HomeMy WebLinkAboutBuilding 10-0656 DATE TIME
CITY OF PRIOR LAKE I
INSPECTION NOTICE SCHEDULED ( O II(p
ADDRESS loq8 I Kviec4c g € S
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ 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 ❑
COMMENTS:
C ( ose the n [ e
Due to , nc tvt
ty
. .
‘ ,
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT AC •N AND PROCEED
❑ CORRECT •if ,CALL FOR REINSPECTION BEFORE COVERING
Inspector. (I! Owner/Contr.
iii
CALL 44 "850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
uvsNora
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3/511 Z_
ADDRESS CPC4 `-{j/1P I S Q "
OWNER CONTR.
PHONE NO. PERMIT NO. (O — 6,S L/v
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
O INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
O FINAL � PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 ECH FINAL ❑
COMMENTS:
I. Proth'eLfirCe-5%)\ �/\ Jam- / (.)
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
CORREC RK,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 do SAFETY!
ration
o* PRlp, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /� /
AND UTILITY CONNECTION PERMIT 8 `'/ • J 0
U K7
A',,'NEsO�P I. White File PERMIT NO.
/0 ��,/�'J0
3 Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNERA �y
(Name) AL1)(4,0PtAa7A/A/04/4) (Phone) `sZ—,3pd- 71/3"..z.
CeoLEJ L*OLJ
(Address) /9'm cf:— ,
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
['Addition yilteration ❑Utility Connection
CODE: ' I.R.C. ❑I.B.C. / _ ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
Division: 1 2 3 4 5 (excluding land)
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
above-mentioned property and that all constructi n will conform to allexisting state and local laws and will proceed ino accordance with submitted plans. I am aware that the building
official ca a ce this perm or just t e Ft ermore�ereby agr� e th t t offi al or designee may enter upon the propeiTy to perform needed inspections.
6,106,
Signature Contractor's License No. Date
Permit Valuation 500o. - Park Support Fee # $
...--
Permit
Permit Fee $ SAC # $
117-7C
Plan Check Fee $ l/_ 5-4- Water Meter Size 5/8"; 1"; $
State Surcharge $ 2.5-<) Pressure Reducer $ ..-
Penalty
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 54 .50 Water Tower Fee # $
i
Mechanical Permit Fee $ S 50 n Builder's Deposit $
Sewer&Water Peraoit"Pee $ Other $
Gas Fireplace Permit Fee $ .,®. TOTAL DUECA'`7IJV b..-, to $305, 7?
This Aicati+n :/.11 me i`/kurBuilding Permit Wh Approved Paid 00E, -2 7 Re pt No. &/.:1,7Y
I V Date 6,S-R) By
& _ Al i 8S ,0
C wilding Official D, e
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
(--..-
f PR/0. CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S. 2_5: [ 0
— AND UTILITY CONNECTION PERMIT .
U f,
sea 1a-6 b
MfLi'NEso_cP I. white File /U
2. Pink City PERMIT NO. 7/ �/)
/�
`
i Yellow Applicant V (,/
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
ea ye/ l4 gsEys Srrrs:4_ itiSU
zips
LEGAL DESCRIPTION(office use only)
LOT BLOCK ?ADDITION PID Z57, //C' 067, d
OWNER 4,..0/74,,,„ 1" q
(Name) vf! (Phone) <sZ—3S/C3-7rS1_
(Address) �c 44
• BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Constructio ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding CI Lower Level Finish ❑Fireplace
Addition teration ❑Utility Connection —
❑Misc. Av Z 1t.JO P0Tty� S
CODE: R.C. ❑LB.C.
y—
Type of onstruction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
Division: • 1 2 3 4 5 (excluding land)
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
above-mentioned property and that all con ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official n yoke this rmiitt ffoo ust c s" Furthermore,II/hereby agree tha the city official or a designee may enter upon the property to perform needed inspections.
X o f "dO_zS l6
Signature / Contractor's License No. Date
Permit Valuation 4 O OD. Park Support Fee # $
Permit Fee $ (0 SAC # $
Plan Check Fee $ (Pb.IS Water Meter Size 5/8"; 1"; $
State Surcharge $ 1. ,. Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other ,-� /� $
Gas Fireplace Permit Fee $ TOTAL DUE �Aka) q,Z,1 6 $ ( 7I .9 t j
This A.fication B: o, es/ ur Building Permit Whe A I'roved Paid (LI<<,i') Receipt Not3 2
Date o9/d2�)d By Jeb
Building O ucia Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the C t Ian Cr constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Pl g Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
(j-i)RIODate Rec'd
t CITY OF PRIOR LAKE PLUMBING PERMIT 9 L& /a
Z.50
5
41��'NESd t*
2.
1.BluGoled City 1 File �1
PERMIT NO. Id .
