HomeMy WebLinkAboutBuilding Permit 08-0103
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS 1'13'Jli
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 - /0 ~
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
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECFl20 ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~ALL 447- OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please !"ue or urint and si~n at bottom)
ADDr1-s71
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
R (>.{,
e fA 0\ ki ..t.
(Address)
BUILDER ,/ \ ~
(Company Namet Xf}e"".O '- -I-AL
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(Contact Name)J(')) l' he.OI""
(Address) '1 'i 100 vJ (eJt>- [,.Ie
~~. flAw
I White
Pink
Yellow
File
City
Applicant
Date Rec' d
3. 14'.Ob
PERMIT NO. () B ' 0 103)
ZONING (office use)
PID
(Phone) bS-/ -2 Jl J - S7o:;-
(Phone)
I'1V ~-~;O?/
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
es. 2 5"
.3 1'1. uf)
(Phone)
jf"'C]i-tf' .
,/
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FInIsh 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: ~i.R.C. OLB.C. o Mise.
Type of onstmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E 0 H I M R S U (excluding land)
Division: 2 3 4 5
I hereby certity that J have hIrnlshed Inti)rmatllln on this application whICh IS to the best of my knowledge true and correcl. I also certify that I am lhe owner or aUlhonzed agent till the
JbnvC-mcntlOl1cd proper and t < cons!r ction will conform to allexistmg state and local laws and will proceed in accordance with submitted plans I am aware that the ouildlllg
~ljClal can revoke ,p > or JUst cause urthermore, I hereby agree that the CIty ()ffiCialor2d~ye"S77'"i-t the prupetty 10 perti)rm necdect;s~;c;)J1~()(p
Permit Fee
" 000. 0 () I
$ I ~ y.., / s I
$ . I
$ . ~O I
$ I
$ SO. 00 I
$ I
I $ I
I $ j
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes YOUI' Building Permit When Approved
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Blllldlllg Urtlclal
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!).!tc
Date
#
$
.~~
I $
$
# $
# $
$
$
$
97 G. 2-~
()
Re~t No.
By- /.
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,55,,5 (17
,
ThiS IS to certify that thL' request In tht: abuvl' applicatIon Jnd accLJmpanYll1g 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 Ccrtlticate of Zonmg complrance and allows construction to commence, Bdllt'C occupancy, a Certificate llf Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: -?( ....
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Ye~~
Date: 3/1 y/crp
Building Permit #
Site Address r '7 ,3 79
Legal: L B
PID:
Zoning:
P-~ 7/)--2- ·
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Is the property located within the flood plain?
Refer to Planning
No
IJo
IJ {.}
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
jUo
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
;10
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3, '2,0. de)
(Please type or print and si2n at bottom)
ADDRESS ZONING (office use)
/737C; SL,-,<-~~ ft,.u" I
~. ~~~~ ~!~ I PERMIT NO.O a, 0 I"'" '?
3. Yellow Applicant U.. V....J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
, (Address)
(Contact Person)
APPLICANT i L
(Name) ",-' kA. (J lot "L-
V
(Address) _ tOO / !e;:..-c. ~iQ....,
(Address)
J:-~ lA.. L A ltk , (/I <9 "2-
~~~
, ,
jJ II c,
(Phone) 9 j"d- 7j-t - 6 ;}6J
Jf/ f.u...) ;11 It Ct.c. (..p 0- 6 ~ 71
(City) , (Zip Code)
(Phone) 'I J- d. - &. 7 ~ - l.( l/ 1-.3
DATE ~/';)O~r
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower . Rough-ins
Dishwasher Water Heater
I Floor Drain Water Softener
I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
FEE SCHEDULE
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 $
TOTAL PERMIT FEE $
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build!n!! Official
Date
P~.Recei-'
....t:>atej. W/Ol/ By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
DEPA.RTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /7579 S'cl/JJf::; / 'j7zAI ~
NATURE OF WORK L _ ( '.h I-rill If.- (JOI'''1
USE OF BUILDING /C~E-( /! I/t..-
PERMIT NO. (J 6. 0 I 0:3 DATE ISSUED 3. 14~. Vb
CONTRASTOR X PI'I AiD PHONE &51. ze3.~-;9o.S-'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
INSPECTOR
DATE
1'6/
I
/ ,
/ lJ hUv1
'Vl \
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
,
I
UNTIL ABOVE
NOTICE
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy
f~ I
;}
,
I J/~p9
I ~ r ./
I
HAS BEEN SIGNED
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