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HomeMy WebLinkAboutBUILDING PERMIT 15-468 DATE TIME CITY OF PRIOR LAKE �'' 1 INSPECTION NOTICE SCHEDULED ADDRESS [..3 �Qe X5,1 � �� OWNER CONTR. PHONE NO. PERMIT NO. ❑ 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 0 COMMENTS: LL 1111M7124/1111L WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WO K,CALL FOR REINSPECTION BEFORE COVERING Inspector: V Owner/Contr. CALL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSMOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �s�15(�t5— ADDRESS )38 % b- Siti.,ute/ . OWNER CONTR. �/0 PHONE NO. PERMIT NO. / b - -( �.b a ❑ FOOTING PLUMBING RI V1S U Co• ❑ 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 0 COMMENTS: *WORK SATISFACTORY,PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRERK,CALL FOR REINSPECTION BEFORE COVERING Inspector: #000 Owner/Contr: CA .L : 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY! INSNOTI 1,0: l'K I0.PN\ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd `7' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5- 0_,i`� AND UTILITY CONNECTION PERMIT LANES° 1. White File I PERMIT NO. / 5 440 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS 1 Ci CO Lev1Si rt . N-e- N(c_ ___________-. _ ________ LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 4 n Q ;,, C/ /L4u / ac (Phone) l�1�� 1 ., �-' �1 (Name) � �l�t� � (Address) BUILDER (Phone) (Company Name) (Contact Name) (Phone) (Address) TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Finish ❑Fireplace ❑Addition ❑Alteration Utility Connection CODE: DI.R.C. DI.B.C. D Misc: Type of Construction: I II III IV V A B PROJECT COST/VALUE $ Occupancy Group: A B E 1F H 3 4 5 S U ,(excluding land) Division: I m the owner or r the urnished ormation hat above-mention d propertyf and that allfknowledge correct. I hereby certify at I have on this application which is to the best of my t construction will conform to all existing state and local laws and will proceed inacco dance w thtsubmiauthorized tted plans. I am aware that the building officia can rev ke this p'rmit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Date_510/5 510/5 Signature Contractor's License No. �, 0 0 C0 Permit Valuation Park Support Fee # $$ Permit Fee $ ei. ` s- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; State Surcharge $ Z,Gri-- Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ 5- - Water Tower Fee # $ Plumbing Permit Fee $ $ Mechanical Permit Fee $ Builder's Deposit Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ ___— TOTAL DUE $/43,/ 75- `/�? This Application Becomes Your Building Permit When Approved Paid `� J- 7 Recei No. /Z'Z— Sr Date 5, /2_ . « By Building Official Date This is to Zoning documentsfy that the request in the above application and accompanying allows accordance the Ordinance cmay proceedCertificate ucdocument when signed by the City Planner constitutes a temporary Certificate of omplnce and costruction to commence. Before occupancy,a of Ocpancy must be issued. Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 Date Reed ON CITY OF PRIOR LAK.I;PL[JMBING PERMIT • �,�2 /, ;te1.Hlue 'le PERMIT NO., 6 s.oo�a clly 3.Yellow Applicarl (Please type or print and sign at bottom) ZO .. _(office use) 13 Clb '3e/lS I 5D/1 ADDRESS 160(---- 6, _9 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Ai ,e..c CJ,1 5 (Phone) ��� I!1 7 (Name) i �- ... (Address) ? � � }-reas)'11 .0-4_' APPLICANT r ' • �Ll� 1 l i - 5 (Name) ��� _ uN`� t .... __.. „ono / 2 (Address) ---)7‘31 44-1- 1(.4 1 1-)0 (Ad ress) City) (Zip Code) (Contact Person) 1 ti\ (Phone) _ _. .. . l � - APPLICANT SIGNATURE -_ 1 ____„ DATE - APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity -_ Type of Fixture Quantity Y_E 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 sinkSewage Ejector Shower Stall -- Backflow Assembly Sinks Backflow Assembly Test Bar SinkLawn Sprinkler _., --IWater Closet(Toilet) , Other -- - _ FEE SCHEDULE Tii"Se Minnesota Statutes§3265.1-48 (jot}cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 "SURCfIARGE"has been extended '--19:53 The •minimum surcharge for a • ,$ t 9. .� ) Building Permit# "fixed fee"permit is$5.00 y PLUMBING PERMIT FEE $ t 1' D ' STATE SURCHARGE $ M 5.00 TOTAL PERMIT FEE (Office Use Only) - Ap 4 This Application Becomes Your Bu[Iding Permit When Approved Paid itc, I,,� Date _.-___.. Hate - --- NWT �Butldine OM CM - 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4644 Dakota Street S.E.,Prior Lake,R7lnnesota 55372 PRIOR LAKE DB Eu 01F CTION BUILDING AND ENTNSPE INSPECTION RECORD /3 9 /�e7f r/� TO/k/ /WC SITE ADDRESS NATURE OF WORK OW USE OF BUILDING G D PERMIT NO. ATE ISSUED Z. CONTRACTOR PHONE ItIZ. /03 . 6775- S INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIME INSPECTOR DATE F--- -11111111111111111111111111111111111111111111111111111111111111 L � PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION 11111111111111111 ELECTRICAL 11111111111111111 PLUMBING'!S LTA "L 5ffraiillaiiilliMINNININIMIlli HEATING FIREPLACE 111101111111111111milimellilli" 14 COVER N• V170.11771711-711E ABOVE HAS BEEN SIGNED FINALS _ - BUILDING IIIIMPAIIIIMMI ELECTRICAL PLUMBING IIIIIMIIIIII �i HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE rou ections This card must be posted near an electrical service ca int prior to and h-iin where and mao intained until all inspections have been approved. service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 egg' Dm' m a3 < , .....2 aft I /I -4 ti , 1... Iti° / Is' . g i. f' r ....r. Nrs# CD = *7:: ifila :-. . r4- CD *, i I 11 g I (Pt 5_ > r- LI. cr: Z $11111 . 177 D. ''''lt..Q rnSTI • I : . 8' :ae . '4:41 .i: 3:1 • :0. 0* . . ..,•)"11 :rt. 1 i g 1ri • mrt�p . Z E it . Z std ..". r..Er • nm CC Ln a.. r D D b Sl �s pa, . !! i3, (CI \w � 3 , re..: —,i .e: „ . . • '.,• -Cif„...,:r:71-4,.....„., i • V. ' I 7---- i , . Pa Vu. \ e 1 .7 0 m C C A e..„= 3 A�\ • Em ji m�@rr . • _ i c �\m El OZ fT11S T 1+�4 N C 3 , O g Z Iiiil'I.i''''''7•''''''''',:'''' '... 'i \r1\ ::->61m ® an 7'..'........ . N� O0� nX =k �m A m 1'))37'21(1)1 3 NEW 2:2xi0 HDR rl 1 6 1* � • .. g. . s' \\., © , Nth rn c^ . z 70 X co � UI 7[I v 04 1i 0 C "` � � c� ca m S ca Cr x" 6 0 lu g @ r-r CSD CD ELECTRICAL s< ►.•+� Q! PANEL O V co 14 r� n 3 w ]4=i