HomeMy WebLinkAboutBuilding Permit #14-158 ATE TIUAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /
ADDRESS �� �ijvt t��/
OWNER CONTR.
PHONE NO. PERMIT NO. l�" f�
0 FOOTING � PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION 0 MECH RI ❑ COMPLAINT
O FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
0 INSULATION ❑ SEWER NOOKUP ❑ FIREPLACE FINAL
�FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAI ❑
COMMENTS:
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor. OwnedContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
wsNOn
oF pxt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE' � L� ��
� � AND UTILITY CONNECTION PERMIT '
v �,
��Nxeso'�� i. wn��e File PERMIT NO . � J ` J
2�, Pink City � [�� /��
3 Yeliow Applicam [ �
P rint and si at bottorn)
� ADDRESS �'` ZONING (ott'ice use�
-' �.:�C�� ����� �
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
OWNER �n
� �el � q"��i / " 4��� (Phone)
(Address)
:'�C �i4�.T1�TO/�� �pN��l�l � Tlc`2/� Phone) 7J Z'✓��� O�� �
," , ,... �.:��.».,�: � � ._
� or�et Name� ��R��O/� C/�t t..,�.1 s�/✓►�� (Phone)
��. �� µ, �
c�c�res���-. L� E 8 �'% /��tJ �' 1�1 5�� �
TYPE OF WORK ❑ New Cons tr,pc�n ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition � � tlteration ❑Udlity Connection
CODE: ❑I.R.C. ❑I.B.C. � Misc.
Type of Consmiction: I II III TV V A B pROJECT COST/VALIJE S
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I herrby certify that I have ftirnished infnrmation on this application which is to the best vf my knowledge true and correct. i atso certi(y tha[ t am the owner or authunzed agrnt for thc
above-mennoned property and that all consn�ueNon wiA conform fo aU exisnng state and local laws and will proceed in accordance with submittcd plans. I am aware that the building
ufficial ca revoke this rmit for just cause Fu h ore, I hereby agree that the city official nr a designee may enter upon the propetty to perform necdcd msp�cnons.
I X ,,�,���� �� �. �.��-�... 3 -:�/�
gnature �"` �Contractor's Lieense Nq: ' �aCe .�; �—
Permit Valuation ^> Park Support Fee # $
Permit Fee $ + �. SAC # $
Plan Check Fee $ ` �%,� Water Meter Size 5/8"; 1"; $
State Surcharge $ -- Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Piumbing Fermit Fee j Water Tower Fee # $
�
Mechanicai Permit Fee $ Builder's Deposit $
Sewer & Water Perrnit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DI7E $
This Appii ion comcs Y� Building Permit Wh Approved Paid Recei t NO.
� ,� Date B
�
ate
This is to certify that the requcst in the above appticanon and accompanyin� documents is in accordance with the Ciry Zoning Ordinance and may yroceed as requcs[cd. This ducument
when signed by the Ciry Planner consntutes a temporary Certificate of Zoning c�mpliance and alluws construction to commence. Befure occupancy, a Ceruticate �rt Occupancy must be
icsucd-
Planning Directot Date Special Conditions, if any
24 hour notice for ali inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
� 4 pRlp� . Date Rec'd
� CITY OF PRI4R LAKE PLUMBING PERMiT �. � y Z � ��
� �
�4vrr�sat�� -. -- - '
'. $`"` F "` PERMIT NO. � /
z aom c�q* /�
3. YeNrnv Apyticart ✓ `
lsese a or rint and a at bottom
AI7DRESS ZONING (ofnce )
�3 � . �'
LBGAL DESCRIl'TION (office use auir)
LOT BLOCK ADDITION PID
OVVNER
(Name) �.•�i�i� A�„�,�,� (Phone}
(Address) , lp
APPLICANT
(Name}- 1-(l E.�� �/� E �� . ���(% , (Phone) „� a
{Address) / ��.� -�l/�,� �/ ��� Li� ..l ,��� �� .����
(Address) � (Ciry} � (Zip Code}
(Contact Person) �G' / (Phon ) �
APPLICANT SIGNATURB DATE ' ' �
APPLTCANT PLEA5E COMPLET� BELOW
uanti e of Figtt�re ¢uanti T e of Fixture
Bath T'ub with or withaut shower Rou h-ins
Dishwasher Water Heater
Ftoor Drain Water Softener
Lavato Bachraarn Sink Stand Pi e Washin Machine
Laund Tra 1 ar 2 com artment-sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Asserab! Test
Bar Sink Lawn S rink(er
Water Closet Tailet Other
.�. ._�.------� .._._� FEESCHLDULE
�---- --
�e Minnesota SYahites § 326B .Z48 � �3ofi cost witf► a$49.50 minimum Residential, New One 8t'lrva�amity $1�9.50
"�URCHARGE" has been extended �.. ttes� n�a , A �aops �t terations $49 .so
� The it�inimum surcharge foi• a ' �
"fixed fee" permit �,� ���QQ � Building Perrnit #
- PLUMBING PERMIT FEE $
ST'ATE SURCHARrrE � X�� � .00
TOTAL PEKMIT FEE $ �2�
(Office Usc Only) • -
This Application Beeomes Your BuEtding Permit When Approved Paid�� �--� Recei No. �� �j �
Date 3 � � � � By �
Bulkline Offtclal Date
?A hour notice far all fnspectlons (952) 447-9850, fax (952) 4d7•4Z4S
Ab44 Dakota Street S.E., Prlor Lake, Mlnnesota 55372
D�PARTMENT OF
P� I R LA K E BUILDING AND INSPECTION
IN PE TI
N RE RD
SITE ADDRESS
NATURE OF WORK ; �
USE OF BUILDIN
PERMIT NO. D I D
CONTRACTOR HONE
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
FRAMING d yz �
INSULATION
ELECTRICAL
PLUMBING �� , ' 3 �r �
HEATING (if required) �`'j y � , �
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUIt�DING --- - `� 2 �
�LECTRICAL
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