HomeMy WebLinkAboutBuilding Permit 04-0086
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5247 WOOO DuCt:. --m.AJ.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
04.00f30
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS CLOSE THE FILE
DUE TO INACTIVITY
2/10/2009
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE ;J. .'"),(0-0 Y 10 !'aO
INSPECTION NOTICE SCHEDULED
ADDRESS 1~:J tfh 4.J~ () f1r~ ' J t-_
- -
OWNER CONTR.
PHONE NO. PERMIT NO. LI - t'l() po. ( n
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
;& FRAMING I...L. o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: .
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECr'O'r~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ I" "---J Owner/Contr:
CALL ~-9dlJO ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~MENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
LNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
Yellow Applicant
d-02C) -()~
I PERMIT NO. OLI- 80
(Please type or print and sign at bottom)
ADDRESS
/'5 ~l/?
WCYL)d f)~L TJ-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ( BLOCK 4 ADDITION I L/ Y{1h
"de)
PID~S-~ 3!~-I{)b --c?
(Phone) lblL) f,n1-5So-1
OWNER ~
(Name) 'h(~ \'\ <I
\\\r (~f ~l(A(
- -.. ' . ~
(Address)
\ Sd 41
ll}O~ \l
~~L~
TR.
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
/~ower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
o Addition
o Alteration
OUtility Connection
o Misc.
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 above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up~e property to performl)eded inspections.
X ~ ~ ~t"\rh-o j{~ ::> J''lf) iDi-
Signature Contractor's License No. ~
$
$
$
$
$ ilO'OO
Z.tJO
$
$
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
1 City SAC and WAC # $
BLro4t~ ~ater Tower Fee # $
I Builder's Deposit $
I Other $ ~
I TOTAL DUE (lRVlte1) 1-. z,."3 . 04--' $ IIF' z,=>
/,~ct/ ,;(5 Receipt No. Lf:JfiCI)
_;) - Q 4- .~ By ~
0)
Park Support Fee
#
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
IJIl - - J
I Sewer & Water Permit Fee / $
I Gas Fireplace Permit Fee /' $
~tJtJ, ()()
R7.?~
SAC
#
Building Official
~/c?J3/()~
, Date
I Paid
I Date
This Application Becomes Your Building Permit When Approved
~~
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 Building Permit Checklist
Basement Finish or Interior AJter:J.uon to Single Family Homes
BY: 31A~
.
1vb
Date: i-~ -:A 0 .- () tj
Building Permit #
Site Address
Pill:
/5J LjJ7
Zoning: .~
!~)()d iJ;-{~/ 1--
Legal: L
I
B
1
Subdivision: tJJ..iL ~
EIisring Srrucrure:@r NO
CONFORLvIS TO ZONlliG
ORDlliAl'1-CE
Y""ES
NO
YES
NO
Is th1s JJ."1 expansion or the e;v-jst"illg footprillc or
building height?
Rde: ~o PlaJ1..r~'1g
Is cbe properry located witi1in the flood plain'?
Refer to Planning
No
NO
NO
Does me altention include any additional :mcnens'?
Refer m Planning
Does the proposed al:e:ation include any o1.:tside
entra..,1.ces otb.e: u.1an paLio doors?
Rder to Planning
NO
Is cbe proposed llse of ,he finished space or
altenrion for 3.J.lything oL~er than 3. :lCr::12.1 single
family hoee (of::.ce, g!JUD hOwe, d2.Y c2.re,e:c.)'J
Re:fe:- ~o Plan."W"1.g
tJC)
Tms Cm:OCl.lSl':dUST BE COiYIPLETED :i..'Il) INCLlJDED IN T:-rr Bt..1LDfNG PERi'lllT FILE TO
"'L-VNT.-VN A RECORD OF THE REVIEW.
. --::7.rj'=T :;. ---:;. ..::. ~ -..... ...........:(--- (~,C
PRIOR LAKE
INSPECTION RECORD
SiTE ADDRES3 ) 5~ 'II?- t/)fk:)d Dv..t..J::-
NATU RE OF VVORK --'- J.,
USE OF BUILDING E
PERMIT NO. (;) DATE ISSUED ~. ~3-L./
CONTRACTOR 1)ilJ.p~ t"mi(.,/'. PHON~/.1. ~Ol- 55"0'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
IL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
, GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
. BUILDING
ELECTRICAL
PLUMBING
HEATING
~~~~.~~ Ij,~., . ;~.' "~~';i" ~
""~< ill' \f :"';<l\'f." .
~ , .~ 1 '';'''>.~' ..
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.
FOR ALL INSPECTIONS (952) 447-9850