HomeMy WebLinkAboutBuilding Permit 02-0201 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTtCE SCHEDULED � f(
ADDRESS ���. � O FI S�
OWNER CON7R.
PHONE NO. PERMIT NO. �•'— ZOI
❑ FOOTING O PLUMBING Ri ❑ EX/GRAD/FILLING
❑ FO�NDATION ❑ MECH RI O COMPLAINT
❑ FRAMING ❑ WATER HOOKUP [] FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE F1NAL
�FINAL O PLUMBING FiNAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
� WORK SATISFACTORY, PROCEEO
❑ CORRECT TION AND PROCEED
❑ CORRE W , CALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnerlContr:
CALL 447- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETY!
iNSnon
DATE �ME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED C
AODRESS ���, �d �`5�.�-- �j�(�,
OWNER CONTR.
PHONE NO. PERMIT NO. � V' �D�
❑ FOOTING �PLUMBING Rt V{,SU� ❑ EX/GRADIFILLING
� ❑ OUNDATION �� MECH RI O COMPLAINT
�RAMING � WATER HOOKUP ❑ FIREPLACE RI &�S'�i,�
,� INSULATION ❑ SEWER HOOKUP � FIREPLACE FINAI.
❑ FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE iNSPECTION ❑ MECH FINAL ❑
COMMENTS:
� ORK SATISFACTORY, PROCEED
1
❑ CORRE CTION AND PROCEED
❑ CORR CT CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnedContr.
CAIL T- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH k SAFETY!
rMSrvor�
DATE TIME
Cf7Y OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED J�7�� 7 __ '
r
ADDRESS f �+'��O � 5,�1�
OWNER CONTR.
PHONE NO. PERMIT NO. ��' Q�.� �
❑ FOOTING 0 PLUMBING Ri ❑ EXIGRADfFtLUNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP O FIREPLACE FINAL
� FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL O
COMMENTS: L � �,-v`,
. d
2 • �I,ec�-i �u.lZ. �� �.S �',,'� g ` r � c�r�
�� .
��1� � L�n�,la�� arou� -� c.. l.c����es
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
�CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CAL 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HE9LTH �c SAFETYI
uv�von
o� pR, ��P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �_ t�? . UZ
� � AND UTILITY CONNECTION PERMIT
���'N E S�
i wn�� Fu� PERMIT NO. �� _
2 Pink City
3 Yellow Applicant
Please or rint and si at bottom
ADDRESS ZONING (ot�'ice use)
/�Z � v �/.lf��- �} ��� /1/�. �. /
LEGAL DESCRIPTION (ofI'ice use only)
LOT SBLOCK ADDITION Z'�- ����• � • S�k£ Of��S pID �` �$ ¢� O/3"d
OWNER / ` � � / �
(Name) � h1.L�.� � • � � � �e� (Phone) ( ��7.� 7 �� �.��(� C
(Address) 1f �, �
� f iG� ..e 1M t� S� >��
BUILDER
(Name) sf� �� l�..5 � Lt� � � 1'� (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction .'. �Deck ❑Porch �Re-Roofing ❑Re-Siding
�ower Level Finish ❑ Fireplace �Addidon DAlteradon ❑Utility Connection
� M��, PROJECT COST/VALUE (excluding land) S
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correa. I also certi!'y that I am the owner or
authorized agent for the above-mentioned property and that all consmsction will conforn► to all exisring state and local laws and will proceed in accordance with
submiued plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agee that the city official or a designee may
enter up roperty t rm needed inspections.
X r I��Ll�u�t �� :��a�
Signature Contractor's License No. Date
Permit Valuarion .�� Pazk Support Fee # $
Permit Fee $ 2, SAC # a
Plan Check Fee $ Water Meter Size 5/8"; 1"; $ .
State Surcharge $ Z� 0 f Pressure Reducer $
Penalty $ ' Sewer/Water Connection Fee # 5
Plumbing Permit Fee S � ��d Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit E
Sewer & Water Permit Fee $ Other �(� �7�,� �, A $ ( � �d
Gas Fireplace Permit Fee $�k�� , TOTAL DUE a��� ��
This Applicadon Becomes Your Buiiding Permit When Approved Paid � Recei
3 g' � ,� Date � B
Building Official Date
T'his is to certify that the request in the above applicarion and accompanying documents is in accordance with the City Zoning Ordinance and may pcoceed as requested. This docurr�ent
when signed by the C�ty Planner wnstitutes a temporary Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Sp�cial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
� O F P R Ip�, �
U , m
White - Building
Canary - Engineering
The ( en�er ot �he i,�ke Country
Pink - Planning
BUILDINC PERMI� APPLICATION DEPARTMENT CHECKLIST
.
NAME OF APPLICANT .� ����l��. � /�f�J
APPLICATION RECEIVED .� '� �C��.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_ _ ,��Zl� �lS�l�� � V�l�v � /✓�
Accepted Accepted With Corrections
Denied
Reviewed By: Date:
Comments: .�i1I' �f� GfJGl��7'� L�1/� L.� �//1//�' �
,,��I//�' 0�
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
B . Date: � ` � ' � Z—
Building Permit # PID: ?� Ot3-Q Zoning: ,� J
Site Address ��Z� Q y'',(s'/��? � 1/� /l/E
Legal: L� B Subdivision: /✓ -f��� d��s
Existing Shvctur YE�NO
CONFORMS TO ZONING YES 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 ,/
v
Does the alteration include any additional lcitchens? Refer to Planning ,/
l/
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ` ..g _ �_
��Ci
Is the proposed use of the finished space or Refer to Planning �
alteration for anything other than a normal single
family home (office, graup home, day caze, etc.)?
THIS CHECKLIST MUST BE CONIPLETED AiYD INCLUDED TiY THE BUILDING PERI�IIT FILE TO
NIAINTAIN A RECORD OF THE REVIEW.
L:1T'EMPLATEW L'TCHCK.D 0 C
DEi�ARTMENT OF
PRI
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS zl
NATURE OF WORK
USE OF BUILDING SF
PERMIT NO. -OZ DATE ISSUED 3��-0
CONTRACTOR . PHONE YfG �-Zl�a
NOTE; THIS IS N�T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
piSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - 1NS
FRAMING � /S D
INSULATION w � �i/-� z� /e � �
ELECTRICAL
PLUMBING �'S t� � Z �.; �
HEATiNG if re uired 2 � - p q'
�ic�5 �•
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING ! �
ELECTRICAL
PLUMBiNG
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an slectr�al serVice cabinet prior to rough-in inspections
and maintained until all Inspectlons have been approved. On buildings and additions
where no service cabinet is avatlable, card shail be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspecttons �
FOR ALL INSPECTIONS (952) 447-9850 .