HomeMy WebLinkAboutBuilding Permit #13-1313 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS _ �� � (.�� � �,�,,�
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OWNER ' CONTR.
PHONE NO. PERMIT NO. �� `�
0 FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI O COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL �S. PLUMBING FINAI��'v O GASLINE AIR TST
�O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�` � Q i t�a : vl �'CT� 1� ` 11^.'�' �� � 2.G� � U U
� F `�
� WORK SATISFACTORX, PROCEED
�CORRECT CTION AND PROCEED
❑ CORR T K, CALL FOR REINSPECTION BEFORE COVERING
Insped . OwnedContr.
C LL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYl
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oF PR)�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE // �� /�
AND UTILITY CONNECTION PERMIT � � ��
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��NHeso'�� i wn��e Fde PERMIT NO . ��� ��
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; Yellow Apphcant
Please or rint and si at bottom)
ADDRESS ZONING c��e,�� use�
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' �� G� `�- lti '�1� ��.v ";� +-a�-Ic�, �� �= S � � Z `\
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LEGAL DESCRIPTION (office use only)
LOT � BLOCK I ADDITION �7�%�{f'f L /� (��`�a PID �j T"7�-' ' �7
OWNER
(Name) �.V � 1'� � �-'l 't �=c:�g'�; tJS �� cJ (Phone)
(Address)
I BUII.DER
(Company Name) . '� t� �� �..-5 �Lr'� � c� ;�l ��-`� � �.;� �i1 L1� (Phone) � � Z ' ` • l l, ? C
(Contact Name) S '� �`'��—`� �"1,��5 s�1J (Phone)
(Address) �`�2C � Y-' N Gv;t . ��l�i , �- 1 L '�, � E V �lit� ?-� ' S �
TYPE OF WORK �[� New Construction eck ❑Porch ❑Re-Roofing ❑Re-Sidmg ❑L.ower Level Fimsli ❑ F�replace
`��Addition ❑Alterat n ❑Utility Connection
CODE: �I.R.C. ❑I.B.C. ❑ M�sc.
Type of Construction: I II III IV V A B pROJECT COST/VALIJE $(L' �(.-��-'l.! �
Occupaney Group: A B E F H I M R S U (excluding land) 7 I
Division: 1 2 3 4 5
I hcreb� ccrity that I have himished mformation un this app(icahon which is to the best of my knowledge true and cunect I aisu ceihfy that 1 am the ownei o� author�zed agent for the
ab�rve-menuoned pmpciTy and that all cunsaucnon wdI cunform to atl exis[mg state and local laws and will proceed �n accordance w�th tiubm�ttcd plans I am aware that the bui(Amg
i utfic�al can r oke th�s pe�m^for�ust cause Fi thermore, 1 hereby agree that the ciry official or a designee may enter upon the p�operty to pe�tbrm necdcd mspecnum
I X r :�-v��.. �'z- {�� 1 Z�'L'� u � Z Z, • i'�
Signature Contractor's License No Date
Permit Valuation - �- Park Support Fee # $
Permit Fee $ SAC # $
Pian Check Fee $ � Water Meter Size 5/8"; I", $
��3�. �
State Surcharge $ ^ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �� Water Tower Fee # $
t
Mechanical Permit Fee $ Builder's Deposit $
/
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE ����. � L � $
This App ti Becomes YQur Building Pernut Wh Approv Paid �/,, .ecei t NO. L'
� Date , 2Z, � .
I z�
Bmld�ne Utticial D�ite
This �s tu cert�fy th thc rcqu t n the abuve apphcauon and accumpanymg docum� s �s m acc dance wuh the Crty Zomng Ordmancc and may piucced as reque�ted Thiti document
when signed b C�t Pla e c nsututes a tempolary Certificate uf Zunmg comp ance and lows cunsnuchon to commence Befure occupancy, a Cciuticate of Occupancy mus[ be
issucd
rr zZ l�
Planning Date Special Conditions, if any
2A hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
� 4 p� Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
� � � ��
� 3
�''�SO�� � B��e F�le pERMIT NO.
2. Gold �,tY l�-�3� 3
3. Yd�ow Apphcant �— c
lease or ' t and si at bottom
ADDRESS ZONING (ofle�ce use)
�l � c � � 1,� .� ' �j
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID �— — 7 `�V ' (� �
OWNER /� ��l,� SC•
(Name) �2 �` ( (Phone)
(Address) j� 5r.:� � � � +7,,
(Name) � l_ l� � � � � �� �'� hone
m ) _�� � `�G � �`��
(Address) �r�� �(I��G�' C?�'' /V-L'C,! �ir �'1 c.�� �� `7
(Ad ress) (City) (Zip Code)
(Contact Person) �L .�r'4 �.�t (Phone) (.��� `, 7�� �7��
APPLICANT SIGNATURE DATE � � ��l`�
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 SoBener
Lavato Bathroom Sink Sta.nd Pi e Washin Machine
Laun Tra 1 or 2 com arlment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
FEE SCHEDULE
Industrial, Commerciat & 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 $ �7��� �r�
STATE SURCHARGE $ �54�� ��� �,��,���,�„
TOTAL PERMIT FEE $
(Office Use Ooly)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buitdine Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-0245
4646 Dakota Street S.E., Prior Lake, Minaesota 55372
, DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -
NATURE OF WORK ,4� �,,,+ - �c....
USE OF BUILDING � '.�- - �.
PERMIT NO. DATE ISS ED �� Z
CONTRACTOR�,q�-� �� PHONE �S� - � � -(��ic7.
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
� � � INSPECTOR DATE
FOOTING � � .� . �t_� � �
'; JCi c. , .. T _ �,� �,, ,� � :r
FOUNDATION (Prior To Backfill) G� �c / 2 ��: <'�"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ` ���� ; - � ► � �
INSULATION ��--�=- � �1 � "�-�
ELECTRICAL
PLUMBING v �.- - Z�� i �, � j
HEATING � , � �-- 3 '�� a •-1
GAS LINE �1�R�TEST
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
HOUSEWRAP i�. � - �: '�� � , y
FINALS
GRADING ( PRIOR TO SODDING)
� BUILDING i
� ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BE 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 (952j 447-9850
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