HomeMy WebLinkAboutBuilding Permit 09-0047
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS -' &1.fJ3 lJ.l~
OWNER CONTR.
PHONE NO. PERMIT NO. 9-47
. .
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
oZLFINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
dl (' (
(~\, .0:;" f1/LL --\- / 'Y?
-
jJ WORK SATISFACTORY, PROCEED
o CORR~~~N AND PROCEED
o CORRI::1\. ~1'"'" CALL FOR REINSPECTION BEFORE COVERING
Inspector: (I) Owner/Contr:
CALJ i4~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
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 61 - 4- 7
(Please type or print and si~n at bottom)
ADDRESS
I ~ 1 03
Wif\Jsur- ~e.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
J'<A W\es
~ss~s
w,- ~J Sur
(Phone) C1S2- 2-L~- ({bit,
(Address)
LO\, f\,-'
t~"703>
~C~~~~:Name) tY\d'fM~S~JGr~J.rVJ.,M (Phone) (, I~- ~f).j- ~tjoj
(Contact Name) S ~I ,:, '..~ !) ~:^ STE:.\lt: Gf<ecN'3u'!>t+ (Phone) 1,pt;L- '1er {- 2C[ "'I :x
(Addres~~Go5 2ARrHliAf Ave .S~. ~; ~I"'{ I~fi!- #A' {;~/~
/ftINN6A-ftJo'-/s t /YI N 5:s-4 / b ~t;z -:122 -&/'0
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition )Sltlteration o Utility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE $
{excluding land}
17/ t)aQ
I hereby ccrtifY that I have hlrnished formation on this applicatIOn which IS to the bcst of my knowledge true and correct. I also ccrtlfY that I am thc owncr or authorIzcd agcnt for thc
above.mcntlOned pro and th al constructi will conform to all existIng state and local laws and will proceed in accordance wilh submitted plans I am awarc that the buildmg
official can revoke t it for 1st ause F r rmore. I hereby agree that the my otftcial or a deSIgnee may enter upon the propelty to perform needed InSpectlOns
&08.:2- ~ - JO-Cf1
.
x
Signature
Contractor's License No.
Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee FO /39 YJLf./I'1j36f)...
I Mechanical Permit Fee · $
I Sewer & Water Permit Fee $
l Gas Fireplace Permit Fee .$
-71 .//
This AP.Pl~;.19fi.~. econ:. e . ur/lL,. ~ ~eennit ~en At... 7ed
;<~ ./~ U!tt/ot
I l3ulldlllg Oftlclal .--/ Da(c' i
1000. --
34.75
Park Support Fee
SAC
#
Water Meter
Size 5/8"; I";
$
$
$
$
$
I $
I $
I $
1.$ 65.Z 5"
~A L-L..G:i) '-/" /t:7CJ
ReceiPt No,' 5> 7 Z .~{~
By t20f-t.
#
#
.56
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
Builder's Deposit
Other
50, -
TOTAL DUE
Paid
Date
.~\ L'--~ .-, _",,,;
V;"';> . .t.-_7
-z../I ( /OCI
ThIS IS to certIfY that the Ie lest m the above apphGatlOn and accompanymg documents Ir accOldance WIth the CIty Zonmg Ordmance and may ploceed as lequestcd ThIS document
when "gnedzy.iJC ty ~ nnel ' a tempmary CCltlticate of Zonrng c"l'm hance and allows constluclIon to commence Befme occupancy, a Celtlticate of Occupancy must be
lSSlIt.'d :
_ _ 2-,11 tJcj
, , Planning Director . Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
,tse1...7 Finish or Interior Alteration to 7.i g.I.(amilY Homes
BY t.;J r+ Date: 2 / II ! {) cr
Building Permit # '01-- -1 7 PID: Zoning:
Site Address /0 70S L{J/,V() :d {p4"'\/~e
Legal: L B
Existing Structure: ~r NO
Subdivision:
CONFORMS TO ZONING
ORDINANCE
::,
,YE~
( /
-- ---
NO
,
Is this an expansion of the existing footprint or
building height?
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.)?
YES NO
Refer to Planning
)4
Refer to Planning ?'-
Refer to Planning ),
Refer to Planning
'I
Refer to Planning
Is the property located within the flood plain?
Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
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
SITE ADDRESS /~1()3 (,:U(I\;!)~f~ LA-A/e
NATURE OF WORK IlllT A?'I ~ ;::=.,LJ.
USE OF BUILDING Rf:S 4//2, ; j
PERMIT NO. Of-0047 DATE ISSUED 7-/1//07
CONTRACTOR l!JorVVI,vG>"::>/Ac (/~N.sr. PHONE. '15z ~7zZ'" 8/~)o
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
III) I I
PLACE NO CONCRETE UNTIL 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
tJ<.... f~ Y..'/dt
I
--&
We, f//j 0;>/07
,.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
PI)
3Jzo/~
I
I
V
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