HomeMy WebLinkAboutBuilding Permit 05-0336
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS J7Y'/o iJ&rre (~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
-TI SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
LL Fl/A(-"7 ~
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COMMENTS:
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DATE
#(
TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
6.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRr}EK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: V1'7 Owner/Contr:
CALL - 850 FOR 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
Date Rec' d
(Please type or prin! ~d sign at bottom)
ADDRESS
_._12~L/()
White File
Pink Cjty
YelJow Applicant
PERMIT NO.?/..?- 33 (J
,
D.ep~d
LEGAL DESCRIPTION (office use only)
LOll_ BLOCK ~ ADDITION VtJi!A/~
~~~R /( t- I I H ,0 A //,1o./6?'l r
(Address)
/1 LA-
, ,
ZONING (office use)
Rd-.
prr:t?5 - '10"7- Z;:g;;).-Q
(Phone) 6/ 2- - Lj I Li - :2/21
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction ODeck OPorch ORe-Roofing ORe.Siding rlrrower Level Finish D Fireplace
DAddition DAlteration DUtility Connection D Mise. "'-
CODE: ~I.R.C. DI.B.c. PROJECT COST IV ALUE $
Type of onstroction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S u .3 POO mS
Division: I 2 3 4 5
- .., ,.,,, .. ,..
f hcrcby certify that I have hlrnished mformation on this application which is to the best of my knowledge true and correct, I also certlty that I am the owner or authOrIzed agent for the
above. mentIOned propcrty and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans, I am awarc that the buildmg
:'k"';;Z::?Z" ~:'''o'"'' 'rmo~, 1 ho,b, ''"' "''' "" "^ omd,' "" """",, m" m,,, ""'" !h, ,m"""" '0 ""'mm"'ij "=;)'1>- 0-
Signature Contractor's License No, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty i $
Plumbing Permit Fee6/JJ~r i $
Mechanical Permit Fee $
I
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee N () i $
30C5f),--
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This Application Becomes Your Building Permit When Approved
~~. 1/27~~
Building OHicial
Date'
Park Support Fee
SAC
#
#
I $
I $
I
I $
I
I $
I
I $
$
$
$
I
I $
I
I. DO.
1 /1'] - tJ ,~--
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
e I e..G
Paid
Date
~-
Lj - ;:~'7 -- c;-
~
I Receipt No. LiR/ ~
I By ~
rr-,
ThiS IS 10 certify that the request in the above applicatton and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence, Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
TOTAL DUE
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Chedilist
Baseme.::rr Fini.sh or Interior Alteration w Single Famil7 Homes
BY: ~. ~
Date: ij- r;:{'7- S-
Building Permit ;:;
Site Address
J 7 L/L-/ ()
B 2-
Pill:
OeCf J7~e.. lei
Legal: L 9
Subdivision:
Zoning:
Dy~
IJ~Jl
! (1:b
E.risting Scruc:ure: ):1:5 or NO
CO~-rFORlyIS TO ZONING
o RD lliA,;.'f CE
Y"ES
NO
't'ES
NO
Is t.hJ.,S an eX'iJar:slon or d:e exi~...ng Ioocr;L: Of
. .
building heigh!'?
R~fe:- ~a Pl~"'::.o.-:g
Is me properrJ located wirh~" cne aced plain?
Re:""~ ~o PlarT1~~g
tJCJ
W(J
fJCJ
Does t...'le a1!eraticn include any ac:ditional :<:itche::::;.s?
Ref~ co Pla:nnrr:g
Does the Of01:ose::. aLteration ir:clude lJ.'"1'f outslce
. . ,
em:ranc~s othe:- than patio doers?
R~fe: co PlaT'!7"';"!"J.g
Is the proposed use or dle fu:ished ~ac~ IJr
a1te::ltion for anyctmg orne:- :I::m a :10'0:2.1 sl:c.gie
f.2J."7lily hon:e (of::c~. g:au"9 L:c"G:e, 6y C:lr~~ ~::.)'7
/JtJ
Rcf~:- :0 ? lan7'""~ g
I/O
THIS CHECXl.1ST.'YI1IST BE CO~LPL.ETED ,.\,.i,'fD INCLtiDED IN T}iE BL1LD[NG P~.Rty!IT mE TO
M.A.ll'IT,-\lN A RECORD OF THE REVrrw.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ''!'''(f) /)q.. ~ ., iI.,.
NATURE OF WORK L F/~1t
USE OF BUILDING 3.16:". __
PERMIT NO. DATE ISSUED ~'1"""
CONTRACTOR W~ PHONE ./,. ..,.,.- ~/. '1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
____ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
[If; f
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tP
I
OCCUpy UNTIL ABOVE HAS
NOTICE
, .' I (J
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BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have be~li approved. On buildings and additions
where no service cabinet is available, card'sliall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850