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HomeMy WebLinkAboutBuilding Permit #09-0870 CITY OF PRIOR LAKE DATE TIME INSPECTION NOTICE SCHEDULED I/I?/i 4 ADDRESS 29 et( 0005 a - yait,,_ OWNER CONTR. PHONE NO. PERMIT NO. -'94 ❑ 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, p k • ❑ WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORREC O/CALL FOR REINSPECTION BEFORE COVERING r. Inspecto Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI 01 PRIp� D N CITY OF PRIOR LAKE BUILDING PERMIT, Date e'& 1 U 4:AN t-' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE OCT 2 2 2009 AND UTILITY CONNECTION PERMIT By f*NESO� e I.wrote File ��'�� z. Pink City PERMIT NO. `, 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ;2 1 ZONING(office use) l _oq �� h r-..o J La...cc ,Mt4 SS 37 2- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER / qct 7 (Name) m �a2®vim '-0_' A ba Owl 1 r ( (Phone) f C1 '142- ' ( / ,3 T (Address) p2fa1 ( (�v a- "d - tor- 1-G„k-c , ilk' S'S 3-r 2. BUILDER .-- --� (Company Name) o�-G 1�a-�s-�-� -V-I..._e_.. , 1-1-0--- (Phone) 5 1 • k 2 3 -0 3 b Z. (Contact Name) c 3 _d______)-_ ....____34e1-� 9 ct1� (Phone) , c2 - 387 . +O S I (Address) 1 r2 O 7 A r-a k e c. ?a. g°' 3�t t.,t.�'(C M>J 1 -5 b(C-,A c TYPE OF WORK 0 New Construction °Deck °Porch °Re-Roofing °Re-SidingowcLevel Finish 0 Fireplace DAddition ©Alteration °Utility Connection ct r"lit at_ CODE: ]I.R.C. DLB.C`.` °Misc: Type of Construction: I II III V A B4...Occupancy Group: ABE F II I RSU PROJECT COST/VALUE $ j DOS' Division: 1 2 3 4 (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. . . 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 ,A_ 't for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X . vir -2©Cop I4-© 0 l0 - S. • o `3 Signature Contractor's License No. Date Permit Valuation 4 O 00.- Park Support Fee # $ Permit Fee $ P3.7•ZS SAC # $ Plan Check Fee $ At Water Meter Size 5/8";1"; $ State Surcharge $ 2,- — Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ ,S©. Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace P- .'it Fee $ TOTAL DUE $ 1- cl .2.• This A i r .,. . .„ :nailing Permit When Approv ' Paid / )9.. Receipt No. X056 / /`�t !e , Date /b(22/ By /��i9 t(J Z z Building Offfcia 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 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 4 p Rio Date Rec'd ~ �P CITY OF PRIOR LAKE PLUMBING PERMIT /0 Z 3, D 7 U �i . Blue File 2. Gold City PERMIT NO09, 0 3. Yellow Applicant�jNNESO 70 �lease typ t and sign at bottom) DDRESS asci1 C D" p A...+-in, e,..1 .,-,-, ZONING(office use) Pr ii 2 l R-!L- M .✓ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID (Phone) (Address) AP' ANT ame) Pro PCS Si vv n-1 /Ace.ir.Wsric c0.- S.cv-vt-Le_s It (Phone 6 a_ -e..S S'-`p(0 / (_moi. - ( i Mit\ (iv,,,, gova9 MDI iC b 36)— (Address) (City) (Zip Code) Fnn P rs j - Pilo ` ✓S (Phone) 4 id -(.6�S —`1(6 Alf LICANT SIGNATURE ...iw. ' s'- DATIL -a-3 0 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 Lavatory(Bathroom Sink) Stand Pipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test 1 , 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 $149.50 Residential,Additions&Alterations $49.550 Estimated Cost $ Building Permit# 'I PLUMBING PERMIT FEE $ n� i6 STATE SURCHARGE $ .50 If) TOTAL PERMIT FEE $ V (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receip t By Building Official Date D r 6 .z.3, 0 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 6.-- 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 of PRIQ+ CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT /Z-, /1 Pio S1O U r NNEso2. 1.rinkGreen FileCity. PERMIT NO./�,r /33 6, 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 0 7 `) INJ)0 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID i-t-W-a-D__ 104 OWNER (� AI� (Name) - S it i v r^�l (Phone) / 7_ 14_ 0 Address ..I � ' f / 'LL /_.eii 1.'If Ali Ti . . APPLICAN �---,� (Name) ) ., no, r. 1 ® L U (Phone :i , -'•, , (Address) _iii �y��,1� t_I!1 A l a I' ' �. (Contact Person) rr ` t :` (Phone) A •,_ APPLICANT SIGNATURE ', DATE 2 3 ' ...... V APPL IFANTPLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT )6ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. El Mechanical ❑Radiation ❑Air ConditioningFireplaces with Box Additions or El Special Devices Cantilevers to the Outside of Buildings ❑Vent. System •Other D-vices A Require a Building Permit. FIREPLACE MAKE AND MODEL 02.. „'/„/ /W M_-S FE SCHEDULE(--- Industrial,Commercial&Multi Family 1% o job cost ' ential,Gas Fireplace $49.50 $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential.Heat'ng Only(N w Co truction) $64.50 Residential,AC Only $49.50 The Minnesota Statutes§3Lc6B.1 Cost$ Building Permit# SURCHARGE has been extended The minimum surcharge for a HEATING PERMIT FEE $STATE SURCHARGE $ 5.00N "fixed fee"permit is$5.00 TOTAL PERMIT FEE $E,4 5 ( -This Application Becomes Your Building Permit When Approved Paid 5-4,1 sip Re t No. 3 GAJ g Date 1 c / l/ Building Official Date ' 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2 131 NATURE OF WORK L F H- USE OF BUILDING A- (Z PERMIT NO. cc(- g."1(=" DATE ISSU D (2Z./0t/ CONTRACTOR R?�� stn F r IAI-c J PHONE p Iz- 397 . eloS 7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I Sfilefikii I 'N (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS gal4ZER / SEPTIC FRAMING INSULATION ��� /-9 ELECTRICAL PLUMBING HEATING (if required) IMMUNISE allIMMIE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS 441111111111.1(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