HomeMy WebLinkAboutBuilding Permit 09-0497 CITY OF PRIOR LAKE DA/TE TIME
INSPECTION NOTICE SCHEDULED 1/1?/14
ADDRESS 6.172 Ode& Dr3cG(._T.�
OWNER CONTR.
PHONE NO. PERMIT NO. 9 -
0 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 ❑ GASLINE AIR TST
0 SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
Close ±6e. C P.
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Due to ( nQ r, ! VI
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Na p-,AA1 i im° •
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❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT Vi/04iii 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!
INSNOTJ
�F PR/04,
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
U,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -7 �Q U
AND UTILITY CONNECTION PERMIT
l*N E S°C
.White File 0�Y, 0���'
3
2. Pink City PERMIT NO.
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
% 0.`1.'1) kit) Vtg !)11i...K Tri,( %•1,.) R. 1
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID Z.S. 3se)Z. 11 (v. 0
OWNER AA
(Name) l"M1(ANat\ `� L- t nt/iIL (Phone) 9562.'L'lti7- '/`;0141
(Address) 5.c};nit-.19.—
BUILDER
(Company Name) 0 o 1— 13 va .4 QP-... (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ['Deck ['Porch ORe-Roofing ORe-Siding Shower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection 3 s.
CODE: ❑I.R.C. ❑LB.C. 0 Misc:
Type of Construction: I II IIIIV V AB
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE S 0 a) .11t04111 i-O$
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke permit for' cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation 3 000, Park Support Fee # $
Permit Fee $ 74/. 7S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ /. 50 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5-), v 0Water Tower Fee # $
Mechanical Permit Fee $ ✓V Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ D Ale- TOTAL DUE $ /Z(0. z5
This Application Becomes Your Building Permit When Approved Paid /2.G.LT Re pt No. 593446
Date 7, / o,& By
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Building Official 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 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 boar notice for ail inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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4 IRioft° ,P Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
Pci
diiiviasoo �.Blua Feta
z.ata cla• PERMIT NO.0 90 4111
3.Yellow Applicant I •
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
i5';‘)415 (A)0.7t9 1) K Tnv.1 ;‘)LA)
LEGAL DESCRIPTION(office use only)
LOT
BLOCK ADDITION PID
OWNER,nA (Phone) y�r�� 0y 7 l�7
(Name) M vl%rvL.4 k 5 L.nY5i?Q.- y
(Address) 5;4 0....4--
APPLICANT 1, k (
....4 -APPLICANT' I
(Name) MI L�na "L` i Li Alko (Phone) `I'C2 -W7- el S.2y
(Address) /S a'1t n 110J �L k. Trt'a. 1 ,J '� r 8 r Lt,t c s 3 72
(Address) (City) (Zip Code)
(Contact Person) (Phone) /
APPLICANT SIGNATURE r _ DATE 7/el/ D 7
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
j .. . Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
Water Closet(Toilet) Other
FEE SCHEDULE
Industrial,Commercial&Multi-family 1%of job cost with a$49.50 minimum Residential,New One&Two-Family $14 .50
Residential,Additions&Alterations $4 50
Estimated Cost $ /00 v Building Permit# (1 \1
_
PLUMBING PERMIT FEE $ (0)C\Y
`ESTATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt o.
Date a r.U By
Bulldina Official Date ?• 7
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Residential Building Permit Checklist
Basement Finislrortnterior Alteration to Single Familyllomes
BY: Date: 7/0,
Building Permit# PID: Zoning:
Site Address /5 ?S !��,va w
Legal: L B 6 v Subdivision:
Existing Structure: S NO
CONFORMS TO ZONING 410 NO
ORDINANCE -
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ✓
Is the property located within the flood plain? Refer to Planning
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? 1/-
Is
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.
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L:\TEMPLATE\ALTCHCK.DOC
PRI R LA K E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /5295 Woof) �C 4_ l fe,c,
NATURE OF WORK L,UW02.- Ct1/6?
USE OF BUILDING /c 3 A'7i
PERMIT NO. 0?. 0 ¢97 DATE ISSUED 7. /0. 07
CONTRACTOR L/NJ SUE PHONE 447. 4-524--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
iffarari
PLACE NO Cl/ C - E E UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
MEM
FRAMING ��/�
INSULATION
ELECTRICAL 1111111.11.11111
PLUMBING 111MMEIM
H I I G (if_required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
UILDING
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