HomeMy WebLinkAboutBuilding Permit 07-1104
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 5564
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
~;;AL
./0 SiTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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Owner/Contr:
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1/. Is-. (}'1
~. ~~e ~:~ I PERMIT NO. 07. /10 AI
3. Yellow Applicant ~
(Please ty)Je or print and sip at bottom)
ADDRESS
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LIV
Sc,
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LEGAL DESCRu- uON (office use only)
LOT
BLOCK
ADDmON
OWNER
(Name) =-.J1I'/ G Ie
(Address) S S s '1
Jei1. 5e 11\
7i~,,,i' I Ita.. I
ZONING (office use)
'5 S- J7/...
Pill
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V
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(phone) ti;}.. - d1~- 51'1'1
fyff'/ $"S 17 A
LN ~ /~
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BDavnK
(Company Name)
(Contact Name)
(Address)
(phone)
(phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
ORe-Siding .Lower Level Finish 0 Fireplace
~ 1&'1.5
CODE: OI.R.C. OI.B.C.
Type of C , ." ..',. .lction:
Occupancy Group: A B
Division:
o Misc:
ill IV V
HIM
234
A B
R S U
5
PROJECT COST/VALUE S
(excluding land)
yt'1' ~
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
aI-v. _ mentioned ~'v~-"J' 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 upon the property to t'_.;vuu needed inspections. :""""1
X "'- -, ~- - ~ -- lJ/IS/U/
(Signature) Contractor's License No. (Date ')
~ ""-..
$
$
$
$
$
$
$
$
I
E
n
F
1
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
2/ 0 CO. 0 01
(.. Z. 2.. 51
I
Water Meter
Size 5/8"; I";
Park Support Fee
SAC
$
$
$
$
$
$
$
$
I. 0 ()
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Penalty
40,00
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application D .. ....es Your Building Permit When Approved
I Paid
I Date
103.zS-
J( r r. 0 7
~~
- Building Official
1//" Sh 7
I Date
#
#
#
#
. $1 0 3. 2
1/
Refipt No. Sro] 4-
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This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the Oty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~~
Date: 1/ /,5/a?
Building Permit #
Site Address b65L(
Legal: L B
PID:
T~
Zoning:
-f
'-"v,~
Subdivision:
Existing Structur~ ~or NO
CONFORMS TO ZONING
ORDINANCE
~YE!Y
NO
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, grOUlJ home, day care, etc.)?
YES NO j
Refer to Planning
}-JO
Refer to Planning rJO
Refer to Planning ,-JtJ
Refer to Planning
tJO
Refer to Planning
tJ~
I
Is this an expansion of the existing footprint or
building height?
Is the property located within the flood plain?
Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAI\E
INSPECTION RECORD
SITE ADDRESS 6' '554- 7JYJJLHBIt~~
NATURE OF WORK r;<"",~ >~ (MRL!If:t>"":J
USE OF BUH_DINGL _ ___
PERMIT NO. ~.'.' DA E ISSUEDl""$. D7
CONTRACTOR - ~reN PHOf E_~' Z....%18-" 5144.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSJECTIONS 8ELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEP/\RTMEN'l)f
BUILDING ANf IN SPECTION
~
INSPECTOR
DATE
r-
II) I I
PLACE NO CONCRETE UNTIL. ABOVE HAS S'-:EN SIGNED
ROUGti - INS
(--
FRAMING
INSULATION
ELECTRICAL
; PLUMBING
I HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
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UNTIL ABOVE
NOTICE
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OCCUpy
HAS BEEN SIGNED
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