HomeMy WebLinkAboutBuilding 10-0318 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 4_4(14
ADDRESS [ b )( Nab i C Ct
OWNER CONTR.
PHONE NO. PERMIT NO. f 0 -. 3/8
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
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❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W ,CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
IXSNOTI
(*---
PR77�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
U r=1y1N 0,_, I. White File PERMIT NO
NES 2. Pink City `O .. Ib
.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/5-2 7/ ,, //
7/ Ala v// C'G, i'vC-/'e /V, E.:
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /� /� 1 i ) 9SZ - 292 - g
(Name) /�srt�cs..,� .4.._ ! i.// LCt c,,,,,, "' S (Phone)
(Address) /S 2_77/ /VA,-d/t cc` �t.,,<_.t /v'- '-
BUILDER
(Company
om an Name) A,,,,.0/d/ O...id- m/ ._E-A,(.. (Phone) 9s2. -e2-/ - AGO G
(Contact Name) ‹c_n 1. i7J4't0
i 0/ (Phone) Sei
(Address) / S 06, c/ -J c:-"2 ..,--JC /G S.S / f/�'c e_4*--/ec /
,cf/I ori
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ,Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ '70 etb
Occupancy Group: A B E F 2 3 4 5 SU
(excluding land)
Division:
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
a.eve-mentioned property an' that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
/{trial can yokeu is pe` it or just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspect,ns
I.
X I i.I c 7 -r0...
Signature Contractor's License No. Da e
Permit Valuation y_ A 0 619. , Park Support Fee # $
Permit Fee $ i 'l SS SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 2 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5o Water Tower Fee # $
Mechanical Permit Fee $ .. Builder's Deposit $
Sewer&Water Permit Fee $ Other ` $
Gas Fireplace Permit Fee $ 5O. . TOTAL DUEMita 5.4-.
10 $ 186k ,25
This lie, ' n Be,smes Your Building Permit Whe Apprs ed Paid ."2--5- Receipt No. 1't0
t 'Date S �(o By
Building Official Da e
This is to certify th the request in the above application and accompanying dor ents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si by t-e ity Planner constitutes a temporary Certificate of Zoning c plianc and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
to b, 4 30 O
Plannin: :• > D to Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
Base i ent Finish or Interior Alteration to Single Family Homes
BY: �I Date: 1- 34 (o
—'011111
Building Permit# PID: Zoning:
Site Address t5..2/ (4.
i&k 50
rtc4 �R-
Legal: L B Subdivision:
Existing Structure: or NO
CONFORMS TO ZONING Y:40 NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height?
vry
Is the property located within the flood plain? Refer to Planning v/
Does the alteration include any additional kitchens? Refer to Planning
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ✓
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single
family home(office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\ALTCHCK.DOC
s- PR 7:624) CITYOF PRIOR LAKE :Fate Recd
t...,AN. .\.
T, HEATING/AIR CONDITIONING/FIREPLACE PERMIT
fNN E SO
Pink File PERMIT N�f
Green City PERMIT 1�
3.Yellow Applicant .
(Please type or print and sign at bottom)
ADDRESS �j 1 ZONING(office
(`J 1 V�I m� ) ! `^ 1 a O Z • use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER .� ,, ,�y�
(Name) V;1 141"41 -;) _ nW i t't 1L— (Phone)
(Address)
APPLICANT
(Name) (Phone)
(Address) SIMII
Flo1
(City) (Zip Code)
(Contact Person) �', \ )0(4,4 (Phone) ,1 L. 3�` �
APPLICANT SIGNATURE ill _ `: DATE 1. tko f(0
A•''LICANT P SSE COMPLETE BELOW
[NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
❑Warm Air Plants ElSteam PLEASE NOTE:
❑Gravity ❑Hot Water Air Conditioner Units
❑Mechanical ❑Radiation Cannot Encroach into
❑Air Conditioning ❑Special Devices Required Side Yard
[Went.System ❑Other Devices Setbacks
FIREPLACE MAKE AND MODEL JP6)Lk.10a I N41;5‘41
FEE SCHEDULE VIndustrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace 539,-50'it
$39.50 minimum
Residential,Heating&AIC(New Construction) $99.50 Residential,Additions&Alterations $39.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $39.50
Estimated Cost$ Building Permit #
HEATING PERMIT FEE $ B�� PAID WI J
STATE SURCHARGE $ .50 NG PERMIT
PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date • By
Buildin2 Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
F
P R IQ R LAKE BUILDING AND (INSPECTION
INSPECTION RECORD
SITE ADDRESS C
NATURE OF WORK F‘NL514 l.&veL
USE OF BUILDING Fes A f'(Z
PERMIT NO. to.318 DATE ISSUED * 60/t.
CONTRACTOR A xisot.c Ce* A TI?UC, PHONE 952. 224- 1 Cporo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
lzmwsoos,
I
,(Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.I41 L TER / SEPTIC
FRAMING i4 4/1i 1'
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
{
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
+ .(Prior to Sodding)
BUILDING
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