HomeMy WebLinkAboutBuilding Permit 10-0346 DATE TIME
CITY OF PRIOR LAKE � /
INSPECTION NOTICE SCHEDULED [
ADDRESS I� ( 1. Fex V V\
OWNER CONTR.
PHONE NO. PERMIT NO. ) 0 -- 1 1( . 43
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
' FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
/❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
Ci65e 4k- (- •
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTI
--13R/04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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AND UTILITY CONNECTION PERMIT 5-, CO , 10
A',NNESO I. white File
2. Pink City PERMIT NO. I 0 34
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
: .S 7 I Fof /2-& A/ 1
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Naam E f - 1 4 L r 6i ( 1 7 1 , / ! x - , (Phone) 9 S a -07 3 19 -1` 71 L -
(Address) � ( c7 ( 1 .:_-, y /t u,,,,. ,u r 1'10 .
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace
['Addition ❑Alteration ['Utility Connection J ,
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ oindLciaro
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and that all construction will conform to all existing state and Local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revok is perms j cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform need i " pectic s.
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Signature Contractor's License No. Date
Permit Valuation 2( G U O. 0 O Park Support Fee # $
Permit Fee $ 6 Z Zs SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / - d 0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 50. 0-0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $.St(O , 03 / Z TOTAL DUE / /3. 2-5
This Application Becomes Your Building Permit When Approved Paid 113 Z 5 Rec t No. 6o30/
Date ,-. (/ . / p By
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction 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
CITY OF PRIOR LAKE Date Kx/'U
(;-. 1 1
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
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ADDRESS / �.., "~/ |
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LEGAL DESCRIPTION (uflicc use n!v)
LOT _
BLOCK ADDITION _______ P0 ___ ______, ____j
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(Phone)
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APPLICANT | (O/�' � s�- � �u c) �t-/c��-_' ( � ��� L" i (Nam�L \��/�ov�'��l~ Oialr ~ ' 'o' `�� o �`�c�� ` / ° � � `�
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(Address) _�K0_ r NN � r � `� ������
' - (Add a) • ini (Zip Code)
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(Contact Person) _,=� ^�_ .~_ (Phone) 0 �� `=/ - / '--- /a-7 C»
APPLICANT SIGNATURE DATE __ __
_-' __- ' -__ _�-
-/k���XK��k�QlF PLEASE COMPLETE ��K.��
—_—_ _____ '--__—___
��NEYVCONSTRUCTION 0 REPLACEMENT g�\LT[KATK}N9
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.
FURNACE MAKE .AND MODEL __ ___________. FUEL __ __ ��_ _ ___ __
'
FLUE 8Z[ _______ KETUK� OPENINGS ________� INPUT ____________ OUTPUT ______ __
. TYPE OF SYSTEM HEATING OR POWER PLANT .
PLEASE NOTE: Air Conditioner
: Elwanx Air Plants LI Steam Units and Fireplaces Cannot Encroach
IllGravilY CIJ Umwate,
into Required Side Yard Setbacks.
Mechanical Mechanical Radiation
Fireplaces i�h B &ddih
^/, »`oam wm` � Special Devices v ox Additions or
au.
ti■,mx -- El Other Dx'/*s ------ ---- Cantilevers to the Outside of Buildings
----�
Require u Building Permit.
|
FIREPLACE MAKE MODEL �U�
'---------- --~ ----�--'----
553 !pi
Industrial. Commercial 8:Multi-Family |%^[ job cost 1 ' Gas Fireplace S49j0
$49.50 minimum
Residential, Heating & A/C (New Construction) 51*9.50 Residential, Addition & Alterations I49.50
Residential. Heating Only (New Construction) S64.50 Residential, AC Only S49.50
Estimated Cost 5 Building Permit #__________
HEATING PERMIT FEE S�
STATE SURCHARGE $ .50
�
TOTAL PERMIT FEE $
(Office Use Only}
This Application Becomes Your Building Permit When Approved Paid ��~ ---'------ --------��-�� �
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24 hour notice for all inspections (9sz)4wr-9xsu fax (952) 447-4245 dr
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 2071 FOX
NATURE OF WORK FI nc ks tt, Z- L
USE OF BUILDING Res '4 ��--
PERMIT NO. jv 3 DATE ISSUED 5(c. 1I
CONTRACTOR 6' / r/N6 7 - PHONE Z3 3 . 2 7 24--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I mo' 1
(Prior to Backfill) 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH — INS
FRAMIN ,l� Y.� lice
INSULATION J
(-4
ELECTRICAL C
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
E (Prior to Sodding)
BUILDING '$ j V/Z
ELECTRICAL
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 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