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Home My WebLink AboutBuilding Permit #14-015 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � �i � ADDRESS _ ,I � �� .��Q •��(�- � �� OWNER CONTR. PHONE NO. PERMIT NO. _�_ �� 0 FOOTING 0 PLUMBING RI ❑ EX/GRADJFILLING ❑ FOUNDATION ❑ MECH Ri ❑ COMPLAINT ❑ FRAMtNG ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL ❑ PLUMBING F1NAL ❑ GASLINE AIR TST ❑ SITE INSPECTION O MECH FINAL ❑ COMMENTS: � % �*-� � �I S'.�- �- -P Z • � Gc� u� Lcs'Q� -��Q �" 1 SC � a..� �o !` � n Q'�� /J /��f/� .l � � � G(' ( f' q �.}p -� � � � � � v �, d''�� C�r� � � � �WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING � Inspector � Ow�edContr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HE4LTH dc SAFETYI �» oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / � � AND UTILITY CONNECTION PERMIT (� 7•�� U � ��'NES�� I Wh�re Fde pERMIT NO J ? PinA City )� .� /� ; Yellnw Appl�canl � f� Please or rint and si at bottom) ADDRESS ZONING ��rr,�� s�> �� 7 � ��'�T�Ok � ,�-v�.. '� t�.) LEGAL DESCRIPTION (oflf'ice use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) BUII.,DER 1 p '� / (Company Name) �z��F^�Lt►'� 17.�,��c`/►� Ct:�'h''ac h'!5 �.-L� (Phone) ��'7 - �7/ ' �5 f � (Contact Name) ��'►� � tc''i S ru � (Phone) (Address) 3� 3 � l�u .v�e� 5 .✓-t. ��.✓� tx.,.�n �/Z S��i' Ll TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg Lower Level Fmish ❑ Fueplace ❑Addit�on ❑Alteranon ❑Uhhty Connechon � ��S CODE: ❑I.R.C. ❑I.B.C. ❑ M�sc __ � Type of Consmiction: I II III IV V A B pROJECT COST ALUE $ Occupancy Group: A B E F H I M R S U (excluding land) � Division: 1 2 3 4 5 , f hereby crrtity Uiat [ have hirmshed mfo � auon un this applreatiun which is to the best of my knowledge h'ue and coirect I also cci hfy that 1 am the ownci ui authunzcA agent for thc above-menuoned prope�ty and that all un hucnon w�ll conform ta all exishng state and local laws and will proceed m accordance with submrtted plans I am aware that the buildmg offic� an revo th s i u for�ust u FuttheiYnare, I hereby agree that the aty offiaal or a designee may enter upon the property to peiform necded mspecuons � X ,t� C- � �Gr S'`�' `/ � "7 �j `/ Signature Contractor's License No T � - Date Permit Valuation G�i �� Park Support Fee # $ Permit Fee $ � SAC # $ Plan Check Fee $ _�_ Water Meter Size 5/S", I", $ State Surcharge $ S"zj Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ �r.�" 5�� Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ '��' TOTAL DUE $��`� � P This App(ic ' n ecomes Your Building Pemtit When Approved Paid O. R�c t NO. U % .' / � Date � 7. / me Ut3icial Date This �s to ee ify that thc request m the above apphcaaon and accompanymg documents is m aeco�dance wtth the Ciry Zomng Ordinanee and may yruceed a, �equested Thic document when signed by the Qty Planne� consututes a remporary Ce�nficate of Zon�ng compliance and allow1 construcuon to commence Befure uccupancy, a Cciuticate �if Occupancy must bc ISSUCC{ Planning Director Date Special Conditions, if any 24 hour noticc for all inspcctions (952) J47-9850, fax {9S2) J�7-�3245 4646 Dakota Street Prior Lake, MN 55372 � 4 pRip� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT f/ 3_/ 4- h � v �� i Blue F�le pERMIT NO . / 2. Gold Qry � / � � / J. Yellow Aprl�cant � � lease or ' t and si at bottom ADDRES$ rf ,� ZONING (ot�'ice use) � (,� d 2,� G'✓ � �G i` <'-� /"-t'1�,�' � - l LEGAL DESCRIPTION (oflice use onty) LOT BLOCK ADDITION pID L 5• Z- �}- U ZS . OWNER (Name) (Phone) (Address) APPLICAN (Name) � i �f��G'If/.'G �Cl�r /� i�- �� (Phone) �o � " `l � � '" �C� � � (Address) �� 7 � CS S�'� 5 i'J J j ��. �� 62�e` C C ,��1 ' s� G l`1 �/ (Address) (Ci (Zip Code) (Contact Person) s�-C`''✓�� (Phone) � Z ` � `�S ` � `�`� / � " � APPLICANT SIGNATURE �--� ��G�� DATE l _ r � � � � � APPLICANT PLEASE COMPLETE BELOW Quanti T e of Fixture 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 Laund Tra 1 or 2 com artment sink Sewa e E'ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEESCHEDULE Industrial, Commercial & Multi-family i% of job cost with a$49.50 minimum Residential, New One &'! - amily $149.50 Residential, Additi c Alterations $49.50 Estimated Cost $ Building Permit # I� �� PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 � V (1 � TOTAL PERMIT FEE $ !J (Office Use Only) This Application omes Your Building Permit When App oved Paid . � � � 3 . � Date By Buil ' 1 Date 24 6our notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R I O R LA DEPaRTMENT OF K E BUILDING AND INSPECTION IN PE TI N RE 4RD SITE ADDRESS I g� W T� /�'�� NATURE OF WORK LO �� .Q/FiL USE OF BUILDING /�' PERMIT NO. � DA E ISSUED �� CONTRACTOR HONE � �. Z�I. s�d NOTE: THIS IS NOT A PERMIT FOR A Y OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING � �� L INSULATION ELECTRICAL PLUMBING wc� �"'/� � �, � o�; , � HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED � FINALS BUILDING 1 _ � ELECTRICAL "� (q � 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