ ._._._
. _. . _._._ __.._-- - ----
Plannmg Direclor Datc -.- .. .. _ Special Condi�iuns. if anc ... -
2�1 hour nolicc for all inspections (952) d�7_9g5p, }';�a (9S2) 4�17-42d5
JG4G Uakota Street S.E., Nriur I.ake, �linnesota 55372
� PRIp Date Rec'd
° 1 �� CITY UF YItIOR LAKE PLUMBING PERMIT
~ �
�
�
,. a `"` F "` P�1tMt'1' NO.
z co�e Q'q• � — � � �� �
3. YIIIJK' AppliCanl ...
Yleasc type or priut aud sign at bottom) __
ADDRESS — --- _ _ --- ZONINGcon�ce�sc�
/ �/y� � f-? ,('� G� lCe �u �`� / ,�U �
LEGAL DESCRTPTION (oitice use only) � �
LOT BLOCK ADDITION ��1�
— —
_. _. _.- —
owrrER ys.� �fys -s��3
(Name) . �c� ri � / � , �1 _. (Phone) — - -- _.
' I / / /
(Address) l ��D 2S � ? /�l. //'Gi !� _l /�c:c � � .�l'i / �; c�C" L- G� l�Q /� �' � 5 37oZ
--- ...
APPLICANT �,
(Name) `—� �c6'�� Ct > G� �o J (Phone) -- _. _
(Address) � __ _._. — -.
{Address) (City) ('Lip Code)
(Contact Person} __ _ _ .__ __ , _ (Phone) _ _. .__
_._. ,..:
A1�PLICANT SIGNATUR� � �`'r/� �' � DATE � � 3 ��
APPLICAN PLEASI+s COMPLETE BE
__ _ -
Quaut[ Type of Fixfure uanti Type of l�ixture
Bath Tub with or w itliout sho�ve Rou h-ins
Disl�washer Water Heater
__ - - ----
�loor Drain Water Softener
__ _ _ —
Lavatary (Bathroom Sink) __ Stand Pi e Washin Machine
Laundi Tra 1 or 2 com ariment sink Sewa e�'ector
_�___ S}iower Stall __ Backflo�v Assembl �
Sir► Backflow Asscmbl Test
Bar Sink Lawn S rinkler
� Wate� Claset Toilet Other
FEESCHTDULE
industrial, Conunercial � Multi-fatnily 1% ofjob cost with a�49.50 minimam Residential, New One & vo-Family 4�149.50
Residential, Additions Alterations $49.50 I
\�V
Estimated Cost $ ��U�-_C�i� Building Permit # � �
�I�
PLUMBING PERMIT F'EE $ �-i - � � (
STATE SURC.HARGE $ — .50 � � 1 /�
'1'O'1'AL PERMIT FEE $ 5�. C.C� � V
(Office Use Only)
This A,pplication Beco�ucs Yom• Ruilding Permit When Approved Paid Reccipt No.
Date - - BY — �
Bulldlne diticial Date
24 hour uotice foi• aq Inspections (952) 447-985Q fax (952) 447-4245
4646 Dakota Street S.E,, Yrlor Lake, blinnesota 55372
Residential Building Permit Checklist
- — - - -- — B sement Interi6r Single Horri� —
BY: Date: � / �• � �
Building Permit #/(j -- � Co PID: Zoning:
Site Address / � O � �/// � / �/</� ���/ �
�,r� l/`" l
Legal: L B Subdivision:
Existing Structur : YES NO
CONFORMS TO ZONING YES 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 �
Does the alteration include any additional ldtchens? 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 ✓
famil home office, ou home, da care, etc. ?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. _ .
L:\TEMPLATE�ALTCHCK.DOC
P R I O R LA K E BU DING AND INSPECTION
.
IN PE TI
N RE RD
O
SITE ADDRESS ��� �
NATURE OF WORK .. � � �
USE OF BUILDING � �
PERMIT NO. �` � DATE ISSUED A
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEC IONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- INSPECTOR DATE
.
_ , _,,;� ., .
�' � PLACE NO CO�ICR�TE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING �. . � / 7 / /
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
��
:��... .�
_..�....;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
_ FINALS
R �. ,
_ . _ _ . _ ..Rr�_ _ .
BUILDING � � �
ELE�TRICAL
PLUF�IBING
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 all 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