HomeMy WebLinkAboutBuilding Permit #13-1326 CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED � � (
ADDRESS rJ 3 �� ,� � t � ��
OWNER CONTR.
PHONE NO. PERMIT NO. � 3.� �' 2�j
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAI ❑
COMMENTS: L� �' ��
,.
� WORK SATISFACTORY, PROCEED
❑ CORREC TION AND PROCEED
❑ CORR T , CALL FOR REINSPECTION BEFORE COVERING
Inspecto : OwneNContr:
CA 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL KEALTH & SAFETY!
uvswor,
�� � 4 ' pR j�'�' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�'f �`\,��,� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` f�����
{ ��1 E� AND UTILITY CONNECTION PERMIT
_ �
� E S��
� wn,�e F��e pERMIT NO. 2
2 PmA Ory 1✓ 13Z�
3 Yello�� Apphcant
(Please e or rint and si at bottom)
ADDRESS ZONING (ottice use>
° � if�° �R�� ��vL��C1� 1 e�t iL I�- iv. .��3`73-
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
�aWTNER ��-I C' M �15 �- . /�aat) i� � � �. � � M�-��} � ��'C-'L� (Phone)
.,- • -
(Address) .�j �j `� Sj i1l � L� L1. 'L�l' � "�(Z.�1 l �- I` - �✓ ''� � 3 � � .�—
(C � •�l ��'l,e 1'Z�%"(Z-- (Phone) `� � 2 - �� � ` �7 d �
(Contact Name) I �f � �'1 �l (� G�l'Z (Phone) l�° � �� - `1 � C' - �� t' �"1 �
(Address) l �j r Ic' S �"'�-� f � � �'� �/� � �. � /1'ly�.� . .� 5 l � �-"
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofmg ❑Re-Siding �,ower Level Fu�ish ❑ Fueplace
�Addition �Alterahon ❑Uhlity Connection
CODE: R.C. ❑I.B.C. ❑ Misc:
Type of C tnufion: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certi that I have fumished informauon on this applicaaon which is to the best of my ]rnowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-men8o ed property and that all construchon will conform to all exishng state and local laws and will proceed in accordance with subnutted plans. I am aware that the bmlding
official can r ke rmit for just cause Furthermore, I hereby agree that the city official or a designee may enrer upon the property to perform �eeded msp ctions.
x �, �� c.� . l'l��ti+-a.�',�_ &= � 4-� i 3:3- t���� T3
ignat Contractor's License No. Date
Permit Valuation _ Park Support Fee # $ !
'`�DOO.
Permit Fee $ s-� Z y SAC # $ ,
Plan Check Fee $ 2.. Water Meter Size 5/8"; 1"; $ �
State Surcharge $ Pressure Reducer $ �
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5 S 0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ S� S .� TOTAL DiJE $ � , ZS
�.sf���..', / Z Z
Tlus Ap icati Becomes Your Building Permit When Ap roved Paid '_� Recei t NO. �'
Date a"� B
,� IZZ 1 '
Bw ' Offic�al Date
This is to cemfy that the request m the above applicahon and accompanying docum nts is m ccordance with the City Zomng Ordmance and may proceed as requested This document ,
when signed by the City 1 nner constitutes a temporary Certificate of Zoning com liance a d allows construchon to commence BeFore occupancy, a Cemficate of Ocwpancy must be
issued. —
� 1( Z-� {
Pl m g D�r Date Special Condihons, �f any
our notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
12/12/2813 10:56 9524926006 GLOWING HEARTH PAGE 01![��0
o .� rRr . G�`�'' OF'P��OR��I� �$ta Itec'��
. � � � ����'�NG,L�►I� �GON�IT��UP��I��E�'Y►A�E P�l�i'�' '
�"'r�s'`� ' � z. c�`a � �"�;�T NO.
�$G 8! aud ' 9t b�m � ' '' '" 3. Yettaw Appli�aat
ADDR�S►S ' ' � ,.----'' ZON�NG (oti�cc use)
. , �� � �
�EGA�, bISC�P�Tt�i {o�6ce usc o�ntS+)
LOT BGOCT� ADi7Y`I'ION. P��
{�l`T me�'� � (�1,�/l,l/�� �l'` . �, � � .
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{Nanxe) ��}1' (�'hOxle) _. � ,�-��'� �-P
(A,ddrC$8) C��,�'S�-�,� ^~ �}
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{CAntACt P!!�ri) i (�lolliC}
A�'P.L�C.A1+1T SYGNA'�'URE � � . DATB� !"�-
y A
� � AP�Ce� PLEAS� COMPLETE B�LOW
C()NSTR�JC'�IpN ❑RB.P�ACEMF�VT . . ❑ALTE�tA'1�UN3
. C�3 MAKE ANA 1v�OD�.L ` FL1EL
�,�E SiZ� - - - �tETURN OPENl�4S iI�PtJ'� 01J�UT
TY�E OF aXST�1Vx HEE�iTI�G �I�t 1'O�WER P�1'� P'LTA►5� NU�: Air Conditto�asr
� Waxm Air Platits . �$tea�t � ��L� nnd Fire�ces Ca�naot Encroach
t�oc�hanic� ������ � inbo �taquirod �e Xard Setbndce.
