HomeMy WebLinkAboutBuilding Permit 10-1011 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l27(( (
ADDRESS c j q cQ I C 0 fff-
OWNER CONTR.
PHONE NO. PERMIT NO. /0 /0 I
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
1aYFINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
(7 SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
pll C 4y ..4 �rQ�J
C, ( C 4-3 --Q,. r tr,
WORK SATISFACTORY, PROCEED
❑ CORRE • CTION AND PROCEED
CI COR CT • ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect Owner /Contr:
C • L 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
, pRi,
t~ CITY OF PRIOR LAKE BUILDING PERMIT,
U ,N T EMPORARY CERTIFICATE OF ZONING COMPLIANCE // / / d
AND UTILITY CONNECTION PERMIT Date Rec'd
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1. White File pERMIT NO l
2. Pink City ./0 ' / c2 // 010
3. Yellow Applicant
(Please a or rint and sign at bottom)
ADDRESS 54'50 b el � 91. S E ZONING (office use)
P,i IA4 / n N c55 7
A tract of land out of the Southeast Quarter of the Southwest Quarter (SE 1 /4 of SW '/4), Section 36,
Township 115 North, Range 22 West, Scott County, Minnesota, described as follows: Beginning
LEGAL DESCRIPT. 864.75 feet East and 33 feet North of the Southwest corner of the Southeast Quarter of the Southwest
Quarter (SE'''/ of SW '' /,) of said section; thence North and parallel to the West one - ei line a
LOT BLOCK distance of 208.7 feet; thence East and parallel to the South line of said section, a distance of 104.35 PID Z "�3�0 - O
feet; thence South and parallel to the West 1/8 line a distance of 208.7 feet; thence West and parallel
to the South line of said Section a distance of 104.35 to the point of beginning.
OWNER ej ,l' 35 feet C _ 35'l _�(07O
(Name) / �� Li (k eS 4S!` 1�kf %' 1TLtlrt y;), (Phone)
(Address) 31.)0 t ( 1 . S '- � , S E d h " 4 i`14 10 /r5 ,tW V 1 1
BU]LDER %w (,tl�ie5 441'7U7 r (7�tnAt�it, 6/a 3 3/ - yv �
(Company Name) L (Phone)
(Contact Name) Br - y , (Phon 6 l 3� T °
(Address) 30-01 `Z ' 54, SC fl1Zr029006r5 . M) ':r��y
TYPE OF WORK ❑ New Construction DDeck ❑Porch JRe- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $_ 7-3 4-4- t "l
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I 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 revoke this permit fo :list cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ...r 5.6e 3 ./e1/4 F�laiO
. ,re Contractor's License No. Date
Permit Valuation ? 6 Q ` U 0 Park Support Fee # $
Permit Fee $ et 15 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / y J 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 $ S 9 75
This Application Becomes Your Building Permit When Approved Paid o Cl, 7s" Rec: /' t No. 6 /Ca 18
Date /1. 3. /0
et
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 S.E., Prior Lake, Minnesota 55372
V Ri Date Rec'd
( O / P .. \ CITY OF PRIOR LAKE PLUMBING PERMIT
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-some "Z% - /grf
1. Blue File
2. Gold City PERMIT NO. • // / D
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
4 / I cc ST
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �j�� J - .. (�
(Name) � 10 ('� '` h� c ` ` i ' (Phone)
(Address)
APPLICANT- ..
(Name) w ; w,. (-,i ►v y y w C— (Phone) so 7 . 2 6 3 Oct / /
(Address) i l 1' f Lire 9
(Address) (City) (Zip Code)
(Contact Person) - U v3 (Phone) /
APPLICANT SIGNATURE (f lyt1S�r' 'Y�'" -- DATE 1 ! ''
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough -ins
Dishwasher / Water Heater
Floor Drain Water Softener
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE •
Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Pai d, / Receipt o.
61_
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Building Official Date Date ! 24 d ( By •
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
v PItIO
CITY OF PRIOR LAKE Date Rec'd 11
° � _ 1_�� HEATING /AIR CONDITIONING /FIREPLACE PERMIT 1 1 4
4 /
�, Q_ . [J o ' 1 4 I
U ' S ntoe e
�r, s 1. ''nk File I PERMIT NO./ f � 0 � 8 1
2. Glen C ly (
J. Ydtow Applicant
fflcase type or print and sign at bottom)
-
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION • PIN
OW a cn e ) ' . _- ^ ' S V AD) -I- Q i-- c �,, 0 P., c, / J ( ) CO 1 a-31 t - ci 0
C Ph one
(Address) 3v O 1 Li t.6. .-1--, 6a1: r n _,,,,6, 0 11 s S� I
APPLICANT 0\ k-�,,., b A. a ,, i=i) L. P hone C 1 K ),- `, U► - 1 - ? ` , -1
(Name) ( )
(Address) _ \ ` A .\ L a,* (.\/ C r) .,.. \-w` e 5C . 3 - 1 -..,
N (Address) 1 • (City) (Zip Code)
V
(Contact Person) ` �'� l 1, .S ( 1 ,) '� \ ( P hone) c1 S - \' 1 L 1 V�
APPLIC SIGNAT �- J � , ..) L _ DATE'
APPLICANT PLEASE COMPLETE BELOW
[NEW CONS'IRUCTION rN'REPLACEMENT k'ALTLRAT1ONS
FURNACE MAKE AND MODEL ( e- J co-, T 3 CS" Efk V c LI a ( 0 __ FULL 1 V 6 t � _
FLUE SIZE 6'V C RETURN OPENINGS INPUT (9 0 . A O OUTPUT Sty O 6 _
TYPE OF SYSTEM HEATING OR POWER PLANT
['Warm Air Plants PLEAS) NOTE: Air Conditioner
❑ Steam Units and Fireplaces Cannot Encroach
['Gravity ' - ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
DAir Conditioning ID Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE .
Industrial, Commercial & Multi- Family I% of jab cost Residential, Gas fireplace $49.50
$49.50 minimum
Residential, Beating & A/C (Now Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ O� Building Permit 11
C\ sv
IIEATING PERMIT.I'EE $
STATE SURCHARGE $ S t30
TOTAL PERMIT r EE $ S y S2
(Office Use Only)
This Application Becomes Your Building Permit When Arip' roved Pak Receipt No./ Z O //
DatY / / // (� / `-
Building Official Date
24 hour notice for all Inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota StreelS.E., Prior Lake, Minnesota 55372
■r ». . .. •
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•
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
Smoke detectors shall be upgt t SPECTION
as per the requirements of the •
iroughout the house. Battery operated RECORD
mole detectors may be installed in
existing structures.
SITE ADDRESS 6#5C) /100 774 57.
TYPE OF WORK A, 06 S i 0 V, s♦ 5
USE OF BUILDING XES
/C►
PERMIT NO. /0. 101/ DATE ISSUED /6
BUILDER . e.. HA /T Ag _ PHONE # 612.. 331. �Q j0
NOTE: THIS IS NOT A PERMIT FOR ANY OF HE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
4 04 0 7.r94 1C INSPECTOR DATE
I igainal W 1 1
PLACE NO CONCRETE UNTIL BOV HAS BEEN SIGNED
1 FRAMIN "ANA, ALL 2 Vat , t
triq.
FINAL �r
FOR ALL INSPECTIONS (952) 447 -9850
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