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Home My WebLink AboutBuilding Permit 10-1101 DATE TIME CITY OF PR10R LAKE INSPECTION NOTICE SCHEDULED 2 � ADDRESS 2? q�l � I� F 11 i� OWNER CONTR. PHONE NO. PERMIT NO. IQ — I� O 1 ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI � COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI Q INSULA710N ❑ SEWER HOOKUP ❑ FIREPLACE FINAL Q�+EINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE 1NSPECTION ❑ MECH FINAL ❑ COMMENTS: L L /��tir� _ 1 ��.� s�.a� �OC.� vb,c?.r 5�,:�-r �—�— � ❑ WORK SATISFACTORY, PROCEED �CORRECT ON AND PROCEED ❑ CORRE WO , CALL FOR REINSPECTION BEFORE COVERING Inspector: OwnedContr; CAIL 447 850 FOR THE NEXT 1NSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.� [NSNOTI oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,� e ;� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� Z � �� AND UTILITY CONNECTION PERMIT � v ...... r� M�'�'NES��P I Wh�te File � �,�� „ PERMIT NO. � �. // D� 3 Yellow Appl�cant f � (Please e or rint and si at bottom) ADDRESS ZONING (ot�ice use) �7 � 5� ��l'Gt��.- � �G� 2� - LEGAL DESCRIPTION (ofl�ce use only) LOT BLOCK ADDITION PID OWNER /� � (Name) � 1 i'1�. � �1 C� 1 �` � (Phone) lL� � 1 � � � �<' "�' �,�C�. (Address) Bi.TII,DER X °` ,,,�, ( ( ''1� �0�� - a 83- 5 � � (Company Name) '" r�� (Phone) (Contact Name) � �--' �r (Phone) '� (Address) �- � �� . - �� le,e.� ✓' � ,/(�(,�/ r�,. �6 TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level F�msh ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Constcuction: I II III N V A B pROJECT COST/VALLTE $ � d 3 � � Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (excluding land) I hereby cerufy that I have furmshed mformauon on th�s apphcahon which is to the best of my knowledge true and correct I also cert�fy that I am the owner or authonzed agent for [he above-mentioned pr erty and that all construcnon will conform to all exisung state and local laws and will proceed m accordance wrth submrtted plans I am aware that the buildmg official can revoke t permit or «st ause Furthermore, I hereby agree that the c�ty official or a designee may enter upon the property to perfo�m needed mspecuons X -� � ac��'��sc� ��-a�_�v Signature Contractor's License No. Date Permit Valuation 3� QQ . Q � Park Support Fee # $ Permit Fee $ S' SAC # $ Plan Check Fee $ Water Meter Size 518"; 1"; $ State Surcharge $ s� Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ �Cl� J t - � Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ S TOTAL DUE $ � This Application Becomes Your Building Permit When Approved Paid � Recei t NO. Date 1 ! D B Bmldme Utticial D�te This is to cernfy that the request m the abuve application and accompanymg documents is in accordance wrth the C�ty Zomng Ordmance and may proceeA as requcsted This document when signed by the Gry Planner conshmtcs a temporary Cerhficate of Zonmg comphance and allows construchon to commence Before occupancy, a Ceruficate of Oceupancy must be issued Planning Director Date Special Condi6ons, if any 24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Residential Buildin� Permit Che��.ist Basemeat Finish or Interior �lteration to Sin�Ie Family Homes " BY: Date: //, 2�'/. �� Buiidin� Permit m�� `l� 1 PID: Zonin;: Site �ddress � 7 � ¢ � �,�� -�J�E ��. L��al: L B subaivision: E�siin; Structu : YES r YO CONFORIti1S TO ZO�TVi G YES NO ORD .PL i�.