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HomeMy WebLinkAboutBuilding Permit 14-0120 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 3i,2 /4 ADDRESS ,3 6. 55 7w,zy- . ,,,,,, OWNER CONTR. PHONE NO. PERMIT NO. 1 y- ❑ 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 ❑ SITE INSPECTION 0 MECH FINAL � COMMENTS: L 1-- 1kvA.J 0 1C - , ao,..JL.., WORK SATISFACTORY,PROCEED 0 CORRECT ACTION AND PROCEED ❑ CORRECT RK,CALL FOR REINSPECTION BEFORE COVERING Inspector. 9-r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 41.II', ADDRESS 3L 3.� c<A--,c4_,2,. jA r-. OWNER CONTR. PHONE NO. PERMIT NO. )4 , (O cr7 ❑ 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 ASLINE AIR TST ❑ SITE INSPECTION 0 MECH FINAL 0 COMMENTS: C,1L 4., = WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING InspectoroixaOwner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI ((si—P RIg'PCITY OF PRIOR LAKE BUILDING PERMIT, Date Recd tiN i$,,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` I b . t AND UTILITY CONNECTION PERMIT `�'NES� I. White File PERMIT NO. 2. Pink City /4 /726 3. Yellow Applicant a (Please type or print and sign at bottom) ADDRESS ZONING(office use) 3C5 -TL)Pt E 'OR s w PusD LEGAL DESCRIPTION(office use only) v� LOT BLOCK ADDITION PID -✓ 4qq-007-0 O OWNNt i6 /2. - 1.2 -‘g7(Name R D L- 7.---M31-6 c---k I (Fgione) (Address) %L/ W { BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ❑Porch ORe-Roofing ❑Re-Siding Mower Level Finish 0 Fireplace DAddition DAlteration ❑Utility Connection CODE: ❑I.R.C. I.B.C. 0 Misc: Type of Construction: I II HI IV V AB Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 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 revo this pe it f 'ust cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed pe tions: i , X — --- / 171 / Signature Contractor's License No. Date Permit Valuation / 0 0 6 . CJS Park Support Fee # $ Permit Fee $ f -7 Z5 SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ - -00 Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5 50Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ -_.-- TOTAL DUE eimzo 3 1 4 $ /4-3 75 This Applicati r ,Becomes Your Building Permit When Approved Paid /Z-8- . 75 Receipt No /Y7 4/ 1 Date .1 a. 1 Li- By )�) Buildi" Iffictal 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 CITY OF PRIOR LAKE PLUMBING PERMIT - Date Recd w i.5. 14- Slott. - Ml/ } I. ary PERMIT NO. / 12I (Please type or print and sign at bottom) SL" a.vector Applicant I / D ( ADDRESS / (-'` 3 6 5- Tv/," ZONING(office use) �n S�- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) a, ie( 2-4 c .loe.,k,n (Phone) v-/.? c9/.2 (7// (Address) 3 6 s S '-moi„ e— D-t Si-.-- APPLICANT (Name) ' ' J QCil�/1 ��/' / /e/i/4 b/r � (Phone) 7G-I "...)4/ � 578' (Address) 0 /.?0,k. tel.Z O,r,/c /4,--1 S-5-26 c7 (Address) / (City) (Zip Co.e) (Contact Person /c /4C,&.