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Home My WebLink AboutBuilding Permit #14-12 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ��c��C,t?� �. S� OWNER CONTR. PHONE NO. PERMIT NO. ! � "" � D FOOTING ❑ PLUMBING RI O EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI O COMPLAINT O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL � FINAL � PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: �WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRE WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. OwnedContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYI �rsnor� �'��/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd �F PR� �� ` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � ��` N T TY NNECTION PERMIT � A D U ILI CO U � 4�NNESO�� I Whne Fde pERMIT NO /� „ t� 2 Pmt, Cny i Yellow Apphcam ( Please or rint and si at bottom) ADDRESS ZONING (ot�'ice use) � �� U�SS tt�.% (? � ? , S. ��e LEGAL DESCRIPTION (ofl'ice use onty) LOT BLOCK ADDITION ID OWNER��/��.: "' �� TL n�: �G� S'G�✓ (Pha�ne)[p�,r —��/ - �� L /� (Address) / BUILDER L � n, , �/ � i � J > L / (Company Name) �t;�C.. / "! ��l `-'n�� f C ��, /, C C�,, _�/�. (Phone�..5��`�` 7 0._ -� .3� � (Contact Name) ; �U� �1 �. �`v/ i� % T (Phone) �•�� (Address) t � p�` TYPE OF WORK ❑ New Construct�on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg ❑Lawer Level Fimsli ❑ Fireplace ❑Additfon ❑Alteranon ❑Uhhty Connecaon CODE: ❑I.R.C. ❑I.B.C. [�Misc -`��?� .� Type of Constniction: 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 I hereby ceruty that l have himished mformauon on this application which u tu the best of my knowledge n ue and correct I also cerufy that 1 am the owner oi authurizcA agent for thc above-menqoned pro �ty and that a(1 cunsmucnon w�ll conform ro exisnng atatc and local laws and w�il proceed m aceoidance wrth submitted plans I am aware that the buildmg ufficial an revake th�s�etmit for�ust causc Fi ther or , I hereby gree that the ciry offiaal or a des�gnee may ente� opon the prope�ty to perform necded�nspe ions I � C p �� / � ' X �� , `' r Sign re Contractor's License No Da Permit Valuation � U � _ Park Support Fee # $ Permit Fee $ � �— SAC # $ Plan Check Fee $ �•Z,� �.� Water Meter Size 5/8"; 1"; $ State Surcharge � $ � _ � Pressure Reducer $ Penalty Sewer/Water Connecnon Fee # $ Plumbing Permit Fee $ � Water Tower Fee # $ Mechamcal Permit Fee $ Builder's Deposrt $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DiJE $ � This A t' �a ' n Becomes Yo Buildin� t Whrn Approved Paid � Recei t O. Date B Bu dma Ut3icial D� e This �s to certi hat t c equc}t m the above apphcanon and accompanymg docume u m ac �dance wuh the C�ry Zomng Ordmance and may p�ucecd as �equctited Th�s document when signed e Ci lanne� cumntutes a tempurary Ce�tificate uf Zonmg compl nce and IIuwS cunstrucnon tu commence Before uccupancy, a Cctuticare nf Occupancy must bc tssucd , � Plamm�g Dire Date Special Conditions, if any 24 noticc for aIl inspcctions (952) �347-9850, far (9S2) dJ7-a245 4646 Dakota Street Prior Lake, MN 55372 � 4 p� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT � � V �'�S �. B��e File pERMIT NO. 2 Gold C�ty � ' � ^ I '� � 3. Yeilow Apphaant � lease or ' t and si at bottom ADDRESS ZONING (ot�'ice nse) � � � ` �� 2 LEGAL DESCRIPTION (ofl�ice use only) LOT BLOCK ADDITION PID OWNER �j� (Name) � V � � �' (Phone) G� � "z. — 7 � ( •� S (�_ (Address) APPLICANT � (Name) � C. l � � d� (Phone) (Address) �Z-\<%.? - ��-1.��'_' �ti' S�� Z— (Address} (City) (Zip Code) (Contact Person) � o� ' ��-`� (Phone) APPLICANT SIGNATURE �, ' ��---- DATE l' 7� � APPLICANT PLEASE COMPLETE BELOW uanti T e of Fixtuee Quanti T e of Fixture Bath Tub with or without shower Rou h-ins Dishwasher Water Heater Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Lau Tra 1 or 2 com artment sink Sewa e E'ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Law� S rinkler 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 $ Building Permit # PLUMBING PERMIT FEE $ i7 � � STATE SURCHARGE $ .50 l �. -� . TOTAL PE IT FEE $ (O�ce Use Oaly) This pp ii ation Becomes Your Building Per t W n Approved Paid Receipt No. Date By Da e 24 hour notice for all inspections (952) 447-9850, fax (952) 447-0245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 � DEPARTMENT OF BUILDING AND INSPECTION , SITE ADDRESS � S�� l-� SS� � �C �� NATURE OF WORK _o USE OF BUILDING �- PERMIT NO. �� DATE ISS D 4r CONTRACTOR � � PHONE ' S 3 INSTALL EROSION CONRTOL AND AINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING �� L FOUNDATION (Prior To Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING d-2 • � c.-- Z /) / ELECTRICAL PLUMBING �J Z s' HEATING � ? 2 T R COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED FINALS ING) . BUILDING 3 �i ° 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