�t CE yEg YO Is ttus an e:�pansion oi the existin; footprint or Refe: �o Plannu�; buildin; hei�t? ✓ Is the groperty [ocated wittun rhe IIood plaiu? I Reier to Plaruiin; - ✓ Does the alt�tian inc:ude any additional Iatcl�eas'? Refe: to Pla�nin; I . � Does the proposed aite:arion include any outside� Reier to Plannmg cntranc�s othe: than patio doors? ✓ Is tfze proposed use ot �he fmis:�ed soac� or Refe: to Plannin� � alte:-3.rion for anythin; oche: than a narmal s:n;ie family home (oixice, ;*oup home, da.y car�, e.c.)? THIS C�IECKI.IST �titUST BE COI�tPLETED .�YD I�fCLUDED I� THE BUILDI�G PERitiIIT FILE TO yL�I`fT�.IN �. RECORD OF "THE REVTEW. , , � T .1TT_�,fJT � i =�.1T T(''�(':' ?�1��' � pRip Date Rec'd � �� CITY OF PRIOR LAKE PLUMBING PERMIT � x � � � 1. Blue F�le pERMIT NO . 2 Gold C�ty /�,,. r r �� 3 Yellow Apphcant F Please e or rint and si at bottom) ADI�RESS � �� ZONING (oflFice use) � � , � � LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Na E � ` � � (Phone) gil � C� (Address) APPLICANT (Name) (Phone) (Address) (Address) (City) (Zip Code) (Conta.ct Person) (Phone) APPLICANT SIGNAT DATE � I �v APPLICANT PLEASE COMPLETE BELOW Quanti T e of Fixture Quanti T e of Fizture Bath Tub with or without shower Rou h-ins Dishwasher Water Heater Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin hine Laun Tra 1 or 2 com artment sink Sewa e E'ector Shower Stall Backflow Assembl � Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEESCHEDULE 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 # PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Oftice Use Only) This A c on Bee�ne • uilding Permit When Approved Paid Receipt No. Date By B' m� O cial Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �� P R I�� s ,, ,� CI1'Y O�+ PRIOR LAI�+ Date Rec'd � D� gIEA�'ING/AIR CONI)ITIONING/FIREPI.�ACE P�RMI'I' Z� C) �'' U tr� Q' f �'NES�� I Pmk Flle pERMIT NO . 2 Green Ciry 3 Yellow Applicant • Please e or rint and si n at bottom) ADDRESS ^ � � � + , �� n � ZONING (oKue ° L � �L. �e) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ER V�) � (Name) ��r�nl��- l� Y l`►"`! l � f�� (Phone) (�j� " Z2✓S ' �� (Address) �� ..�, �� " G�- U � � l.� J�'�, � l� E'� �� D APPLICANT Q (Name) � ( � L•� i �� ' � H (Phone) � � ' �7 � � � 3 3 J 1 (Address) L� l�� ^ �1 l I�V �(: w�� J�� - ��,�.� V'` N �1: � (Address) (City) (Zip Code) . (Contact Person) �J � � � � (Phone) APPLICANT SIGNATURE � \ � DATE `� � PLICANT 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 ❑Warm Air Plants ❑ Steam PLEASE NOTE: ❑Gravity ❑ Hot Water Air Conditioner Units ❑ Mechanical ❑ Radiation Cannot EncroaCh into �A'v Conditioning ❑ Special Devices Required Side Yard OVent. System ❑ Other Devices Setbacks FIREPLACE MAKE AND MODEL !T � '~�(i 1 FEESCHEDULE __-! Industrial, Commercial & Multi-Family 1%of job cost Residential, Gas Fireplace �5U Y�7.�� $39.50 minimum Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alteradons $39.50 Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ 5•''—`' �� D�WI� TOTAL PERMIT FEE $ S'f y RMIT (Oflice Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildine O�cial Date 24 hour notice for ali inspections (952) 447-9850, fax (952) 447-4245 x � #�,�' i." f+. M � �9 v, i� " �,� � ,� `,�_': ��+�� P R i O R LA K E BUIL DRNG AND INSPECTION IN PE TI N RE RD SITE ADDRESS Z ��K �� • NATURE OF WORK �.. USE OF BUILDING PERMIT NO. �� O/ ATE ISSUED ��r� / CONTRACTOR fr PHONE � NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELO THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTtL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING � g t/ INSULATION ELECTRICAL � PLUMBING f,` :�:�:A�", �;_ HEATING (if required) , FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING << ELEC�'RICAL PLUMBING 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