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HomeMy WebLinkAboutBuilding Permit 11. 0638 (2) DATE TER CRY OF PRIOR LAKE NISPECTION NOTICE SCHEDULED 9.-9- t3 ADDR€ss cP- Y S e r.A„ 5 _ L re... OWNER CONTR. PHONE NO. P E R I W T NO. / (r 0 0 ( o FOOTING 0 PLUMBING RI 0 O FOUNDATION 0 MEN RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o *ISOLATION 0 SEWER HOOKUP 0 FIREPLACE FINAL O FINAL 0 PLUMBING FINAL 0 GA AIR TST O SITE INSPECTION 0 MECH FINAL S+ 4.1 COMMENTS: ci ,. A CZ___. C_../ 1 / o 9 ....-- Ode ( //. o6 3e - Q, 10/1 'C) iiVA C) 18 i . aaaaa 4. • 11L k l ;i ..s Let z EiritteN 151115 3 ©0000a I z 1 ice. 0 a. g glig_ii a 1 21211 E 000000 ° v (ell"- p� Date Rec'd E CITY OF PRIOR LAKE PLUMBING PERMIT 8 , ( 0 j ri / 6 W / /- of "�NEs.4. 1. B kx Pile 2. axle City PERMIT NO. � / O 3. Yellow Applicant ( 7 (Please type or print and sign at bottom) ADDRESS ZONING (office use) L 1 %Lo ) r • j LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name R a L A (Phone) /PI Z- -j 2- — )S 7 q' (Address) L A Lk DL,>e — `c)oV._ r APPLICANT CA _ ' (Phone) S' 6 ' �C� 0 (Name) . .� . t u Phone I n .Q (Address) "Z �� S i—. c�cx 1 \ �J� O (Address) 1 City) (Zip Code) (Contact Person) i et C r— ; / (Phone) :Q t 2. I3 2 - - 7 c 7 9' APPLICANT SIGNATURE 4i✓f DATE I 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 r 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 1 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family l% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 The $ Building Permit # "SURCHARGE" has been changed for one ye ar effective PLUMBING PERMIT FEE $ 7 /cI, --a ye July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ .54 J' is 1,5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid _# Rem' t No. 6 , 34 f4, 6 — Building Oftidal Date Date , �� / B . 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 y of riuoR CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT v t cc 1 ♦ a�rlaO tp : Plat cy PERMIT NO. , I ; 3 Yellow apptcati i (Picric type o Rte and sign as bottom ZONING office trsc)l X ADDRESS 7/ y , ,, ��, �^ r J 2 7 lV C. ......4.\ 'C �E 0,..41 J t..A. —) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID .st A,, OWNE ) Rj w ,__ LI ,,, , A (Address) J 3 I • r- t ■ 'Lye • r i b r BUILDER (Phone) (Company Name) (Contact Name) (Phone) (Address) TYPE OFF WORK 0 New Construction ODectc °Porch ©Re-Roofing 'Re- Siding plower Level Finish ❑ Fireplace []Addition DAheration °Utility Connection CODE: ]I.R.C. DI.B.C. 0 Misc Type of Cast/action: I II 111 IVY AB PROJECT COST /VALUE S Occupancy Group: A B E F II . 1 M R S U (excluding land) Division: 1 2 3 4 5 i 1 a bove hereby certify t have fumished t all will mformanon ten thu co ap nf orm plicatum co aG which e aia is to the ben of Jaen! l my k aws nowkdge will p fire and cxrea. 1 also crrco, that 1 am the owner tic auth: aware xtud foal the building agent fix the opctty and tha ting and and roceed in accordance with su nine . 1 official e this permit for , l hereby agree dot the city official or a dengnce may enter the Praptny P ions t X e Contractor's License No Date S PenTtit Valuation ' ' Park Support Fee # S Permit Fee S (� .1 S. SAC Plan Check Fee S Water Meter Size 5 /5 "; 1"; S State Surcharge S S , — Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # S Plumbing Permit Fee $ Water Tower Fee # S Mechanical Permit Fee $ Builder's Deposit S Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee S TOTAL DUE $ let - — This r , ,, Your Paid l ( R` •" No r - -7 f - Date 2. A"NAIIIIIIIIIIIE3IIIIVI SIIIIIIMIIII ins Officio ne This is to certify not - a w request frac above application and accompanying documents is in accordance watt the City Zornng Ordinance and may pnweed as r gUtMYed. This document When signed by the City Planner constitutes a temporary Certificate or Zom ng co npfiance and allows autswction to commence, adore occupancy, a Certificate of Occupancy must be issued Planting Director bane Spacial Cuaditaaa, if any i 24 horn mike for *11 impeedmrs 49521441 -9660, gas (552) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 • • r 1 P. rWW— v igl aaa.a� % J 0 G O WWU� 2 ''' �? o lT z < tp t4, ,. VtiLLC7 it it 1 ❑ ❑ ❑ ❑ ❑ok. • a► 1 -?.. W 'o t M 644 _ W u. N r O W • O =mz 1 ) 3 m c O 5, Z _ _ qa i o C r re 0Ou. ^` ' k 0 U 0 oC 2 , r " • Z O z = Z z Z V d a ca 0 4 sZW 1) `t " Q 0 Z V a � 3 �n a� w Wn- Ill .� �` � 0000❑❑ 1 8 8 z cy „ a a u 0 . x N W W �� U 0 ` t V U. a: z F. V z z 0 CI) ` a 3 01 a 0 , z 0 � 0 � a Z < r f- I o k 1 a. co O Z G Z qq �� W N W W J W y O W CL W Z Ull SOOCN C Z N O O O u v V UU 16 ri = a 0 a. 0013000 0 1 t1 ❑ 0 __ o* PR! CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE E 1 j 7 AND UTILITY CONNECTION PERMIT y,NNBS2l� I White File NO. (�I� 2. Pint: City PERMIT NO (l 42 3v 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS , ZONING (office use) . 