HomeMy WebLinkAboutBuilding Permit 08-0995 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTlCE SCHEDULED I Z� !D
ADDRESS �y�(2, �M �cnner� ��t/��
OWNER CONTR.
PHONE NO. PERMIT NO. p �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
❑ FRAMlNG � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS;
� WORK SATISFACTORY, PROCEED
C] CORRECT ACTION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
I nspector: Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH h SAFETY!
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oF rttt '~CITY OI+� PRIOR LAKE BUILDING PERNIIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
v �,
���'NES��P � wnae File PERMIT NO . �,, c:.� �+"'
2 Pmk Cny
3 Yellow App6nnt J �_
PICBSt OL � Y ailQ � �L 110KOD1
�( ADDRESS ZONING (ott'ice use)
f �r�� ,,,,. f � ��
f+' / �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
` (Na R t�-�-�"� �� � � �..- L3 `--�� (Phone) „ � � � " �� V7 ' � � f �
(Address) i�'t'"t�� � V °�-� <. �� r��� �1� ""
BIJILDER
(Company Name) (Phone)
(Contact Name� (Phone)
(Address)
TYPE OF'WORK ❑ New Construction �Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish ❑ Fireplace
❑Addition ❑Aiterarion ❑Urility Connection
CODE: R.C. ❑I.B.C. ❑ Misc.
Type of • 'on: I II III N V A B pROJECT COST/VALUE S
Occupanty Group: A B E F H I M R S U
Division: � 1 2 3 4 5 (excluding land)
I hereby certify that I ha mished mfortnation on this application which u to the best of my lrnowledge we and correct. I aiso certdy that I am the own�v or authonzcd agent for the
above-menhone �d that all construction will conform to all ex�sUng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
� ufficial c o r�ust cause Furthermare, I hereby agree that the c�ry officiai or a designee may rnter upon the property to perform needed u�spechons.
X
ature Contractor's License No. Date
Permit Valuation """'�'�G��^ .. Park Support Fee # $
Permit Fee $ -�� :--! �...� SAC # _ __ $
Plan Check Fee $ � � Water Meter ize 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ '� � Water Tower Fee # $
Mechanical Permit Fee $ Builder'§ Deposit S
Sewer & Water Permit Fee $ Other S
Gas Fireplace Permit Fee $ TOTAL DiJE $ �� f�, �� t�
'rhis s our Bniiding Perntit W6rn A vea Paid Recei t N
` Date � r,' B
""" t �' � �
Buildi CN i ----� t ate
Thu u to certify that thc request m the above applicahon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. This documcnt
when signed by the Ciry Planner conshtutcs a temporary Certi6cate of Zoning compGance and allows construction to commence. Before occupancy, a Crrtificate of Occupancy must be
issued
Planning Director Date Speciai Condidons, if
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Su�eet Prior Lake, MN 55372
Residential Building Permit Checklist
aseme Finish or Interior Alteration to Sin le Family Homes
�
By; Date: f L S O�
Building Permit # PID: Zoning:
Site Address
Legal: L B Subdivision:
Existing Structure: S NO
CONFORMS TO ZONING NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? `�
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 Refer to Planning
entrances other than patio doors? �
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ✓
famil home office, ou home, da care, etc. ?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEWLTCHCK.DOC
K E D�QARTMENT OF
PR
I R
LA BUILDING AND fNSPECTION
E TItJN
RECORD
INS
P C
SITE ADDRESS / 9�/Z ��'��� ��'
NATURE OF WORK L� �-���- r��'"isw
USE OF BUILDING �-� � '�
PERMIT NO. D�' �,._ DATE tSSUED �z s o�
CONTRACTOR ' � PHONE �� -38�- � 7�?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I�ISPECTOR DATE
(Prior to Backfill)
� PLA �� NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS �
FRAMING �? G � �l �9
INSULATION w G
ELECTRICAL
PLUMBING
HEATING if required) wC�
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
B ILDING z �
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE AS B�EN 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 piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850