HomeMy WebLinkAboutBuilding Permit 04-1178 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � / ��
ADDRESS � � 2, 1,3 �'[�Q IQ � �j� _
OWNER CONTR.
PHONE NO. PERMIT NO. �� ( � 7�
❑ FOOTING O PLUMBING RI ❑ EXIGRADIFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING 0 WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL � GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: LL �;�y� � �
� �� ��
P�, I..� �
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ON AND PROCEED
❑ CORRE W , CALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr.
CA 44 0 FOR 7HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
nvsNOr�
oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� /9, 0l�.
AND UTILITY CONNECTION PERMIT
U �
�
M��'NeSO�P I Whice Fde
2 Pmk ��� PERMIT NO. �¢ ��-7 P
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDRESS ZONING (off'ice use)
/4- Z 73 GrGUE�/� �'�'�/ L �, /
LEGAL DESCRIPTION (oflf'ice use only) ,
LOT �� BLOCK Z- ADDITION �i��11 /�/!�L- '�'� PID 2�'. 3 G Z• 02G . D �'
OWNER �
(Name) � � /52�1'l. (Phone) ° 1S� -.2.33 '����
(Address) '
I
BUII,DER I
(Company Name) (Phone) �I
(Contact Name) (Phone) '
(Address) I
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Urility Connection ❑ Misc. ,3 ,C/l7.f,
CODE: .R.C. ❑I.B.C. PROJECT COST/VALUE $ '
Type of onsdtuction: I II III N V A B (excluding land)
Occupan Group: A B E F H I M R S U �
Division: 1 2 3 4 5
I hc�reby certify that I have fiimished mformahon on th�s application which u to the best of my knowledge true and cotrect. I also certify that I am the owner or authonzed agent for the �
above- tioned property and at all consmiaion will conform to all exishng state and local laws and wIll proceed m accordance with subm�tted plans. I am awaze that the buildmg
official revoke this per t r �ust cause F hermore, I hereby agree that the ciry official or a des�gnee may enter upon the property to perform needed i specLo s
X • + �
Signature Contractor's License No. Date ,
Permit Valuation �? � b O O, 0 Park Support Fee # $ �
Permit Fee $ -7 . 7�(�' SAC # $ I
Plan Check Fee $ ,_.—_ Water Meter Size 5/8"; 1"; $ '
State Surcharge $ �.stj Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fe G �� $ ��. 0 p Water Tower Fee # $ '
Mechanical Permit ee , $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $ ��
Gas Fireplace Permit Fee $ TOTAL DLTE $�� �� z j" I
This Application Becomes Your Building Perntit When Approved Paid • zJ� Recei o.
' ���"c"� - — Date . D�- B I
� g�
Bwidm � Oftici�l Date
I
This �s to certify that the request m the above appl�cat�on and accompanymg documents �s m accordance with the C�ry Zoning Ordinance and may proceed as requcsted Th�s document i
when signed by the City Planner conshtutcs a temporary Certificate of Zonmg compl�ance and allows construchon to commence Before occupancy, a Certificatr of Occupancy must be
icsued �
Planning D'uectar Date Special Condidons, if any ,
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372 I
I
s �
Residential Building Pe�mit Che�kiist
Basement Finish or Interior Alteration to Single Family Homes
.