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 618.1ZONING(office use)
K rve�`Jc seS
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICAN g
(Name) 0(..A.44—serve ��i'N-li14^', `-'7"f4 (Phone) 6/2—�'0 2V 714
ifr
(Address) Gle 59/ 357 41ve ht¢.st J/v9 "' 5S'33,
(Address) (City) (Zip Code)
(Contact Person) _b_ it/ 5;1.1 f9 et'Se w (Phone) (a — 5'd8 F9 75/
APPLICANT SIGNATURE DATE 9-22 - /0
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
/ Dishwasher / Water Heater
/ Floor Drain Water Softener
3 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
/ Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&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 $ PA ID
B)/
STATE SURCHARGE $ .50 Bll, ]/6 DE
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Rec : ,i11'
l
Building Official Date D ,-&-Z., , tc) By if/
11111
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
OCT. 26. 2010 1 :22PV METRO AIR 952-447-8126 NO. 068 P. 1
1 Vitt
i tt�� CITE OF PRIOR LAKE' Date Recd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
r�
4474.11 �A
1.elnk Ty 13,Orem o y PERMIT NO. 1 I Zr
3.Yellow Applicant
Please type or print and sign at bottom)
ADDRESS ZONING(office use)
c \ ),1e. (k C'S- .s s4 sM
LEGAL DESCRIPTION(office use oely)
LOT BLOCK ADDITION PID
(Naamme)R ► '* 1'i ti (Phone)c a-, "s]C)V 14
(Address) L ...a I y,, -c Sc y S4 . 6 6, ,
APPLICAN
(Name)_ NVQ A.. ;s T\ L (Phone)el C`A'A`"4 7' i 43,4
(Address) 16°A go \I4 i.Or.I.,, ka1/416'N 4.r' k.‘N SI" 31
�
(Address) (City) (Zip Code)
j�
(Contact Person) " V 4 --C U ' , (Phone) 4\S—3`~ L; 4)- \ �+ i`
_APPLICANT SIGNATURE 1 likDATE 1 0
APPLICANT PLEASE COMPLETE BELOW
:NEW CONSTRUCTION ❑REPLACEMENT , i ALTERATIONS.
FURNACE MAKE
MODEL rr ,:` ,i, V IN ® D�7 h FUEL {UVJ ck
FUV (� 6
UE SIZE RETURN OPENINGS % INPUT 46% 131.10 OUTPUT S.QQO
TYPE OF SYSTEM HEATING OR POWER PLANT --
PLEASE NOTE: Air Conditioner
1Warm Air Plants El Steam Units and Fireplaces Cannot Encroach
Gravity ❑Hot Water
Mechanical ❑Radiation into Required Side Yard Setbacks.
Air Conditioning ❑Special Devices Fireplaces with Box Additions or
°Vent.System 0 Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL -
FEE SCHEDULE
Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50
Residential,Heating Only(New Construction) $64.50 Residential,AC Only $4950
Cost$ Building Permit #
The Minnesota statutes§326B.148
"SURCHARGE"has been changed for one HEATING PERMIT FEE $
year effective
July 1,3010,until June 30,2011. STATE SURCHARGE $ .50 •
The minimum surcharge fora"fixed fee"permit TOTAL PERMIT FEE $
is f5,beginning July 1,2010 -,
This Application Becomes Your Building Permit When Approved Paid Receipt No,
Date By
Buildien Official Date ,
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street SE.,Prior Lake,Minnesota 55372
.�. ,� ,; R5+ «_ r tT—' a a .� ,,-"z" .i a'jT .^r.`' .✓a ..Crw:. ,m .
PRip3
U tf
White -Building
yI �P Canary -Engineering
NNESoPink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT %IG (1, /IA' V/`;A!
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application¢foo'r construction activity jj which is proposed at: t
- e /
L., t
Accepted Accepted With Corrections
Denied
.., /2
Reviewed By: Date:
fi
Comments:
i
i
ax or
r w4 1
+,
A
"The issuance or granting of a permit or approval of plans, specifications and ,
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this codd'or other
ordinances of the jurisdiction shall not be valid."
4PRIp4
U trf
White - Building
civNEsd�� Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �G� �� / ®v friN& V
APPLICATION RECEIVED 8 • 2 5 , 1 b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(o
4-0 / /&i e'nsE y✓s 5T i
Accepted /7 Accepted With Corrections
Denied
Reviewed By: A l Date:
Comments: -f7AJ7/1-,:?c os '•' 114evi,1741„0 '
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ( <1460\ps-esr5 S . S E.
NATURE OF WORK INTeRteD2 ALTeaAtto,J
USE OF BUILDING RE,s A Az
PERMIT NO. /0. £-rlo t 'o-7t8 QATE ISSUED EV f/o
CONTRACTOR /aLE-I'AN1 RA \/AI, Hoar, PHONE ctct• 3x0.14 sZ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT9R DATE
FTS • [m- rb _ Fig/0
IiONINPrior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 4.1/1 /
INSULATION
ELECTRICAL
PLUMBING “ummy u.�. 1/1504.t.R.4.1414) // 3/
HEATING (if required) ��� ��
1111111111111111111
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
t1111111111111111ior 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