HomeMy WebLinkAboutLower Level permit 15-1464 DATE TINE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Z j6
ADDRESS 9 CPae-thru\i-T2A--'
OWNER CONTR.
PHONE NO. PERMIT NO. 13-- I b't
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 ASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: i,tle J
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
{c)Inspector. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
"SNOT;
Oi PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
OC` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT \'2 c
;fAvNEsult• I. White File /
2. Pink City PERMIT NO. /S /If.6.,if_,
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
177 616 C/m TTail 5E ?r--:cir1_,,Le / 5s72-7j
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) TTeS 5 e / /<e-//y SU Lt n Soy l (Phone) 61Z- 'cOZ "OZ 3 5
(Address) l7 ?9(cr eo 7----/-,,,7 .l£ 9-1)-r"j.,./, z11/// 4S3 7a—
BUILDER
(Company Name)(/p 1/j+Zot.nv+ 117uNd`�j `— cfi 1.�-� YKL (Phone) //Z —7 u c2 i-/3 y
(Contact Name) gra_ 11,r_y_P^� ," �/ (Phone) 4/Z — 76 S-13el
(Address) 55 --17-7,0-t J e J 4.47 .. 7,--i- r— t_e_ 1C.4 /111 ,SS"3 7 of
1
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ['Re-Siding piltower Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection
Pi-1
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 30 n7 CJ
/
(excluding land)
Division: 1 2 3 4 5
I hereby certify that I have famished 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 Iaws and will proceed in accordance with submitted plans. I am aware that the building
official e��it for just cause. Furthermore,l hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 0(�6Z S 5 l 2/3 //-5--
Date
/s�
ignature Contractor's License No. Date
Permit Valuationzi voo_ Park Support Fee # $
v �
Permit Fee $ 6 Z Z 5 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $
/• v 0 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 $ 5-0r 5 6 TOTAL DUE $ I 13 . Ic5
This Applicatio ;ecomes Your Building Permit When Approved Paid 1/3. -2) Rece.t t No. 51 iK
AIt , 3 5 Date /Z__ 3.[,s' ii
Bull g O - ial 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 i
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
4646 Dakota Street Prior Lake,MN 55372
#3499333 - 0001 CITY OF PRIOR LAKE Date Rec'd
04PRlp�
X oir I e HEATING/AIR CONDITIONING/FIREPLACE PERMIT
18 tr Ni
I.Pink File PERMIT NO. 16 14.44,
Af!.iy: �� 2.Green City
3.Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
17796 CLEARY TRAIL SE
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER JOB SUP RICK KROYER
(Name) (Phone) #612-760-8134
(Address)
APPLICANT #651-633-2561
(Name) Fireside Hearth & Home (Phone)
(Address) 2700 Faireview Ave N Roseville, MN 55113
(Contact Person) Leah Lodermeier (Phone) #651-638-3312
APPLICANT SIGNATURE L,E'�J(/ e'�^G�� DATE 12/28/15
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS
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 ❑Steam Units and Fireplaces Cannot Encroach
Ili Gravity ❑Hot Water into Required Side Yard Setbacks.
❑Mechanical ❑Radiation Fireplaces with Box Additions or
❑Air Conditioning ii Special Devices Cantilevers to the Outside of Buildings
❑Vent. System ❑Other Devices Require a Building Permit.
FIREPLACE MAKE AND MODEL HEAT-N-GLO / 6000CL-IPI-S
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 $49.50
Cost$ Building Permit#
HEATING PERMIT FEE $ PAID WITH
STATE SURCHARGE $ 5.00
WI TOTAL TOTAL PERMIT FEE $
T
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Building Official Date
24 hour notice for all inspections(952) 447-9850
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
•
FoRice LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / 7 7 9 (- C ,e7=ve- / 77 1-tL 51E7.
NATURE OF WORK Z. kl/&72_ -- Z t°J'►?.0 141/F, P.
USE OF BUILDING eez7 ,it
PERMIT NO. /6 . /¢(a--- DATE ISSUED /2—_ 3 .
CONTRACTOR (,(/(l6A/tei-A.17f�( o&, f 1UO• PHONE 4T10'7- ? 0. 8I 4-
INSTALL EROSION CONRTOL AND M NT/eAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
1111117r' F H.:, ,.. .
'II)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ----- I
INSULATION
ELECTRICAL
...
140
HEATING
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
H m�
FINALS
Ik sA
BUILDING D6.7
ELECTRICAL
UMW
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