� ~ ��/ G/
BY: � ��, Date: , ��
Building Permit T PID: ZaIIing:
Site Address , � 7 � � ' n � _ ,, �
�cJ/ �a-v� � �
Legal: L �' B � Subdivision:��� ��(�J �
Egisting Structnr�or NO '
CO�O�tti1S TO Zfl�iV'G YES NO ,
ORDINA�tCE 'I
��
�
YES `i4 �
Is this an e.�ansion of the e;cisdn; footgrint or Refer to Planning ,
biulding heigi�t? � Q I
Is the property locatod wit�ia the flood plain? Refc: to Planning _ q III
�� Q
Does the alte:ation inciude any additional kitcheas? Refc: to Plaffiing
v �
Does the proposed alterazion inciude any outside Reie: to Planning �
entraacas othe: thaa patio doors? Q �
�
Is tize proposed use oi the finishe3 spacs or Rzfe: to Plannin;
alte:ation for anything other t�an a nor�nal singie �� '�
family home (offica, �ouo home, day csre, e:c.)? I
TI3IS CHECI�.IST l�iL'S'T BE COhIPLETED :��`iD �YCLUDED I�f THE BL'ILDNG PER�IIT FILE TO I �
tiia.�tT.�IN � RE C 0 RD 0 F THE REvIEw. �,
,
I
�
I
I
I
I
,
I
,
` • ', I
,
I I
L:1'T�I�iPL.4TE1? T TCIiC{.DOC I�
P R I O R LA K E BUILDR�IG AND INSPECTION
.
IN PE
TI N R
E RD
SITE ADDRESS /� Z 73 L3L(�E,C3/i2� �7Z-i9 /�
NATURE OF WORK LU !N L�1/�-
USE OF BUILDING i'v�"s' i� /z-
PERMIT NO. Q� - 1!7 f3 DATE ISSUED /� /9- a�
CONTRACTOR OL�O�V PHONE Z33.2�-/L
N.OTE: THIS IS 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
HEQTING (if re uired)
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 additlons
where no service cabinet is available, card shall be placed near main entrance.
- FOR ALL INSPECTIONS (952) 447-9850
C9 Luz Q F-
a J Z ~
J LL
~ U W
�`yyW WQ
U Uui
3 I Z
Wr' � mww am
a oIXWa u. Z a
o v u, c� t. z
❑ ❑ ❑ ❑ ❑ ❑
7' y' 4 ,j L) o
w y
O
W p \ aa, J W Z c6�
Z -' X Y ? .H- m c O_
O OOLLJ Z 0 a- 4
W h (7 O O (9 Q O ` U
U O W Z Z LL (` U c a c
N U a gTW � gLLH a Z o i
ro
9 UJ
co a2QW W Z W❑ ❑ ❑ ❑ .J O o zcy
• a 0: O = N
M a LL
Z Qic
o w
� z
X V Z O Z U u.
gQ O a O
o r
0 CO
Z OZ Z U V
Z O a Qq55
� ° 0 z Zo ? Jz wWou w It LU a w z Z oo � ia � � v O
_ o
0 LL0 o
UZ Q O a ❑ z ❑ ❑ U - ❑3 U
N
�+ N 00
N
* r -C! N d
U
Lnj
.CIS L a '(D N
O �
cd
xi
Cd Q. O 4=4
O � R+
v� 00 U
a? U
Cd
1
O 'd U N
>
hal ° O in
[L 00 O —a 1 U
C7\ rZ
ol
U cy� GIS �' oo
o+
00
� (Dw �
.—i `OH 4? coo
W
C\3
O p•,
Cn [� W [� NCO
(W Lo if) C44 by
cd C14
� as � • � . .,
t4 a o--i
r� 010
rCd 'd
s O^ d� 0 Con CISc�. LU"
%
2 §
� 00
_
\ � t
o /
OA)
c m
% 0
( . 2
U
% . §
3 . i
� • �
7
rA �
o �
% u /
3G /
O o \ 7 )
(4m=4 w
0 R k q ®
7 C /
f 2 \ 4 %
e
o @ 4'T w
Q & & u A
� 00
/ } w
/ 2 2 ® d
L;zl � / §
E ' Q )
e o § q & \
/ / /
i
lot
Sr
;It low
EIRE EXIT REQU"91, ED rel
l ila Cl FAR IA ®Tib UE
Be
de
5 . ' ;Sa ;=r ? Hs Q � � ING by
44 OVI'l
Al L d, ".. � 3� 'i t ex
t
ITg
ANN
--
j � `
"JlN%N
_ c
- fKT
cA
' c)2(Nd SON
- 8
f -
- Zh
y
FIRE
FIRE