2_7 8 � r J LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID .� O 2 ' L * L` "'� l (Name) t (Phone) `� (Address) -NI5 E: a r tit L BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction DDeck DPorch DRe- Roofing DRe- Siding DLower Level Finish 0 Fireplace DAddition r Akeration DUtility Connection CODE :kI.R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U Division: 1 2 3 4 5 (excluding land) 1 hereby certify th I have furnished 1 >x Lion on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the above -ment one roperty and th 1 const vction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official ca r e this permit f ust Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. ! Signature Contractor's License No. Date Permit Valuation .J OC.) - Park Support Fee # $ Permit Fee $ 2_,,,s_ - SAC # $ Plan Check Fee $ 1 4., 2--c. Water Meter Size 5/8 "; 1"; $ State Surcharge $ .- 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 $ 'er I, 15 Thi•, "• , plicati ' `eco . Your Building f Permit Wh Appr ved Paid 1 1 - 1 - 1?' f 1• - a Receipt ■ Np. fi q ' , Date 7 f /t( Byr7{/JIj 1 4 / Atal. -_ 7 r r' 1 B * ildme Uft 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 2786 Spring Lake Road Scope of Work Coy (y PR General SEW Z • Demo existing ceiling paneling in entry room _° r 6 • Demo existing cabinetry in kitchen • • Remove all appliances • +, AS NOTED • Remove all flooring and carpeting. Su G T. . r • . ; w • a RESUBMIT • Demo bathroom fixtures, tub to remain Itabrillitailliknoiiinfortniign Al%NAoh I bedem • Demo closets in Bedroom rte bang 8 zoning code • Demo doors Or ■�S}a►11 ► mid In Mb hew• NNIPIONIMIANIETON SITE AT N.1. TIMES. • Demo trim and millwork d- Z..5t,,A ra.4,,,5 • Demo temporary ceiling in basement • Install %" drywall over all existing plaster & lathe and existing sheetrock /wallpapered areas in kitchen, bathroom, bedroom, living room, and entry room. Basement to remain. • Mud and tape new 1/4" drywall • Paint all areas • Install new cabinets in kitchen • Install new appliances • Install new wood flooring in entry room, living room, and kitchen • Install vinyl floor in bathroom • Install carpet. in.Bedroom - & #2. Plumbing (Permit through City of PL) • w bath va kp and trim • Install new tub trim • Install new toilet • Install new kitchen sink • Re -pipe domestic water distribution in CPVC pipe • Existing DWV to remain Separate permits are required for Plumbing, eati :, : r EIectrica1,.etc— Mechanical (permit through City of PL) • Replace Furnace • Install A/C condensing unit, lineset, and coil C twit Electrical (permit through statp • Re -feed outlets and switches from belo i • Maintain accessiblilty to all feeds and wi i gFii+a°hTaStap t,. i • Install new fixtures in living room, kitche Ivi lb#Ap ,x • Install GFI outlets in kitchen and bathroom: '4`'"'"``' Age, " Notes: • No structural changes or modifications, wall relocation, or new /modified openings • No building additions. • No exterior work. • No utilities work. • No work on Garage or out - buildings. • No Roofing work. • No window or siding replacement. ww Order for Payment orisiimidamito Date Request for Inspection Serial Number Date Filed i / - /1 Electrical Contractor/Installer License Number / 4 C /G Ow e Qcc nt j A / D County SCJC Job Address - Street City/Township SfK /A/6 4.1.1E 6 .1°/C%Lv< LRK& This Order for Payment is for additional fees associated with the above referenced Request for Electrical Inspection. Fee Calculation /Explanation /00.4 S€V /c OP TO :., OciRc irg 0 0 " -rAz FF6s 135— g fFntoow - r M(Z BLANc coo Return this Order for Payment with your check 1/11 amount of $ 1 ' T• "' by (fourteen days from the date issued) A service charge of $30 will be added for all dishonored checks. Inspector Name and Number For Department Use Only A/,T Lv s/. Inspector Telephone Number f"z 3gp2Z Inspector E -mail Address/Website Inspe tor gnature This material can be made available in different forms, such as large print, Braille or on a tape. To request, call 1- 800 - 342 -5354 (DIAL -DLI) Voice or TDD (651) 297 -4198. Funding Information: Fund 174; Appr CCL; RSC 4570; Org 4220 Order for Payment (12/08) SPaILE ` / /I� 4lC ©/—I i�Il1 II`/ j i�UL -�c �G. WIw S C .14. "017,4 -%1 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD / �`� ��i C� 4.. RD SITE ADDRESS � TYPE OF WORK USE OF BUILDING > I-- PERMIT NO. ._ DATE ISSUED i� BUILDER 4 r t -rr- PHONE # G /2.431 7 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 1 FRAMING/ 1 1 t ff LF_ FOR ALL INSPECTIONS (952) 447 -9850 •