--7.5 ►r '---,- } /' e_--7 (Phone) 67-D 36 /e72? I� APPLICANT SIGNATURE L DATE q1/0�3 j/j APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Bath Tub with or without shower Quantity Type of Fixture Dishwasher Rough-ins Floor Drain Water Heater Lavatory(Bathroom Sink) Water Softener StPipe(Washing Machine) Laundry Tray(1 or 2 compartment sink Shower Stall Sewaged Ejector Sinks Backflow Assembly Bar Sink Backflow Assembly Test Water Closet(Toilet) Lawn Sprinkler Other The Minnesota Stattttes FEE SCHEDULE ` Mi a ota has been§3263.148 !Joh cost with a$49.50 minimum Residential,New One&Two-Family The minimum surcharge foraextended Residential,Additions&Alteratio $49.50 "fixed fee" g for a . '� permit is$5,00 Building Permit# -PLUMBING PERMIT FEE $ 1/9-S6r STATE SURCHARGE $ XXX 5.00 (Office uSe Only) • TOTAL PERMIT FEE $ 5—'4 SO This Application Becomes Your Building Permit When Approved Paid PAVO yet ' Buitdin¢t)fticlal Date Date c 1�M1� BUILD 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 04 rnr°� CITY OF PRIOR LAKE Date Rec'd Ft, ft-* 1„4 HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4/NNESOK's I.Pink File / /2. ()2.Green City PERMIT NO. (Please type or print and sign at bottom) 3.Yellow Applicant /�, i° "f ADDRESS // 11 3 6 3 f ZONING(office use) fi1/44 D S-.� t/,5 6 LEGAL DESCRIPTION(office use only) cc ,,�, LOT BLOCK ADDITION...5/6e c/J ,/ ND �5� `t qg--00/., 0 OWNER (Name) a,f; ( 2-4 b/o G k,. (Ph ie) '/,..1 , ./..1. C 7// (Address) 3 '3 5 1'c// e„--- /, „ ' t� � ,w .: ...,._..._..,. --� APPLICANT (Name) /i t,1 Qva I,J /©lv/HCi" y (Phone) 763 4-42 y_�.. sk* (Address) P il cak ..2-9� 0 S,le-e., /art. S-S^36 (Contact Person) �a.^K ,4QP.i, f,.1 (Phone) 67-.2'.i6,s'-/b 7 _> APPLICANT SIGNATURE oz ,.e.--- 1 -- DATE 91 A3//t` APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION DREPLACEMENT ►' ' LTERATIONS FURNACE-MAKE AND MODEL FLUE SIZE RETURN OPENINGS FUEL INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Wattn Air Plants El Stearn PLEASE NOTE:Air Conditioner DGravQGravity Units and Fireplaces Cannot Encroach i nical QHot Water 2'ik: ' into Required Side Yard Setbacks. ❑Radiation r vot,+'i DAir Conditioning ❑Special Devic•.: 44cv-c 66 'replaces with Box Additions or � Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices .___..__..._...._ FIREPLACE MAKE AND MODEL Require a Building Permit. FEE SCHEDULE Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 Residential,HeatingA/C $49.50 minimum Residential,Heatin && (New Construction) $149.50 Residential,Additions&Alterations '.49.50 S Only(New Construction) $64.50 Residential,AC Only • I Cost$ Building Permit# HEATING PERMIT FEE $ c/q. -o STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 59,s0 This Application Becomes Your Building Permit When Approved �>�,,c70 s �� � Receipt No. r � Building Official Date 1 Date ll.I By 5. 5 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 PRI O R LA K E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 34a5. £ Vt NATURE OF WORK 'V: ' - USE OF BUILDI 1, ��� � PERMIT NO. y . t'%9 � ���� CONTRACTOR _,�,',!, 11,i�' ' AT ISSUED �f�L� NOTE: THIS IS N •T A PERMIT FOR ANY OF THEPHONE �� • '�� INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED .� __ ROUGH - INS _ ________i._ ....i..umw...____---7211111111111111111111111L._____111111111.111 FRAMING ,,��� INSULATION ELECTRICAL �� Mill.1.1.111Lomm....._1111.11.111111111 PLUMBING _IN IMINEIMMEMEMIE HEATING (if required) 1111\_- k_______11111mmil � � _� COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS �_ BUILDING � "" 1111111111111111111.1111111111 IM111.111 EM ELECTRICAL 3 M 111.1111111.111.111111111111. PLUMBING -- MIII HEATINGEIIIMIIIMIMMI - 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