HomeMy WebLinkAboutBUILDING PERMIT 15-243 DATE TIME
CITY OF PRIOR LAKE I f 3 �'
INSPECTION NOTICE SCHEDULED l
ADDRESS 1 t I S
OWNER CONTR.
PHONE NO. PERMIT NO. k s _ 29 3
❑ 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 "Ly LI L
COMMEN .
❑ WORK SATISFACTORY,PROCEED
■ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CALL FOR REINSPECTION BEFORE COVERING
Inspector. to-C 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 g////<
ADDRESS ) 7ib
OWNER CONTR.
PHONE NO. PERMIT NO. /5---
❑ FOOTING 0 PLUMBING RI ❑ EXIGRADIFILLING
❑ 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: Li
c�.�-L rc rr G vt. e-c4 1-uus
3 `
-" Yc,,-E__ ()o.jo t o r
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
❑ CORRE RK,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!
INSnon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Li()5(f _.
ADDRESS I-7 I 3-9 04° S _.b r 1,
OWNER CONTR.
PHONE NO. PERMIT NO. 1°° . Z`f
❑ FOOTING ts(PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
JFRAMING 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: /
r) pug .ee , Je,`i ih Z ie�.��.
❑ WORK SATISFACTORY,PROCEED
CORRECT ACTION AND PROCEED
O CORRECT WORK,CALL F 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!
rnsaon
of PRio t CITY OF PRIOR LAKE BUILDING PERMIT,
Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �3 I�
N AND UTILITY CONNECTION PERMIT 3` 'U
t=1
44NNEse.
I. white File
2. Pink City PERMIT NO. /5 z_¢3
3 Yellow Applicant
(Please type or print and sign at bottom) ZONING(office use)
ADDRESS 1�
1111 drj� C v
LEGAL DESCRIPTION(office use only)
PID ,.��_- 5 "� (.
LOT BLOCK ADDITION
OWNER �^w �� (Phone)
(Name) 3„ -1.-
(Address) ct.. /
�
BUDER -' (Phone) —At G
(Company Name) C
J (Phone)
(Contact Name) C.i� c rte~
(Address) f 0 6 'nu-4
1�Lbwer Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding F
['Addition ❑Alteration ❑Utility Connection
0 Misc.
CODE: DI.R.C. DI.B.C. I --�
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R SU (excluding land)
Division: 1 2 3 4 5
rect. I also certify
hat I
the
t for the
I hereby certify
that I
property
and that information
w will onformis on which is to the to all existing state and lest of ocal laws and will proceed y knowledge true and tin accordance with isubmitted plans.ownerI atr m,uthorized aware that the building
official
ante p p ty �
official can re his permit f. tst cause Furthermor ereby agree that the city official ora denteemaayenter opo the pr erty to perform needed inspections.
� � EJ ?��� Date
X Contractor's License No.
Signature
Permit Valuation 2,j Park Support Fee # $O G d_a O
Permit Fee $ 6 L -2_5
Plan Check Fee $
Water Meter Size 5/8"; 1"; $
—
State Surcharge $ f o o Pressure Reducer _
Sewer/Water Connection Fee # $
Penalty $ Water Tower Fee # $
Plumbing Permit Fee $ 6 .-v $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $ //�J`
Gas Fireplace Permit Fee 1 $
TOTAL DUE ! /
Recei t No.
This App• ion Beco s Your Building Permit When Approved ,f B _
Date
v . Z3 _ I5'
Bt ding Official Date
Thise is to certify that the requestlin 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
f
LAKDEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / 7415-61 sienQt -a l rte., c;r. �`"
NATURE OF WORK 0W z - • -1 �/ •�
USE OF BUILDING /°F-r� DATE ISSUED 3 '
PERMIT NO. !S , z43 ,, i
CONTRACTOR 732?I1D PHONE
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR - DATE
eniilla
1.111.1111111111111111111111
• )
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
4111111111111111111.11.1111
,FRAMING 1 - 91
INSULATION
ELECTRICAL
PLUMBING J-- --, ?'(z(-(t. t
HEATING
00111.11.1
11161111111111111.111
I
COVER O WORK UNTIL THE ABOVE HAS BEEN SIGNED
011111/111111.11 00111111P, I I
FINALS
0111111110041111111111111111.110111
BUILDING f>t--- Z % I-1
ELECTRICAL -
PLUMBING -L----
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
Date Rec'd
P�o�
CITY OF PRIOR LAKE PLUMBING PERMIT #.. /3 /3
N
v
�r soz° .tie File I PERMIT NO.,c 743 I
.Yew Apy
3.Yellow Applicant
(Please type or print and sign at bottom)
#F l
ZONING(office use)
1"--71 S9 3oc br ►mac'
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICjT3)3 J
fine) )I \-Q.t�J COTe (. 'c,Li ws‘)() Phone)
I:01
*dress) qT1)(P 0 U—\- Vrt‘,1 `(, 'T'`LA
(Address) (City) (Zip Code)
Wontact Person) V\1\`\(-4-- 'U 3\ (Phone)
A1LICANT SIGNATURE • ;.;SATE l3-I5—
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
IL SinksBackflow Assembly Test
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 $49.50
Estimated Cost $ Building Permit# The Mina esota Statute,,,§ 5266.148
"SiiRrEARGl has been extended
PLUMBING PERMIT FEE $ The minimum surcharge for a
STATE SURCHARGE $ "ttxe d:fee" permit is 4. a00
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date =s / y°;�_
Buildina Official Date r 1Air
p
24 hour notice for all inspections(952)447-9850,fax(952)447-4245 �
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
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