HomeMy WebLinkAboutBuilding Permit 08-0233
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(Q!~
ADDRESS l").~ t')
evrr
Dok
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8-- ~~:r
o FOOTING
o FOUNDATION
o FRAMING
o .JNSULA TION
..If FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
^
" I ) ') (' I
U\~-rtJL~. y
-;'- WORK SATISFACTORY, PROCEED
o CORRE~ION AND PROCEED
o CORRECT WokK, CALL FOR REINSPECTION BEFORE COVERING
Inspect'
Owner/Contr:
CAL~9'O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--------
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT N06~ - 2 ~3
(Please type or print and siJ:n at bottom)
ADDRESS
'l~L5bl{rf Deek Lan e "SL
ZONING (office use)
fL/
LEGAL DESCRIPTION (office use only)
LOT ?BLOCK 3
ADDITION
~fC/CL-l~
PID 2)-"37u '05-~ ,-0
~'::e~~ j 1I ~i':--r u I ;, ~ --g e e -5 ~
(Address) 17;;( 1$ ~ u r---r Oa. Ie- L4 n -e
(Phone) ~,;L~LjO-&l~
SE- ~r i Ul L4/<-'P I
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAdditlon OAlteration o Utility ConnectIon
CODE: D6.r.R.C. DI.B.c.
Type of &stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I
ORe-Siding ~ower Level FinIsh
o Fireplace
o Mise
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have turmshed InfOrmatlOll 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
,t JUSt.' Furthermore, I hereby agree that the cay official or a designee may enter upon the propel1y to perform needed lIlSpectHHls
SIgnature Contractor's License No. Date
:soOO. - Park Support Fee # $ +
$ 14 .1S" SAC # $ I "-...,
Plan Check Fee $ I_~O Water Meter Size 5/8"; I"; $ -----' j /
State Surcharge $ Pressure Reducer $ I
Penalty $ Sewer/Water Connection Fee # $ I
/'
Plumbing Permit Fee $ CO. - Water Tower Fee # $ /' I
./"
Mechanical Permit Fee $ Builder's Deposit $ j
Sewer & Water Permit Fee $ Other $ I
Gas Fireplace Permit Fee $ EO- - TOTAL DUE $ 11'-0. 1-5' I
.. /
Thi. ^t,'oo Btt~ · our "Hdi~'nru' ~t;d Paid 'fl&;. L<:' Receipt No. 5"" IS
B~""'" Date 1~/o -R By l2.J} fA-_
I ate
ThiS IS to certify that the request In the aboveapplicatlOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requcsted ThIS document
whl'll signed by the City Planner cnnstltutes a temporary Certificate uf Zonmg comphance and allows cnnstructIon to Cllmmence Befllre nccupancy, a Certificate nf Occupancy must be
L",slled
Planning DirecIor
Date
24 hour notice for all inspections (952) 447-9850. 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:
~
r
yn.~
Date: 5/S-;:; Y
Building Permit # PID:
Site Address
Zoning:
Legal: L B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
({~ES~
~
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
Is the property located within the flood plain?
Refer to Planning
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
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
NO
NO
fJO
NQ
tJ () (~rirft4..)
JJ~
tJo
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 'lc?lS" &'1~'2. OAt: L~ <;: 6.
NATURE OF WORK FIN ISl+t....4J ~ LGlA-Gc-
USE OF BUILDING I2€S ^/rz.. . /
PERMIT NO. Of.3 - Z 33 DATE ISSUED .; 1"/08
CONTRACTOR i?x~ of J:..,....lA ~€ PHONE 4 +0 -~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
11~II\1t:"L I
l"eU..._.\lIUN (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
II n _II. nATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ( ) .lr. vvf U OIL (,-5-16
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
ff~1
I
I
I
I
!
4 /
B /J;r~
/ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
(Prior to Sodding)
BUILDING
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.
a,
I
I.
17
J .,
/O/2""/~/
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FOR ALL INSPECTIONS (952) 447-9850