HomeMy WebLinkAboutBuilding Permit 04-0054 OATE �ME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / 2p f
ADDRESS �
OWNER CONTR.
PHONE NO. PERMIT NO. 7" ���
❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
O FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAI
�.FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST
�O SITE INSPECTION ❑ MECH FINAL O
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACT ON AND PROCEED
❑ CORRECT OR , ALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr:
CAL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETY!
ursnort
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � . �— .
ADDRESS 313�( 7 `WaO�o�/ �
�
OWNER CONTR.
PHONE NO. PERMIT NO. � I - D G� �
❑ FOOTING O PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
�FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP 0 FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL 0
COMMENTS: L �- � �
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2 � �L ,��,. �Pd G� �t- Se��.�, I�e.�.; �. �'•Jl�. ��
3 . .ikg�.CQ. �'� b(�.��`�, �; � ��k.4.f
%� RK SATISFACTORY, PROCEED
CORRECT TION AND PROCEED
❑ CORR T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector OwnedContr.
CAL 44 - 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
nvanor,
oF ; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�;; �- ` ��� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z � t; � l�
v-" � AND UTILITY CONNECTION PERMIT
M �Nxeso� P
, Wn,te File pERMIT NO.
2 Pmk City O�i oo �
3 Yellow Apphcant /
Please e or rint and si at bottom
ADDRESS ZONING (ott use)
�/ � � L U � /Z/Sj�
LEGAL DESCRIPTION (ofPice use only)
LOT BLOCK ADDITION PID .3 7/ 2 J. �
OWNER
(Name) DD lt (Phbne) �.5�- -a�6 -- ��y��
(Address)
BUILDER
(Name) (Phone)
(Contact Name) (Phone)
(Address)
TYP� OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding
�ower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection
❑ Misc. 3 �' PROJEC'T COST/VALUE (excluding land) S
I hereby certify that I have furnished information on this application which is to the best of my lmowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construcrion will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am awaze that the buil ' g officiai can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform neede ections.
X � • S O
- Signature Contractor's License No. ate
Permit Valuarion 3 � � O 0 Q Park Support Fee # � $
Permit Fee $ �" SAC # $
Plan Check Fee $ ----+ Water Meter Size 5/8"; 1"; $
State Surcharge $ , so Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Perxnit Fee $ �� Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other C m ��u�.L, $ /. � Q
Gas Fireplace Permit Fee _� $� � TOTAL DUE $
This Application Becomes Your Building Permit When Approved Paid ,?i ReCe� o.
Date , S• O B '
Building Official Date
T'his 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 City Planner constitutes a temporary Certificate of Zoning compliance and aUows constxuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372 '
{
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Residential Building Pe�mit Che��iist
Bas�ment Finish or Interior �ilteration to Sin�e Fa y Homes
!�
BY: /�G Date: � � � C'�
��
Bnildin; Permit � PID ZOIIIII
Site Address
L�ai: L, B Subdivision:
E�sfin; Strnctnr .� Y��E r YO
eo�o��i� �co zo�rG �s No
ORDl�TA�CE
yES YO
Is this an �ansioa of the e.zisdng foot�t or Rafc: to Planniag
bu�ldiag hci�'? �`
Is the praperty locau3 wit�in the flood piain? I Reie: to Planaiag I �,
Does tE�e alte:�uon mc:ude aay additional �tc�ens? I Reie: to Plaaam� I �.
Does the proposeri alte�rion iaciude any outsde Refe: to Plaaniag
eaBanc� othe: thaa patio doors? �
Is t3�e propos�3 use oi the fmisae� s or R�ie: to Plaaaia�
altc:3rion for anychin; othe: than a aormal s:a;Ie
faraiiv'�ao�e (o�c�. �ou� ho�e. �y csre, e:c.)? �
TI�IS Cr�IECKLIST l'IUST BE COtI'IPL�TED :1:YD I`fCLUDED IPf T'r3E BL�ILDI`+G PERtitIT FILE TO
l�(.�I`�T �IN �, RE C 0 RD 0 F THE :t�ti'IEti�'.
.
,
. �
. .
� R I � L�A KE BUP �RNG AND INSPECTION
IN PE TI N RE RD
SITE ADDRESS ���� `S� C'O�E O%.
NATURE OF WORK LOI�t/� !�
USE OF BUILDING /'G%�� �9'/l�
PERMIT NO. D9�: Or�.S�- DATE ISSUED Z, �- �
CONTRACTOR ���h�l�� PHONE
NOTE: THIS 1S NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
�
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
� GAS LINE AIR TEST
l 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 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