HomeMy WebLinkAboutBuilding Permit 09-0130 DATE TIME
CITY OF PRIOR LAKE ,l
INSPECTION NOTICE SCHEDULED I U
ADDRESS 1 � ( � �� � r �I
OWNER CONTR.
PHONE NO. PERMIT NO. Q`���
O FOOTING � PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATtON O MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP 0 FIREPLACE RI
INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: OwnedContr:
LL -9 0 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO QUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
lNSNOTI
o � PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ¢ Z✓ �C�
�' ��''_ ''�` � AND UTILITY CONNECTION PERMIT /
.,
v>z - �
M��'NESD�P 2 I'�ok �;� PERMIT NO. �4 Q/3 ��
3 Yellow Applicant � �
Please e or rint and si at bottom)
,�D}�+$$ ZONING (ottice use)
I � ^ T S ' �, `
J� W c�0 GL `�� ,v �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
���'��,�, � �,� � f ��sr C� s� - �. _ ,� g�1 a � �.�8-zsya
(C 1'�,ame)
�tv� ��� � � (Phone) �'S� Z " ZCjc� � 3 6�t;�
} - � 1 �Co � _ ' ,�
.., , a :
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg �Lower Level Finish �replace
❑Addition ❑Alteration ❑Utility Connecnon
CODE: ❑I,R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III N V A B pROJECT COST/VALLJE $ 6 Z- � v0
Occupancy Group: A B E F H I M R S U �
(excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 have himished mformat�on on this appLcanon wh�ch is to the best of my knowledge true and correct I also cerhfy that I am the owner or authonzed agent for the
above-mentioned prope�ty and that all consa�uction will conform to all exutmg state and local laws and wtll proceed m accordance with submitred plans. I am awaze that che buiiding
offic�al evoke this permrt for �ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed i specaons
X _�s��� ,�. � O�o i 1 � S� t/ Z o�
-�AUe Conuactor's License No. '------. : • +, • :�.� "`
Permit Valuation ¢ p� d� d p Park Support Fee # $
Permit Fee $ , ZS' SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1", $
State Surcharge $ Z y O � Pressure Reducer $ �
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �U� �/v Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ �� TOTAL DUE $ s
This Applicari mes Your Building Pernut When Approved Paid R ei t NO. L�
Date ,L,,,d I
�,z,o
i dm�� OtTicial D�t
Thu is t rtify that the request m the above appluauon and accompanymg documents ts m accordance wrth the City Zonmg Ordmance and may proceed as requested. This document
when s� ed by the Ciry Planner constIIutes a temporary Certificate of Zonmg compliance and altows constructwn to commence Before occupancy, a Certificah uf Occupancy must be
�.ssued
Planning Director Date Special CondiHons, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Sueet Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
gy: Date: �� 2- ��
Buildi Permit # Q 1�- U�- PID: Zoning:
Site Address �� Z p � �i�/ 0 G � D �/ ► � '7kil- _
Legal: L B Subdivision:
Existing Struc e: YES NO
CONFORMS TO ZONING YES NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? x
Is the property located within the flood plain? Refer to Planning x
Does the alteration include any additional lcitchens? Refer to Planning
Dces the proposed alteration include any outside Refer to Planning
entrances other than patio doors? �
Is the proposed use of the fmished 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:\TEMPLATE�ALTCHCK.DOC
04/16/2009 15:00 9524926006 GLOWING HEARTH:/HIGH PAGE 01/01
,� ��t
C�TY Ok� PRIOR LAN:� D�tc Rec'd
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� T EGAL AESCRIP�ON (r�ffice usc nnlyl
f..OT BGOCK ADD1."1.'i.QN P!D _ _ „�_
I.... ------- -......_ . .. . .. �..
