HomeMy WebLinkAboutBuilding Permit #12-0154 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED y !G� �
ADDRESS p� f � ` `� �j ��
OWNER CONTR.
PHONE NO. PERMIT NO. 12 —� S G�
O FOOTING � PLUMBING RI
❑ FOUNDATION � EXIGRAD/FILLING
❑ FRAMING 0 MECH RI ❑ COMPLAINT
❑ WATER HOOKUP ❑ FIREPLACE RI
0 INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION O MECH FINAL
❑
COMMENTS: (,.L F��.'
`�SL_ i i�L- ' tln 4c� � t1;; �
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH � SAFETY!
�NSNOTI
CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED ����
ADDRESS � l (�� l � � � , �T
,
OWNER CONTR.
PHONE NO. PERMIT NO. �� —� ��l�- Z�
� FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
0 INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAI ❑
COMMENTS:
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�E��.sr�io,�L�� ��Lr°�� � r i� � `� � ��cC S �--�'•C
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
C L 44 - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
WSNOTI
CITY OF PRiOR LAKE DATE TIME
INSPECT(ON NOTICE SCHEDULED 3 (,3 /
i-�
ADDRESS 2 � � ��S
OWNER CONTR.
PNONE NO. PERMIT NO. � � ���
O FOOTING O PLUMBING RI O EXlGRADIFILLING
❑ FOUNDATION P�MECH RI ❑ COMPLAINT
�FRAMING ❑ WATER HOOKUP O FIREPLACE RI
0 lNSULATION ❑ SEYYER HOOKUP ❑ FIREPUICE FINAL
O FINAL 0 PLUMBING FINAL O GASLINE AIR TST
O SITE INSPECTION O MECH FINAL ❑
COMMENTS: �L � �I
� WORK SATISFACTORY, PROCEED
/
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECT{ON BEFORE COVERING
Inspedo : Owner/Contr:
CA 447-9850 FOR THE NEXT INSPECTION 24 H RS IN ADV NCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.►
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oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��� y � Z
.. � AND UTILITY CONNECTION PERMIT
U �
�. � Wh,�e File pERMIT NO. l�
,. 2, Pink City ���
3 Yellow Applicam �
Please or rint and si at bottom
ZONING (office use)
;�� � l i�� � S��t i�J �J
LEGAL DESCRiPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
(Name _��V Y 1 � � Y � � � �IJI,S�� (Phone) � � 3 � � � � v
(Address)
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Finish ❑ Fireplace
❑Addition ❑Alteradon ❑Urility Connection '3 �Yff .
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
1 hereby certify that f have fu ished mformation on is plication which is to the best uf my knowledge tnie and correct. I also certify that ! am the owner or authonzed agent for the
above-menno d prop rry an that all c stniction II nform to all existing state and local laws and will proceed in accordance with submittcd plans. 1 am aware that the buildmg
official can r ke this rmit or just se. urthe reby agree that the c�ty official or a designee may enter upon the properry to perform necded inspcctions.
�
X
Signa re " ContraMOr's License No. Date
Permit Valuation � a Q�� v o Park Support Fee # $
Permit Fee $ •�¢ 7S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $ .
Plumbing Permit Fee $ � e�."� Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ � � �
This Appiica ecomes Your Building Permit When Approved Paid � Re 1 t NO.
3 , Q , �� Date ' 0 .
Zl
Bui ins Ut7icial Date
Th�s �s to certify that the requcst in the abuve applicanon and accompanying documents is in accordance with the City Zoning Ordinance and may protteA as requcsted. This document
when signed by the Ciry Planner constnums a tempurary Certificate of Zoning compliance and allows construction ro commence. Before �xcupancy, a Certificuc uf Occupancy must be
issucd.
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
By Date: 3 � V � �
Building Permit # / � � ��¢ PID: Zoning:
Site Address Z / � ! `, �'"� �
/ � i�� —
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORM5 TO ZONING YES NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ✓
Is the property located within the flood plain? Refer to Planning �
Does the alteration include any additional kitchens? Refer to Planning �
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ✓
Is the proposed use of the finished space or Refer to Planning �
alteration for anything other than a normal single
famil home office, ou home, da care, etc. ?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE�ALTCHCK.DOC
o ,� p RZ�� Date Rec'd
,� - ,� CITY 4F PRI�R LAKE PLUMBING PERMIT
� �
�
��v�vESO'�"
`. B, '" F ''` PERMIT NU.
z. �a�� �,Y /2 —a l.�`�
3. Yelimv Applicant
ease e ar 3nt and si at bottom
� I `� 1 � 1DS � � � � <+1J1 ( v W ZONlNG (or�ioe,�se) .
LEGAL DESC1tIPTION (office use only)
LOT BLOCK ADDTTION PID
(N� fl �1 � 4— �� � J� (Phane) I��'"J� J P l� I V
(Address) �I�� �IpJ r J�� IV Vv li° 1(j��'��J"�I ! l I
APPLICANT �tR.�����1 I�� �� � 1 ��O
(Name) � � � �'1 (Phone)
(Address) ���' t�O� ��i� � VC.1 IV U�1 �1 br �Q,�lr� 553�i 9
(Address (City) (Zip Code)
(Contact Person) � V `� aUs� "' (Phone} �v ���"�O � , l + �e�t 1
APPLICANT SIGNATURE � DATE ' b r '
APPL�CANT PLEASE COMPLETE BELOW
Qnanti T e of Fixture Quanti e of Ffxture
Bath Tub witli or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
� La.vato at,�room Sink Stand Pi e ashin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Bac�low Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn. S rinkler
Water Cioset Toitet Other
FEE SCHEUULE
Industrial, Commercial & Mi�lti-family 1% of job cost with a$49.50 minimum ResidenHal, New One & TwaFailaily $149.50 '
Residential, Additions & Alterations $44.50 .
'the Minnesota Statutes § 326B.1d8 � �st $ Building Permit # � � e � ��
"SURCHARGE" has been changed for one PA�Q yYl i�1
year effectit�e PLUMBING �'ERIVIIT FEE $ ����� ����,.�.
.Tuty F, 24t0, unfi[ ,�une 3fl 2ot �. STATE SURCHA.RGE $ �
The mioi�num snrchnrge for a"fixe4 fee" permit TOTAL PERMIT FEE $
is �, Geginning J�ety i, 2a1Q
'�'h�s Appiicatiou Becames Your Buildiung Permit When Approved Paid Reeeipt No.
Date By
Buildtus Offtcfal Date
��our noHce for all insgections (952) 44'1-9850, f�x (952) 447-4245
�646 Dakota Street S.E., Prior Lake, Mfnnesota 5537Z
P R I O R LA DEP�i�TMENT OF
K E BI�ILDING AND INSPECTION
IN PE TI N RE
RD
SITE ADDRESS Z/� ��� � �.
NATURE OF WORK � U1�1�E12 L E1�
USE OF BUILDING J �" /�-
PERMIT NO. ! Z. /3�¢- DATE ISSUED o� •. � 2-.
CONTRACTOR �I/�O % PHONE �I$Z - 353 . �5 Q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
MISPECTOR OATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING l3 ��"
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
6LECTRICAL
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