HomeMy WebLinkAboutBuilding permit 10-0769 DATE TIME
ClTY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ( 2�(
ADDRESS r� �(� �`1 � C�`pC.P�v� V��� �'
OWNER CONTR. //��_J7 / q
PHONE NO. PERMIT NO. /�� f� /�
O FOOTING ❑ PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH Rf ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPUICE FINAL
�( FINAL O PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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� WORK SATISFACTORY, PROCEED
❑ CORREC 710N AND PROCEED
❑ CORRE T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
ws�vor,
o � PRIp� CITY OF PRIOR LAKE BUII�DING PERMIT, Date Rec'd
� � 'I'EMpORARY CERTIFICATE OF ZONING COMPLIANCE . � � / O
AND UTILITY CUNNECTION PERMIT
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'ylpN$�pt�' Z .`�° �, PERMIT NO. �(J. 7T.
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ADDRESS
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� Heoomea YoMr � Pen� Paid � No.
Date a
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vrq� tdc Planna wroqcatcs a a�yo�ary Cenidcaee ot Zonint c�m ia�e a
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24 �ar a�ite !ar dl Irspectloau (9521 M7-9�S6. 6u ('1t2) N7�/2�.i
1620Q Eagie Creelk Avenue Pcicx Lake, MN 33372
oF PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I I. ZZ. ��
., - AND UTILITY CONNECTION PERMIT
V ` Z' C�
M��'NESD�P I Wh�re F�le pERMIT NO./ D
2 Pink City /
3 Yellow Applicant �
Please e or rint and si at bottom
ADDRESS ZONING (ott'ice use)
! y I �i n
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(�Na meE 1 1 �CJI.� U � I '� (Phone) � ' `7 �tQ " / `."� 3
/�
(Address)
BUII.,DER /�(� "�
(Company Name) � � (Phone) �� ��lU 7 � � � J
(Contact Name) �� ou.� � . � . � � � � ��� T' (Phone)
(Address) � � �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- oofing ❑Re-Siding ❑Lower Level Fimsh ❑ F�reptace
❑Addition ❑Alteration ❑Util�ty Connecnon �1��.� a , , ` ���M�S (� � r
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CODE: ❑I.R.C. ❑I.B.C. � Misc. �
Type of Construction: I II III IV V A B pROJECT COSTNALUE $ '�
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify hat I have hirnished mfo on on this apphcahon whuh u to the best of my knowledge true and correct. I also cemfy that I am the owner or authonzcd agent for the
above-menti n d property and that all onstr hon w�ll conform to all exisnng state and local laws and w�ll proceed m accordance with submitted plans I am aware that the buildmg
official can r ke this permit for �ust c se urthermore, I hereby agree that the city offic�a�e �gn� a�e�}tr;u�property to perform ne e,Q,�ns ect� �
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Signature ContraMOr's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiJE $ , �r
This Applicarion Becomes Your Building Pernut When Approved Paid ReCel t O. 7(�
Date � d B
The Minnesota Staxutes ¢ 326B.148
B�uldm � oftic�al Date "SURCHARGE" has been changed for one
year effective
This �s to cert�fy that the request m the above apphcanon and accumpanymg documents �s m accordance w 'his dixument
when s�gned by the Gty Planner const�tutes a temporary Certificate of Zonmg compliance and allows cons� 'TUIy �, 2�1� until June 30 , 2�11. pancy must be
The minimum surcharge for a"5xed fee" permit �
issued is �5, beginning July 1, 2010
Planning Director Date Special Conditions, if any
24 hour notice for xll inspections (952) 447-9SS0, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
� P RIp CITY OF PRIOR LAKE Date Rec'd
� �� HEATING/AIR CONDITIONING/FIREPLACE PERMIT
� � � (,� l�✓ �Q�- ��9�-
�jn'NES�'i�' �. p„� File PERMIT O.1'O , g� �t
z. c�� aty
3. Yellow Applicant V
lease or ' t and si at bottom
ADDRESS ZONING (office use)
�
LEGAL DESCRIPTION (oflFice use only)
LOT BLOCK ADDITION PID
�aWNER IJCJ 1 K��- liC� U�� J ��lX��l'7 (Phone) — I ��fL�J� LS!'7 W
(Address) � � �� , ��� �
APPLICANT �UFZNSViLLE H�ATING & A/C, INC. (� �^�(' � � .--
(Name) 3451 W Bums�ilie Parkwa� (Phone) "1� 6"► �-t � Jl..L1�J
Suite 120
(Address)
A �ss (City) (Zip Code)
ll
(Contact Person) (Phone)
APPLICANT SIGNATURE DATE �' �� O
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS
F��
FLUE SIZE RETURN OPENINGS INPUT � P
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Boz Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEESCHEDULE
Industrial, Commercial & Multi-Faxnily 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Conshuction) $64.50 Residential, AC Only $49.50
Estimated Cost $ �� ��� Building Permit #
The Minnesota Statutes § 326B.148
"SURCHARGE" has been changed for one
HEATING PERMIT FEE $ � year effective
STATE SURCHARGE $ � .luly 1, 2010, until.lune 30, 201 l.
TOTAL PERMIT FEE $ The minimum surcharge for a"fixed fee"
(Office Use Only) �S $5� beginning July 1, 2010 �crmit
This Application Becomes Your Building Permit When Approved Paid� Rec pt No. ��¢`l
Date a• L � `U B
Buildine Ofticial Date 7 � '
24 hour notice for all inspections (952) 447-9850, fag (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
P R I O R LA K E BU I��ING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS %�� 7¢' /`��-��E� l�� � �✓ �-� •
NATURE OF WORK � �C�
USE OF BUILDING /L
PERMIT NO. /. DATE ISSUED 9- �U• �
CONTRACTOR / PHONE 95Z .�9_ l� 9aU
NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING �; � � `��r
INSULATION /�,�6 (
ELECTRICAL
PLUMBING
HEATING (if required) /y- -� �
. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDI�IG
ELECTRICAL
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