HomeMy WebLinkAboutBuildiing Permit 10.0035 J H
Z Z NM. W E WTe J LL Z
r- 4•Z
� 5 55 Z �, a 4S
•
M a aaJ Z
02ww Z Er
w ' O ore re a d W co
0 N t 0000❑❑ � v
tn
1 Cs
w
O N
Z
3 m � O �
O " O » - O CJ U o
O t- Z OOLLJ 0 c 0 11 - " i cS 0 t tx U' 000 i ID 0 Z a.
d w t.. 0 ix
O c --- a _i v ~ �u pJ w w W W L
N a2 J w a J W F Z
N 3anaM
0000❑❑
a. a ° Z
• >: ° Zj r‘
C Q 0 141
Ilk U o ��
w w z a t- o \ . . 5
Y O N U • O -mi. a
J F- p Z F- • a W
fY Z f O W I._ i= O O J f
IL Ill a.- O Z 0_cc z W C3 cn 0 0 ° a O
a t- 4 ) Z t- z'2 U C.1
u. O w C4 w Z OO�v�zt- 40 3 v v c
v a 0 0 LL LL LL Z N 0 —
? Q O n = 000 V
of PR./ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4 0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.. U
r=1 1 AND UTILITY CONNECTION PERMIT
M1NNES0.0P 1. White File
2. Pink City PERMIT NO /o 6035-
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
4Z-,601 C � eA /A/WO OD Chi. A'
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PTD Z 5 , O33 . 0 1 / _ J
OWNER (�_
(Name) kA /lyi,E ill P 1Ml MET 2/ Ll (Phone)
(Address)
BUILDER ��
(Company Name) bixf,S T(vl0+qx (Phone) // (7 " 6C> C
(Contact Name) OW ,& C(-$ 0,0 (Phone)
(Address) 17k7 (0 ?aa t-e l Old 1-4311C: ! P LO1 L/ ?( r }h, j .5 3 7 2--
TYPE OF WORK ❑ New Constructi ❑Deck EPorch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition BrAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III WV AB
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
1 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 pro. 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 t • unit for just cause. Furthermore, I hereby agree that the city official or a designee may gut r�upon the property to perform needed inspections.
3 62- v .-tg
Si Contractor's License No. Date
Permit Valuation ,,cc���� Park Support Fee # $
Permit Fee $ � Z 5. ^ SAC # $
Plan Check Fee $ 1 6. 7.-5". Water Meter Size 5/8 "; 1 "; $
State Surcharge $ .70 Pressure Reducer $
•
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee p / 0 6 0 /3 Water Tower Fee # $
Mechanical Permit Fee !_ pa /o c d / ./ Builder's Deposit $
Sewer & Water Permit Fee $ ' Other $
Gas Firepl. e Permit Fee $ TOTAL DUE $ 4 1 ., c-
i
This . , i, , . n B comes Your Building Permi Whe pproved Paid 4(... 1. r Receipt No. 34. J
P Date i IZt l By AO
At l i i / t zI ro
: uildin, Official D. e
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
PRip . 1v.0fn =' Date Rec'd
A 1 CITY OF PRIOR LAKE PLUMBING PERMIT
� I� d �E „,„,„,
!^„,ESOP
1. Blue File PERMIT NO. /
2. Gold City O — /J / 2
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER `` ' L
(Name) ki e, t �-�1 � (`1 -0I C1 (Phone)
(Address) 11 k F 't, (4t LviCi
APPLICANT
(Name) , n (Phone) )' 1 Lo (C x u
(Address) d r \ { v 13 L3 btu r_s \A Ii`A-I\ 5 3 3 31
�� r, -C s) n
(Address) (City) (Zip Code)
(Contact Person) Q fr t 1,(,�,C i 1 Y. n tk3��. p a t./ (Phone) 6td.- t!%� - 1
(----- )
APPLICANT SIGNATU' VILA a k ' . & , . ( 4_ / DATE AlailD
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough -ins
Dishwasher Water Heater
Floor Drain Water Softener
2 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
i 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 $ 5 Ljel Building Permit #
PLUMBING PERMIT FEE $ Li 6 1 .5 - 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ SO . 0 D
(Office Use Only)
1
This Application Becomes Your Building Permit When Approved Paid 50 Recei No. I-7
59 3 Date By
Building Official Date • 1 Z. t 0
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
7.• 7`.7•:T^\pirr. 4J� N- .4 ,1577'�Y4',.!°ri}: ,r' 7 T"f'r71+ ' . � 7''.."
-=1Q PR/0 S 6 CITY OF PRIOR LAKE Date Rec'd
O HEATING /AIR CONDITIONING /FIREPLACE PERMIT
r
11-11N Eso 1 Pink Fi PERMIT NO.
NES Z. Y Yellow Ci (�
3. llow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
L aat. Ink/VIA Cat. b ___
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) ' ' l � �- `C (.C. ' 4 C. C %J (Phone)
W w
(Address) L( art Eli' at'
itv o4 Ct r c Lc
APPLICAN // ,� ))`,
(Name) , e, I1 (Phone) 3 lL�' t O V 0
(Address) 3 Hx.,\.. I I .)JW . Poua tAsk.w2__ 1i Y V\ 5 r3 — 1
(Address) I (City) (Zip Code)
(Contact Person) L <2.- , 2-k.t\13 ek-l(i (Phone) C) tg Vk (U1)
APPLICANT SIGNATURFC-= 411111111114: ..1 -' _ S • ' \ - 1 a
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑ Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑Radiation Fireplaces with Box Additions or
III Air Conditioning ❑ Special Devices
❑Vent. System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
I \ A CbLU A 2- lacL t z
FEE SCHEDULE
Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $ LjC ,S 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ L L).o (.)
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 50, tl 0 Rece t No. 513'(
Date Iti JI By
i
Buildin2 Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
h
t. 4646 Dakota Street SE
Prior Lake, MN 55372
4 tNNasolP
March 10, 2012
Wayne Metcalf or Current Resident
4267 Grainwood Circle
Prior Lake MN 55372
RE: Building Permit Number 10 -0035 Final. Notice
In review of the building permit files it was discovered there is an open building permit for garage
alteration. The City would like you cooperation to schedule a status inspection. Please call by March 20,
2012 to set up the inspection. If there has been no contact by March 20, 2012 the City will deem the
permit abandoned and invalid per State Building Code R105.3.2. This will be recorded in the permanent
public record. Any additional work will require new permits.
If you have any questions feel free to call between 8:00 and 8:45 AM Monday through Friday at (952)
447 -9853
Sinc ely
Paul aumg. ner
Building Inspector
Phone 952.447.9800 / Fax 952.447.4245 / www.cityofpriorlake.com
PRIOR LAKE BUIILDiNG AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4Z (o7 6 /NwCOD C! A 6.
NATURE OF WORK
USE OF BUILDING /&S /9//e_
PERMIT NO. /O. 0035 DATE ISSUED / Z 0, / (
CONTRACTOR ///2NN6 Ley' - obi g0A- PHONE 4/z-. 3 (calf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
41111MB 1 1
Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
ELECTRICAL
PLUMBING .& J /cd
HEATING (if required)
IR -WNW
1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
BUILDING
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
orr fit
• 4110
4
0
•