HomeMy WebLinkAboutBuilding Permit 08-0634 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
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ADDRESS 55 SLO- �r
OWNER CONTR.
PHONE NO. PERMIT NO. f —6-51"
❑ 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: ' /, f..41 5 p„,,,
I .
•/all
7 WORK SATISFACTORY, PROCEED
❑ CORRECT • CTION AND PROCEED
❑ CORR ' ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto ft Owner /Contr:
CAL .!! -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ru P R j0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 2009 AND UTILITY CONN PERMIT
NI
By _
M'NNESO I. White File 0 PERMIT NO
2. Pink City / / 9 0 (0 4_
3
3 Yellow Applicant V w 1
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
ESSi S ko It 172,41( 10
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (Phone) 1l Z — 9! 6 — - /e 10 7
(Address) SS I k 0 ' LI ' I L A) G
(Comp nyy Name) I ( IV Y<SC V 00-5 t,1 c e '5 (Phone) 7 460-3S/ 3
(Contact Name) Y A 1 « (Au/ (Phone)
(Address) 1•\_ t < )f\+ \_) C/bT
TYPE OF WORK ❑ New Construction ❑Deck ID Porch ['Re-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
DAddition $RAlteration ['Utility Connection
11'" r� v
CODE: N'ILR.C. ❑LB.C.Misc. cS - NUS 4 l
Type of t ction: I II III IV V AB PROJECT COST /VALUE $ /e w
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5 1
I hereby certify that I have famished 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 for just • use Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspecti ns.
X ..411 --.' .. ,9\c>5B Wil 0 7
Signature Contractor's License No. Date
Permit Valuation 2 0 ,— Park Support Fee # $
Permit Fee $
C� / 2 1.. SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ -- Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 50. O 0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $ ` 2
Gas Firep e Pe 't Fee $ TOTAL DUE p b 17. $
This A` f , V4 / comes Your : t' t ing Permit When A..roved Paid //34 Zjt eipt No. �� ?
t Date 7 2„ (/ B 7
aild ne ial P ate
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
Aug.20.2009 03:39 PM MASTER PLUMBING 9522264545 PAGE. 1/ 1
O �PR�� �
i �g nn ..
� CITY OF PRIOR Date Recd U
Z 74 I LAKE PLUMBING PERMIT AUG 2 0 2009
41 4,4E.04' By
; . tr Pile
- Cinld ry, I PE RMIT N '
ul •
Please l e ur print and sign at bottom 1 Yell,,,. App
/
ADDRESS J ` - — Al
b S51 0401 -E. Trail A 0 ri'OrL4 4NING (<,mcrtile)
LEGAL DESCRIPTION (office use only) - ..._
LOT BLOCK ADDITION P1D
OWNER —� --
(Name)
(Phone) --
(Address)
APPLICANT -
(Name) f M ' A S +4Y- ?Ili j„ (Phone) /)—(% ?O - Z ia •
331 1 �v l�o0 t prii0,-Le4A4 s .s Address .,.
(Address) (City) (Zip Code)
(Contact Person) _._ . . PCV ur1, _ (Phone)
APPLICANT SIGNATURE — T DATE g y . O Q
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 Softner
—W 1 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector I
_._ l Shower - Stall Backflow Assembly "'
�� Sinks I)ackllow Assembly Test �' _
Bar Sink w Lawn Sprinkler
Water Closet (Tnilet) Other
FEE SCHEDULE
Industrial, ( & Mulli- ramify 1% oljon cost with a $39.50 minimum Residential, New One &. I\vu -l' mtily $99.5(}
Residential, Additions &c Alterations $39.50
Estimated Cost S 2O d Building Permit #
PAN) I
PLUMI31NCi PERMIT FEE $ fir" n
STATE,. SURCHARGE $ .50 BUILDING PERMIT
TOTAL PERMIT FEE $ _ - - -
(fifties use only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date 13y. — ..
Building Official hate
24 hour notice for 411 Inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372 -1714
PRIOR LAKE DEPARTMENT E3UILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS SS S t Sh.)(2-5- 1 (
NATURE OF WORK * Ac.rcelz 1-
USE OF BUILDING rz.�s �z
PERMIT NO. Uq 06' DATE ISSUED t c
CONTRACTOR 71 PHONE 140 - ;s 3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
t te
FRAMING i�I 9// 6/7,
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
— (Prior to Sodding)
BUILDING G", / /
ELECTRICAL
PLUMING
HEATING 2
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