OwN£R j� . _
(NZrne) , j �..�G.,. �Phc�ne) ..... .._
(/�ddress) Q V " � br�� _� �� � �
APP�.�CAI�TT ,..�„ ` -- _..�.---� .�_.... � �` ,,.. w -••-����
�^�, � h� ,1� � ` %d�
(Name) � wu. ��_ �. (Phone) -
�ddress ��� �� ����
� ) " ` (City) (Zip C�dc) -
(nddres: )
(Cnncacc Person) .� �.. (Phc�ne) � _...:���r�
� -
, � PFL1CnN T S IGNA.TURE . �� TF — ���° — _
PP�,XCA 1'LEASE CUIV�PL E7'f+� BELOW _
� Y ❑NF.W ONSTRUCTtON [� RF..I'LAC:EMFNT AL'('L'•'K�ITIONS
FU�NACE MAKF ANn MOnEL _,,. F���� _....._.__�._—__.: ...__._
I'=L.l1L"-. SIZE ILF.TURN C7f'ENINCiS ,..., , _ _ INPUT „ ,_� ()U'TPUT !__.._ _
'x'S�'E OF SYSTEM ^ ��A,'CT.�iG OR POVVE� �'LANT ������F, NOTE: nir Conditiuner
❑w�►rm �ir Plams ❑������� Unita antl �Ircplacec CHnnot F,ncrus�cN
��;� r] Flo� �suer intn Requircd Side Y:�rcl Sctbnck�.
❑ Mcchnnicnl ❑ R�diation Nireplaces with Box Additions or
[�Air C'anditionink ❑ SpcciAl pcv�cc� _ _, -• �a��tilevers tu the Outeide of I3uildinfis
f]Vcni, Sy�t�m [I Othcr I��viccs ,,,^ ,
"'"�—' Require a $uilding Permit,
f'I Rl:l�f ACF.. M AKE AND MOnF �'',). �l�...�•� V .<- :;_ —.�`^_� �� • ._.._.--._�._._.. ..__.._.._...•---. .. _._. ._....._. ..
��C SGH�DUL� ,�..�.
Indu��ri�l, Ciimmercial & Multi-Family 1"/� oPjob cos� Residcnti��►, Cas Fircpluc� $ `�
• 549.50 minimum
I�Cvidciuit�l I•Ic.i►inc� d'c A/C (Ncw Constructinn) 5149.50 Rccident't:+l, Additions � A14rAtiqnS �ay.3n
kc,id�n�ial, I•leaiin� Dnly (New C 'onsl.ruclion) �b4.50 Residenlial, /�1C Unly �ay�5� ti �
� ��'f �O
Fstimeted Cr�sl ;6 _.. __ -F3uild'Ing Permil #1 ....,.. .._ � ��
•A�'lNG Pi.:RMIT H�EE $ •� . � � C��
Hf., ,-� �, � (�
S�i'�Ti: SUFZC.HARGE $_., _ •5� C � � 0
TOTAL PI:RMl7' E�EE ���� `���/� [[��
o!'li�c Usc Onl ) � � ���
( Y � ----
This Applic :�tion Bec�mes Your Bullding Permit When Approved ' aid �=rnv�1T .�" Reccipl
� r r�;,�e� �� ey.
Uuildini C?I7itfol q��tc , , ,.— ._..�.—
zd h��i�• n�>[iCe for all inipectinns (8S2) IA7-9RSQ. fr�x (952) 447- Z4S
46d6 A�k�nn Strcel S.E., F'riqr la�ke, Minncsnln S."+;7x
� f
P R I O R LA K E B!JP DRNG A D�NSPECTION
IN PE TI N RE RD
SITE ADDRESS ��SZOI W 001� �v�C_
NATURE OF WORK LOL✓CYZ- L�l/�Z
USE OF BUILDING f� �"
PERMIT NO. O c/ D l3 U DATE ISSUED �f • 2- d
CONTRACTOR ..�� ��� ��:tZS . PHONE 7S$ . ZS 9- Z
NOTE: 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 �'� � p�
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) WL
FIREPLACE �
GAS LINE AIR TEST
� 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