HomeMy WebLinkAboutBuilding Permit 09-0038
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I s2:?l e
~-~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
9t~SULATION
~INAL
o 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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w
TIME
t -- ~3~
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
){.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: 0\ Owner/Contr:
C/i.. .1 ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYl
I/'lS/'IOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ 51 n't
r
ADDRESS ,16-S~~ eJ.,~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q/- oo1~
o FOOTING
o FOUNDATION
XFRAMING
yJ-INSULA TION
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/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
0,
COMMENTS:
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_I /J/~
( '16se... '7 Y l{
^
t
-tt
( -
'-f/
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector j U - // Owner/Contr: ,
CALL ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYl
1/'IS/'IOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2-. $ . OJ
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()q. 005 M
=::S;""'n< i :?r'';; It'" d ~ \b:P.cl.
~/'."Y ~ ~ ,~3?Z-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition o Alteration OUtility ConnectIOn
..--.... r rI>_
t::trl t. ~~V\
/?7& vtAvI'c.J..JJe. tJ,,-- 8-ri 141;../
C~h'o/~ ~tt/. ,(Phone) 7('}-V9J"l!9Y7
r(~vY' ~, (lvvh/L-." ____ (Phone)
60/1' ~'V) ~/1- Ale 4/()uzj-v,'I/~ M.;t./ ~3e/
ORe-Siding ~ower Level Finish 0 Fireplace
I Ul.
(Phone) JpIZ ,.. 1 to CJ"11 ~ j
SS/?"..5
OWNER
(N ame)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
o Mise.
A
B
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
.. --
I hereby certity that I have fmnished mformatIon II this application which IS to the best of my knowledge true and correct. 1 also certlty that I am the owner or authonzed agent for the
above,mcntlOned property and t all Cllns "ucti wilVtonform to all existIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
:'''' "" ,,",I' ,w,m, "" "" Fo ,mo". I '='''"'''''''''' "" Offid~:;;;/ 8';/' P <h, p'",,'" " ",,'e<m"~ l;:;%' '1
Signature Contractor's License No, -Date
Permit Valuation L dl/ZJ , eIl.J I I Park Support Fee # $ I
Permit Fee $ 3~.7S\ I SAC # $
Plan Check Fee $ I I Water Meter Size 5/8"; 1"; $
State Surcharge $ -~() 1 I Pressure Reducer $
Penalty $ 1 I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I I Water Tower Fee # $
Mechanical Permit Fee $ 1 I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace ermit Fee $ l TOTAL DUE $.3~ 2-5
I I
Tfi ro=. Y=Buil'mgp_~ 13^t;' Paid ".".1 - "'tf I Receipt No, (; /271;' 1
Date ,7 -) ~ 'IBv, J
/ ,
I
BlllldllU! OItklal 'bate , , I
.-/
.
t at the request in the abllve applicatIon and accompanymgn~tump~t is in accordance with the City Zoning Ordinance and may proceed as requested, ThiS document
. : "'""'.'::" . "mp"'''' C,rt,""" O'i/ ~I ~'''I .u,," "'"'",,""" co ,"mm",,, Rd"" <<",,,",,. · Co,,""" ,,' O""p,"" m,,,' '"
rrector t I Datel Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Building Permit # O~. ()oJ fJ
Site Address
Legal: L
153~
B
IG-<:;--Z::; 0 It LJ /00
Subdivision:
CONFORMS TO ZONING
ORDINANCE
NO
Existing Structure: YES or NO
(
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
j
Does the alteration include any additional kitchens?
Refer to Planning
'f
7'
r
Is the property located within the flood plain?
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
'P
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 /534-6 R.EZJ 6rlCS~.
TYPE OF WORK bOWelL- ~R-- WIJ/'~ ~L{fi~ "
USE OF BUILDING 126.1" #//C-
PERMIT NO. 07_0058 DATE ISSUED 2.3~o9
,
BUILDER f'AJ/Uf/N ~ SO'uJ' , PHONE # 7~3 _ +C; 7. +94--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
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING / / A.lful-i'9" 1/ oL/ I II> fIz/d7' I
.
, FINAL
a
! J
I t{/t#/rlt
, , ,I
FOR ALL INSPECTIONS (952) 447-9850