HomeMy WebLinkAboutBuilding Permit 11-0158 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2 /3 /fT
ADDRESS L sj P cUv✓LSZ A`--c
OWNER CONTR.
PHONE NO. PERMIT NO. / — /c
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
� SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
111111111MilMile
,WORK SATISFACTORY, PROCEED
❑ CORRECT • • TION AND PROCEED
❑ CORREC WI 7K, 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!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3/27-k
ADDRESS 1 6E5 (..: , k s nJ-.
OWNER CONTR.
PHONE NO. PERMIT NO. // —/58
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
I, (R Q Q_k i C la it cc e c S MAN( 3(
❑ WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ ORR ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
of . PR1 CITY OF PRIOR LAKE BUILDING PERMIT,
.' '" ;; _ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Rec d
AND UTILITY CONNECTION PERMIT 3 . I(,
•
arrNNeso_P
I. White File
2. Pink City I PERMIT NO. r!_ !_5Q I
(PIease type or print and sign at bottom) Yellow Applicant v
ADDRESS
7 ,4f N / ZONING (office use)
J( e Sy (;) 2 - ° -,- ,: s L .. . 1. 1
LEGAL DESCRIPTION (office use only) • /G (/ Qt. /
LOT BLOCK ADDITION
PID 25, 7o1. 011.1
OWNER
(Name) j r /L s .v tr i-4- -1( ( v +2. S
(Phone)
(Address)
fe BUILDER
•
I
(Company Name) .5P I ! N(7 1- /e---- A K7 a, S (Phone) / 5 Z -- 1 1410 - -i � j 9 7 ak
(Contact Name) ./. -/ 6,ti (Phone) 5 ,,
(Address) 5/=?-1,-1-1. i
TYPE OF WORK 0 New Construction ❑Deck ['Porch CRe -Roofin
DAddition Alteration g ['Re-Siding ['Lower Level Finish ❑Fireplace
❑Utility Connection ❑ Misc.
• CODE: DLR.C. DI.B.C. PROJECT COST /VALUE S Z
Type of Construction: I II III IV V A B D ' `�
(excluding land)
Occupancy Group: A 13 E F H I M R S U
Division: 1 2 3 4 5
I
1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the
above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official ca c this permit fqr just cause. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x- u -t-9^— z U Y a r S y ,
Signature Contractor's License No. / s Date
Permit Valuation Park Su
Z/ 0(10,00 Support Fee # $
Permit Fee $
73.75 SAC # $
Plan Check Fee $ 4 7 94, Water Meter Size 5/8 "; 1 ";
$
State Surcharge $ /, 0 0 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 F Permit Fee $ ______--_ TOTAL DUE
3, rt.11 $ / 2Z.. (o7 .
This Ap 'o ' : comes • ertitit Whc . Appr ved paid / Z 2.
�� . eg 7 I R eipt No. 624412
> I Date 3, t'7 t(
BuildingOfticial • Pate
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
. RIp CITY OF PRIOR LAKE Date Rec'd
I Z� HEATING /AIR CONDITIONING /FIREPLACE PERMIT
,:ice IA/ I - / Sp)
t O CP I. Pink rile
2. Ye PERMIT NO.
Yellow City 3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I S W( R/ 1 - s
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(N me ) - Q ' k`"` .),'.\- k" , -.- 3 (Phone) 1 S )..-\ "0 1 \ 6 11
(Address) \ V ' S 1 `'` C.\ L li 11-,k_ {\ AS k, V" t u i v d(....
APPLICANT
(Name) N).h Q \' r' 5;_n L (Phone) \ -' ' \11 / 4) 1 - o\ ) `'k
(Address) 1 f . `Ic l \ l') r %. V C 0 0 * `i' (k S - �ci+
(Address) (City) (Zip Code)
(Contact Person) NI C '1 ti l'll c 01 ') k\ &, (Phone) 9 S a - i 1 4? k
APPLICANT SIGNATURE DATE — 1 l
APPLICANT 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
PLEASE NOTE: Air Conditioner
['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
DGravity ❑ Hot Water into Required Side Yard Setbacks.
❑ Mechanical ❑ Radiation
❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or
❑Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings
f C �� t � ,�^ R equire a B u ild ing P erm it .
FIREPLACE MAKE AND MODEL p P 1
FEE SCHEDULE
Industri. , Commercial & ulti- Family % of • a . cost Residential, Gas Fireplace $49.50
A '. 1 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ Building Permit #
C1 S t.)
HEATING PERMIT FEE $ '
STATE SURCHARGE $
TOTAL PERMIT FEE $ c ,c
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid 1 + , _ � Rec ft No. / ZI / y 6
Building Official Date Date 3 • a 5 1 I B / (P �
24 hour notice for all inspections (952) 447 -9850, fax (952) 447-4245 If
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /&e59 WIZ et1 VE
NATURE OF WORK 7 A h q / / T (c Et1O v i✓
USE OF BUILDING / e 4,
PERMIT NO. / I, /� _ DATE ISSUED 3 - 14 ' ,
CONTRACTOR �5P/2 . PHONE 4 0.77
9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
0111111111
1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 62/ 3 tf
ELECTRICAL
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 t // sio../ 1 I
FINALS
BUILDING 0// q13/ r
ELECTRICAL
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