� �Air �onditi�n�ng - � ❑ Speci� Devic�s � �cea �vk� Box A,ddi�ou� or
�. Ca��vaars�to.th� Ootslde otanitdtngs
� '� �Vent� Syste,�t : � 4t�e�' �� i � �`�... ....� . ..��e a Buildiug �'erm�t.
F�,PLA,CF MAKE AND MODF�L. ..
FEE S �l�1ULL ..r�--f
Indus�ial, Comumet+cial �t Mu3ti Fanniljr 1% of job c�st � idex�t�al, Gas Firep�ace 549.50
$49.50 mini�nu�qa
Rcs�dcni�ial, Hcath►g d� t�lC (N�ar Coustrp,otion) $149.50 ''ons & A,Iterations a49.50
Residentisl, Hea�m�g O�y tl�kww Cosast�tion) ,$6�.�4 �� �s�dea�tial, AC Q�y ��49.50
' � Cost $ Building �ernut# �`
HEATINC� PBR�T'�' FEE � � ( � �
STATE SUR.CHARt�E $ �
� T�QTAL PERIVIIT l�& S �
' . 4
'I'� Appl�tl� $eco� X+wr �uildie� Parmti Whau� �rpreved �a�a � .
' p � 4'
Bui�di�g Officiai Date � � . � � .
•� . Z4 hogr notice for ��i�ians (9S2) d�t7-98S0
. . AICAl. Y1..L..i.. f."�+.....E Q 17� II...�«.. T..4.. i��PS..........a., stVf.+.�
� � pRip� Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
� �Z ,/� �
v �
��S � B��e Fde pERMIT NO.
2. Gold C�ty � � /� �
3. Yellow A�nc�ant �J G.�-
lease or ' t and si at bottom
ADDRESS ZONING (ot�ice Use)
�---� �� ��l G�Q �'l/�� } G? /�"�'�.-- _
LEGAL DESCRIPTION (oflflce use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
APPLICANT � � fi � �� ` � 7 ��
, �i S/� �,� _ ��� �-� / /���1 _1/ / e)
c �_ ,_�� ��, ..
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�.�dress,�,. � � � �. �� ✓1 7`' �� `1�G' c� � �.�.vL�� v- � 'S -�D� S�'C�
'� (Address) (City) (Zip Code)
(Cg�ttact �'erso�j„� �,�(�ji1 (Phone) C Z `�,� ,� �� oZ- 1 �� 4'
�.�.,...._.....�»V.A-�-
APPL �4P�F'i""��GNATUR� "°�� _,,,,, ,a..}
..� �.,.k„� �..,�.,�,,.�...._„.,p, -
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fixture QuanN T e of Fixture
Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laund Tra 1 or 2 com arlinent sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
Bar Sink Lawn S rinkler
Water Closet Toilet Other
The Minnesota Statutes § 326B.148 FEE SCHEDULE
" SURCHARGE �� has been extended �f job cost with a$49.50 minimum Residential, New One & Two-Family $149.50
The minimum surcharge for a Residential, Additions & Alterations $49.50
"fixed fee' permit is �5.�0 $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50 �s'� . ' , ,
TOTAL PERMIT FEE $ �"�E -x t ,. a �
(O�ce Use Only) � ����'�
�' �b
This Application Becomes Your Building Permit When Approved Paid Receipt No. "-^. �
Date By
BulldiaQ Official Date
24 hour notice for atl inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
DEPARTMENT OF
BUILDING AND INSPEC�ION
----�.
SITE ADDI�ESS ���1� [ �� w� ��
NATURE C�F WORK �,.�
USE OF B'UILDING � s .4 �--
PERMIT NO t3 - (32-<o DATE ISSUED �� z7 �
CONTRACTOR � . • Vh�s �.�-- PHONE � r a _ `t7o -- `�078
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
�
i��N (Prior To Backfill)
��TARDER
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
TER/SEPTIC
FRAMING W�- ! /
INSULATION
ELECTRICAL
PLUMBING V'S � G
HEATING
FIREPLACE
GAS LINE AIR TEST ck �,�'�
RDER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
�iirl
FINALS °
PRIOR TO SODDING)
BUILDING . . �. � ' ' � '
~ '-� i � �
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 �pproved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
� • FOR ALL INSPECTIONS (952) 447-9850