HomeMy WebLinkAboutBuilding Permit #13-1308, 13-1299 DATE TIME
CITY OF PRIOR LAKE �
INSPECTION NOTICE SCHEDULED 2 2
ADDRESS � � `� ` L , � } V�-l.� �
OWNER CONTR.
PHONE NO. PERMIT NO. � � �3�
D FOOTING 0 PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
'�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
�O S!TE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�'
o�. �5�
� WORK SATISFACTORY, PROCEEO
❑ CORRECT CTION AND PROCEED
❑ CORR T W , CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnedContr:
CALL 447- FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
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O� P R I ��p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d
ti � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I I �� ��
� � AND UTILITY CONNECTION PERMIT �/
r�,�
�
1 Wh�te Fde pE�IT NO . �, � U
2 Pu�k Gty
3 Yellow Apphcant
lease or ' t and si at bottom ZOl'�T1NG (office use)
avnxESS s �
� � 3 /S� ,Ec�l � a- C-t �� �'� �-. ,�. �
LEGAL DESCRIPTIO (oi£ice use only)
LOT `E� I PID �� � O7� � lO��' C
(N� ) � / \� '�" �4 � ��� �FOW (Phone) 7 Z
(Address) � � � � 1.. �r4��'G /�/. � . /' / 0 /� ��11
(Company /�' ��fi+rv�u� � /K'b�f�M �hone) � ��" S.S�" � Z1 �1�'
(Contact Name) `�"t �t l'� G IVG�+�� (Phone) ���`' � - 2y/�-�e'�_
(Address) GG ��°' �V G �
TYPE OF W�RK ❑ New Constructio�- ODeck ❑Porch ❑Re-Roofing �Re-Siding ❑Lower Level Finish ❑ Fireplace
�Addition []�Alteradon �Utility Connection
CODE: L�JI.R.C. �I.B.C. � � M '�`�
T�pe of Con.stnuUion: I II III IV V A B /� ,�.�t
p��upancy Group: A B E F H I M R S U PROJECT COST/VALUE S I�-- /, V�
Division: 1 2 3 4 S (exclnding laud)
I hereby certify+ that I have furnished information on this applicadon which is to the best of my knowledge true and conect. I also crrtify that I am the owner or authorized agent for the
above-mentioned property and that all construcaon wi11 wnform to all eacisting stace and locat laws and will proceed in accordance with submitted plans. I am awaze that the building
official �evoke ' permit for just ca� ��e, I hereby agee that the city official or a desigiee may enter upon the property to perfrnm nee � in ctions.
°� ` C3G�.os�32
X Contractor's License No. Date
Signature
Permit Valuation � p ��Q __ Pazk Support Fee # $
Permit Fee $ SAC # $
. � �
Plan Check Fee $ � Water Meter Size 5/8"; 1"; $
'L .
State Surchazge $ _ Pressure Reducer $
5_
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Pernut Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE �q�� �/, Zp . �3 $ � 'Z � • �j
This A licati n B comes Yo� Buiiding Permit A ved Paid ,� Recei t NO. i
�` Date B �'t-w
r� �
uil m Offic� Date
This is to certify that th req t in the above application and accompanying mrnts � in accordance with the City Zoning Ordinance and may proceed as requested. T� d must be
when s�ed e P ner cronstitut�s a temporary Cefificate of Zoning mp ' ce and allows mnstruction to mmmence. Before occupancy, a Certificate of Occupancy
issued
� r ��
Planning Ihrector Date Special Condiuons, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
04 p �. p � Date Rec'd
�, CITY OF PRIOR LAKE PLUMBING PERMIT
H �
`' S� �j-�� �
�'�so'� , B��e File pERMIT NO.
2. �o,d �.ty r� _ 3
3 Yeilow App6cant
lease or ' t and si at bottom
ADDRESS ZONING (otn�e use)
r �� C.S C�� �cJ. :. �� -�--.� � r l� L
LEGAL DESCRIPTION (ofiFice use only)
LOT BLOCK ADDITION P�
OWNER
(Name) � f C�� (Phone)
(Address) j� 3 f �d Lc.J , �e.� CQ �"� �
APPLICANT �
(Name) t � �..�c dQ,'v,��' t'���, �, �.i� c (Phone) �� fZ 7 � /' $'a 7 Z
(Address) � c v�---z X 1y► S 4 �c �CU -� �G �C � ti/ // � � so � �r
(Address) (City) (Zip Code)
(Contact Person) �� ��e y �L• �L► S (Phone) � � L �° � �° 7 �-
APPLICANT SIGNATURE �� `�� DATE !� Z- ' � — � 3
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fixture uanti 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
The Minnesota Statutes § 326B.148 �f'ob costwith $E9.50 m nimu LE Residential, New One & Two $149.50
SIJRCHARGE has been extended �
The minimum surcharge for a Residential, Additions & Alterations $49.50
"fixed fee" permit is $5.00 $ Buitding Permit #
PLUMBING PERMIT FEE $ �� ' "�
STATE SURCHARGE $ 50 O
TOTAL PERMIT FEE $ __���
(O�ce Use Only)
This Appiication Becomes Your Buil ing Permi W n Approved Paid Receipt No. �
S
� � Date By
Bulldiag Official D te � Z r
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
.
• DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS � � r �/�" , /�J�C';
NATURE OF WORK
USE OF BUILDIN ,q_
PERMIT NO. DATE ISSUED � �/
CONTRACTOR . PHONE Z �jI
INSTALL EROSIO CONRTOL AND MAINTAIN CLEAN STREETS AT AL TIMES
INSPECTOR DATE
Prior To Backfill)
ER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING �
INSULATION
ELECTRICAL
HEATING
GAS LINE AIR TEST �,�tr� �'� , � .�'
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
R TO SODDING)
BUILDING �,�-�
ELECTRICAL
NEATING
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