HomeMy WebLinkAboutBuilding Permit #13-1225, 13-1217, 13-1153 DATE TIIAE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S�
ADDRESS � I�� � ����
OWNER CONTR.
PHONE NO. PERMIT NO. `? �'` Z,6�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
Trl�l -h� ��,�u�.,� �-' ' v �� ��
— ��'.ulU . '�o ,p�e�-e� Oib�
O WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORR T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto OwneNContr:
CAL 44 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD EQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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�� " CITY OF PRIOR LAKE BUILDING P� RMIT Date Rec'd
ti `, �1�� TEMPORARY CERTIFICATE OF ZONING OMPLIANCE / D�� D, l�
` _� � AND UTILITY CONNECTION PERMIT
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' `"'"`e F''e pERMIT NO.
2 Rnk C�ty /� / � ��
3 Yellow Apphcant
(Please e or rint and si at bottom
ADDRESS ZONING (ofl�ece use)
� �ya ���rr�., ���' L������� �`.�d � �� / � �zr� �
LEGAL DESCRIPTION (ofTice use only)
LOT BLOCK ADDITION PID� �j -- �� ,
OWNER l . �
(Name) �� �/L � � � Li F �, � c�. u✓ (Phone)
(Address) 3 > �U � � �i° v:� v � ��' ✓C�� �.� , `o ,. � c,-f� �
(CUILD ny ✓ �, c� ! c � C.O.� ) «C j -.�.� �- /Cs� �,:v �e /, ,..�— (Phone) �l 3�� ' z Z � •- 7� � (o
(Contact Name) �� ��✓�`o�� (Phone)
(Address) � 'COC, `� � � �� ��35 �-fo � L�.-�'c' / � _S�3 "��
TYPE OF WORK ❑ New Construction �Deck ❑Porch �Re-Roofing ORe-Siding ❑Lower Level Finish ❑ Fireplace
QAddition �Alteration QUtility Connection
CODE:�I.R.C. �I.B.C. � Misc:
Type of Conslruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COSTNALUE $ �3 ` �Utl o
Division: 1 2 3 4 S (excluding land) �
I hereby certify that I have fumished iuformation on this application wluch is to the best of my knowledge true and cotrect. I aLso certify thaz I am the owner or authorized agent for the
above-mentioned property and that all construction will confotm to all eidsting state and local laws and will proceed in accordance with submitted plans. I am awaze that the building
official can revoke this permit f just cause. Furthermore, I hereby a�ee that the ciry official or a designee may enter upon the property to petform needed inspections.
X �'� �, �� �z79z� ,0 3� �3
� �
Signature Contractor's License No. Date
Permit Valuation �� �� L � -_ Park Support Fee # $
Permit Fee $ SAC # $
$` �.. -
Plan Check Fee $ ���� � Water Meter Size 5/8"; 1"; $
State Surcharge $ �.. � Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee �� $�� 3 � Z �`, Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE��.��� ��, 7, �; $
This App ''on B 'lding Pecmit Wh Appr ed J Recei t No.
' �, Date B
r, �
Buildm Official ate "
1'his is to certify th e requ t' the b e applicadon and accompanying d m is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed iry er es a temporary Certificate of Zon' comp ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
� � � 5 �
P znnmg Ihrector Date Special Condiuons, if any
24 hour notice for all inspections (952) 447-9850, faz (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
04 �� Date Rec'd
,� CITY OF PRIOR LAKE PLUMBING PERMIT
� � � ,�
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�_`•N�` I. Blue F�le PERMIT NO . ��� / f�
2. 6old C�ty
3. Yellow Apphcant L �
lease or ' t and si at bottom
ADDRESS ZONING (ot�ce use)
3 /`�D ���z���� n � �r. �,( `� l�
LEGAL DESCRIPTION (office use onty)
LOT� BLOCK ADDITION �� l �� PID o �� (� Ua d
�� � " l l � l - ! �'Ic�vt� (Phone) 9v — 7cS � — 7�� `1 /
(Address)
APPLICANT
(Name) d�l /1 ��"�l�v+�l�rr�d L�t�. .1-� � (Phone)
(Address) � I°d Q'D ! /^ : r! �t'1 .i`"/��l/ ����
(Address) ( rty) (Zip Code)
(Contact Person) /�C��� � l� rOL'�-�^'` (Phone)
APPLICANT SIGNATURE � �7�►? � �vI DATE �Q � �
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fixture uanti T e of Fizture
Bath Tub with or without shower c� 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
Z, Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
The Minnesota Statutes § 3268.148
"$URCHA,RGE" has bee FEE SCHEDULE
ri eXte77ded 'job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
The minirnum surcharge for a Residential, Additions & Alterations $49.50
"f►xed fee" permit is
��. o o $ Building Permit #
PLUMBING PERMIT FEE $ . 5 ��
STATE SURCHARGE $
TOTAL PERMIT FEE $ � � S�
(Offfce Use Oniy)
This Application Becomes Your Building Permit When Approved Paid �� L �, Receipt No..-7 h�[l
..JV ( lJ l
Date � r � � By , � )
Buildine Official Date V o,u w
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
�
DE�PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS � ��, �-�- � cL ��
NATURE OF WORK � �� �,
USE OF BUILDING �.�
PERMIT NO. - 1ZZ.- DATE ISS E � i t
CONTRACTOR ,�� �� C"�,�.��-���� PHONE ��Z��.� _
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
Ckfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING �
INSULATION �
ELECTRICAL ;
PLUMBING � - � ��
HEATING
GAS LINE AIR TEST
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP
FINALS
' BUILDING i�,� �'�� �;;. � � �, , - �
• ELECTRICAL
PLUMBING ;su � �
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
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