HomeMy WebLinkAboutBuilding 02-0962
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
17 tl~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2-qGL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
p- MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
c } 0)(
r,l~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
"cORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: -W 3- I ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
fy_r;..-o Y'
I. White File
2 Pink City
3 Yellow Applicant
PERMIT NO. z-
o Z -Cf 6
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 0 BLOCK Lj ADDITION
I/~
!LJ~M cVA-/
-
C
PID~5- 370-
Q~
'ij~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o Misc.
o New Construction
,*wer Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Fireplace
OAddition
o Alteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the bove-mentioned pr erty and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I m are that e buil ng official can revoke this permit for just cause. Furthermore, I hereby agree that the . official or a designee may
enter upon the pens 7 , 1 h.'
X
Contractor's License No.
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ O. .- Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ t)(;,. z ~
\
Approved I Paid i(d()~ Recei1No. +z.-ra
Date By J1Jf
, ,
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
Residential Bup~ing Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
fo#
Date: /" .:')-O~
Building Permit # (!?-z. -1'-'2- PID: Zoning:
Site Address /71 / ~ Iv ~@{/)1i',~ ~.-7~ r S C
Legal: L B
~
Existing StTUcture:~ NO
Subdivision:
@
I CONFORMS TO ZONING
ORDlliA.l'{CE
NO
YES NO
Is this an expansion of me existing footprint or Refe, to Planning ,-
building height?
Is the property located within the flood plam? I Refer to Planr..ing I
Does the alteration include any additional kitchens? I Refer to Planning I r'
Does me proposed alteration include any outside Refer La Plann~lg
entrances other than patio doors? "..-
Is the proposed use of the llilishd space or Refe, to Planning
alte:-arion for anythblg Ou,1er than a normal single ,--
family home (office, group home, day care, etc.)?
Tms CHECKL1ST MUST BE COMPLETED ..\.i.'fD INCUTDED IN THE BU1LDfNG PER;.vrIT FIlE TO
~l-VNT..vN .-\. RECORD OF THE REVIEW.
L;\~~,C?l:....l... TE.~-U. TC:-:CX.DOC
PRIOR LAKE
INSPECTION .RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I?I/g U/~~ t7/L .s i?
NATURE OF WORK L- f-
USE OF BUILDING 5-F
PERMIT NO. id-- Cfh -z., DATE ISSUED
CONTRACTOR e ed ~ P eDu.- PHONE L1Lf7- d--fJ- ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1~9 I
1~~iII) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
{ 1..--, g---
ELECTRICAL
PLUMBING
HEATING (if required)
vvr?
1 L -I Y
Jl--/r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ing)
s~.tl
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
)-},;I
]-j"
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