HomeMy WebLinkAboutBuilding Permit 14-0406 OTE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 4-c,s-
OWNER CONTR.
PHONE NO. PERMIT NO. ( 10 b
❑ 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 ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL
COMMENTS: L -CI O1
or,
ORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. (932„j2-1*--' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTJ
CO-744'
PR�o+P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
U
AND UTILITY CONNECTION PERMIT �� l
41/A'NE sole" I. White File /
z Pink city PERMIT NO. l
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS _ ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER .rte ' f �/
1 (Name) i�}.� 4- 1 o� (Phone) ��S --3-)a^ f7T
(Address) 14'16 i 1\utyr..1s49ci S't 9 41 g pie. 4.A.LC I{'M41/4.3 '5'1'31 Z,
BUILDER
(Company Name)
(Phone)
(Contact Name)
(Phone)
(Address)
TYPE OF WORK ❑New Construction ODeck ['Porch ❑Re-Roofing ❑Re-Siding ower Level Finish 0 Fireplace
❑Addition ['Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II HI IV V A B
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereb fy 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
ahoy entio d property and t t 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
ofTic. can rev;ke this permit fi a. • irthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ..i,.
1
ignature Contractor's License No.
Date
Permit Valuation 4- U C) J 0 0 Park Support Fee # $
Permit Fee $
7 2.•.S SAC # $
Plan Check Fee $ _ Water Meter Size 5/8"; 1"; $
State Surcharge $ .5_0 O Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ 7 s�
Builder's Deposit $
Sewer&Water Permit Fee $ _ Other $
Gas Fireplace Permit Fee $Do 6 ij ...---..—TOTAL DUE $
ptztoa__ 19004 Li
This Application Becomes Your Building Permit When Approved Paid /VI- IS IR ipt No. ` /4 vi
Date ,y. 2.-Z-- c 1--
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 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
p4 P�O�p Date Rec'd
.) CITY OF PRIOR LAKE PLUMBING PERMIT 5 Z9. i¢
4.
dr soo
Gold FiCiltye PERMIT NO. L .006
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
W°1Sf kuTL &-E, '5-1-' 5 E.,
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PTD
OWNER p
(Name) RA N nlA (Phone) 5Q - 6 3 6-%9 1 `4
(Address) 15( cv L60 (s 51- S Ei ?A OP. &AK,6 , m„) c 5 37 a
APPLICANT
(Name) CAPITAL PL1M1)1N(r1 (, 1 G
(Phone) "Q 1 Cc) - 607 - 0 71
(Address) d 0 001 6,-CTA G 6 De_ kA'�6U,i_Lb I m") S S 0 414
(Address) (City) (Zip Code)
(Contact Person) K.)'a A N J. ti Sv") (Phone) C\6.0 - Pa? G-7 1 0
-
_APPLICANT SIGNATURE !fI DATE 5 \ - g' 1:5 1 4-
•
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
1 Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softener
I Lavatory(Bathroom Sink) Stand Pipe(Washing Machine)
Laundry Tray(1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I 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
I Residential,Additions&Alterations $49.50
Estimated Cost $ i'*6 6- c)`s BuildingPermit#
The Minnesota Statutes 32613.148
PLUMBING PERMIT FEE $ "SURCHARGE"has been extended
STATE SURCHARGE $ The mi W;Ii ge for a
TOTAL PERMIT FEE $ tNeREPAAff0
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
PAID WITH
Date E'1ILDING PERMIT
Building Official Date
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 445i -.
NATURE OF WORK
USE OF BUILDING
PERMIT NO. % _ ; t
'ATE ISSUED . '
CONTRACTOR PHONE 143. 370,, Z174-
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
•
iniiimi
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
IIIIIIIIIIIIIIINme
FRAMING
INSULATION h �`�
ELECTRICAL
PLUMBING 'Ik..C_, ` 3 l(--k
HEATING �L--c
- -1 \ `-.1
011111111111111
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
111.111111111111111 LATH I I I
FINALS
BUILDING .� 3 ( / ,
ELECTRICAL I
PLUMBING
HEATING .t
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