HomeMy WebLinkAboutBuilding Permit 08-0067
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
3Jre/cR
TIME
ADDRESS
~061
~bt
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()~- {)(j(o'l
. \.../
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I . n ()
,- \/ ,.,/ J Vn \. 1
~t~OI/C7( \/l
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.i WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRpI) RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
v/
.CALL 447-9850 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
Z .zs. 08
(Please type or print and sil~n at bottom)
ADDRESS
~C)', C\ bD \; C"'--\. \Q'A I '-- ~\). '\/v'
I. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 08 -OOG:.71
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) Y'Y\c-....\L, ~ Dt-., '-._v~ (t.. pI..) l. L
(Address) ):;> 'C -; '-\ .~~.\c c.... ~~",. \ \ \". ""-.j
(Phone) ~! IJ.J 0 Si
(\S'.l - ~ s3, - ~; I ')
\.L\ \ c\ C\ .2. ' 4 ~ Iv; - I I S~ 10
BUILDER
(Company Name) ~ ~ ".", '"""",,
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing
DAddition DAlteration DUtility Connection
ORe-Siding 6qLower Level Finish
~~S
.-t/O ~ P.
o Fireplace
CODE: !.R.C. DI.B.c. o Mise:
Type of onstntction: I II ill IV V A B
Occupancy Group: A B E m H I M R S U
Division: 2 3 4 5
PROJECTCOST/VALUE $ ') . M~\). \) u
(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
:cial ca)'"1-;: 7\~ f01;\\FUrthermore. I hereby agree that the city Official: ~eSignee may enter upon the property to perform nee: :~P;C~iO;S'
. Signature Contractor's License No. Date
Permit Valuation 2, 000.00 I Park Support Fee # I $
Permit Fee $ V' z. .2. 5 I SAC # I $
Plan Check Fee $ I Water Meter Size 5/8"; 1"; I $
State Surcharge $ 00 '" Pressure Reducer I $
Penalty $ 'Sewer/Water Connection Fee # I $
Plumbing Permit Fee $ .:;;. 0 . 0 0 Water Tower Fee # I $
Mechanical Permit Fee $ Builder's Deposit I $
Sewer & Water Permit Fee $ Other I $
Gas Fireplace Permit Fee $ TOTAL DUE IJI $ 1/3, "75
This Application Becomes Your Building Permit When Approved Paid //32.5 ~ I Recj,(pt No. SS7rO
~ ~ co?/OZo~cP' Date L 7...u, oJ" By!..r.
()
Building Official Date
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
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~
~
Date:
~/~:>~F
Building Permit #
Site Address .3b 5 Cj
PID: Zoning:
~ TJ26-J N,w.
Legal: L
B
Subdivision:
Existing Structure@r NO
/~---"
@V
CONFORMS TO ZONING
ORDINANCE
J
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
tJ()
ND
NO
NO
ND
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
2.z5.o8
(Please type or print and siltn at bottom)
ADDRESS
3aS q ~~~ LA-f llZ~' L N \ \i\/
FI (,. tf" hi I tvlA'1 IV
I. Blue File I PERMIT NO 0t
2. Gold City .00....00(;.
3. Yellow Applicant U
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) M~~"k. ~ Ut,<,,-':) St.\-Iv\..\..
(Address) ~ v S'\ P...~, b L-<- -\ l{/..() I L N v.-..:
(Phone) 01<;..2' -n"!, 8Sr c;
APPLICANT
(Name) ~ All\<. S L-~....L
(Address) 3>~5."'l\ ~v\-'(.;~\ '!U:rCL
(Address)
(Contact Person) )'Y\ Ai2....\l..... S v ldv L \..
nlJ\b JwV..
\'-.l ,w
APPLICANT SIGNATURE
ttSa\. ~~\t. '~9\li
DATE ~J n/"Ux
,
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Quantity
Rough-ins
Water Heater
Water Softener
Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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 $ \c, ()CI).1}.D
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Offiee Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
I Date
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
~0!19 &,BlAT 11IA11" N. ~
w
uEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ()~ ATE ISSUED z.. as: 08
CONTRACTOR ~~z.L, PHONE--"'L ttI-~
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ ,
We, ? J la/t\PJ
LJc... ;; 1--,
fit I
I ?Il~
We- ~~ I JI
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Ph)
I
t
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electri.cal 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.
I ,
1~/&j
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850