HomeMy WebLinkAboutBuilding Permit 07-0119 DATE TIME
CITY OF PRfOR LAKE
INSPECTION NOTICE SCHEDULED � I �I
ADDRESS ���pl �Q�C'��?� ���`�
OWNER CONTR.
PHONE NO. PERMIT NO. � O7 � C7I � g
❑ FOOTING ❑ PLUMBING RI ❑ FJUGRADIFILLING
❑ FOUNDATION O MECH RI 0 COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS:
4 �- � �
I Vti �
,
�e �,
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CAI.L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�vor�
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3, I3 d7
�� �
.. � AND UTTLITY CONNECTION PERMIT
U �r
M��'NES��P I Wh�te Fde pERMIT NO O •/\ I
2 Pmk Ciry �
3 Yellow Apphcan[
Please e or rint and si at bottom)
ADDRESS ZONING (ofeice use)
�y� � v� ,�� � s. ,�.
LEGAL DESCRIl'TION (office use only)
LOT BLOCK ADDITION PID
OWNER c3
(Name) l���l � 4Q�T54GIL (Phone) /3 Z" y��U "l0 2(�
(Address)
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re•Siding �Lower Level Fimsh ❑ Fireplace
❑Adduion ❑Alteration ❑Util�ty Connection ,3 /�.�,$ �
CODE:� I.R.C. ❑I.B.C. ❑ M�sc.
Type of Construction: I II III IV V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
[ hereby cernfy that I have hirmshed mforraat�on on th�s appLcanon which is to the best of my knowledge true and correct I also cerufy that I am the owner or authonzed agent for the
above-menhoned property and that all consuucaon will conform to all existmg state and local laws and w�ll proceed m accordance w�th submitted plans [ am aware that the buildmg
offiaal can revoke thu prr it or �ust cause Furth , I y agree that the ciry official or a designee may enter upon the property to perform necded inspechons
X 3�/ 3�G �
S re Contractor's License No. Date
Perm' Valuation 3 O Q Q Q D Park Support Fee # $
Permit Fee $ -� �.� 7�t' SAC # $
Plan Check Fee $ _� Water Meter Size 5/8"; 1"; $
State Surcharge $ �� s'� Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ ¢Q , 0 O Water Tower Pee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ ----+ TOTAL DLTE $ / . Z
This Application Becomes Your Building Perntit When Approved Paid ,�i,s ReCel t NO.
Date B
� 5��� 3 3 07
Buildm�� Utticial Date
This �s to certify that the requcst m the above appLcauon and accompanymg documents �s m accordance wrth the Gry Zonmg Ordmance and may proceed as requcsted Th�s dixument
when signed by the Gty Planner consntutcs a remporary Cernficate of Zonmg compLance and allows construcnon ro commence Before occupancy, a Certificate of Occupancy must be
usued
l
Planning Director Date Special Condi6ons, if any
24 hour noticc for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
.
By: , `,�'�"""'' Date: � �� � / �
r
Building Permit # PID: Zoning:
Site Address / � �� � ���� /,--, � �� �
/r� /
(
Legal: L B Subdivision:
Existing Structure:�r NO
CONFORMS TO ZONING ES NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? A ��
�..
Is the property located within the flood plain? Refer to Planning Na
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 t ,�
famil home office, ou home, da care, etc. ? ��
TffiS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
.
L:\TEMPLATE�AL,TCHCK.DOC
�F YR �O� Date Rec'd
U D� CITY OF PRIOR LAKE PLUMBING PERMIT � r 3 Q
' I7
, q
~ �NnresoS�' u—� � � "' j�l ( I
' B'°` F"` pERMIT NO.
s coia c�ry
3 Yelbw ApplicaM
lease e or ' t and si at bottom
ADDRESS ZONING co�'ux use>
� I T� � S.
LEGAL DESCRIPTION (oflFice use only)
LOT BLOCK ADDITION PID
OWNE� //
(Name) E /�9�Q_� vciL (Phone) �a'"'�- • y��/ • lU�
(Address)
APPLICANT
(Name) 54,...,,,r �,-s .40o u r (Phone)
(Address)
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATU DATE /3 Zos�
APPLICANT PLEAS� COMPLETE BELOW
Quantity Tyge of Fixture Quantity Type of Fizture
��� Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembty Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCIHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a$39.50 r�`�inimum Residendal, New One & Two-Family $99.50
Residential, Additions & Alterations 539.50
Estimated Cost $ Building Permit #
PLUMBING PERMI�T FEE $ �cJ�
STATE SURCHARC$E $ .50 �. • ' � �
TOTAL PERMIT �EE $ �
(Ottice Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
� `�Q,,c.� � �� .:3�0 � Date By
Building Officiai T D te
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.1�., Prior Lake, MN 55372-1714
P R I Q R LA E BUILDRNG AND INSPECTION
IN PE T
I N RE
�
RD
SITE ADDRESS I7�� f �'�/�,� C'Zd �T � S�.
NATURE OF WORK � �
USE OF BUILDING . �
PERMIT NO. " DATE ISSUED / �i
CONTRACTOR iVE PHONE �� ' '/�0 Zd
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE tNSPECTIONS B�LOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN�D
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING �
HEATING , if re uired �
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNEb
' FI ALS �
BUILDING
ELECTRICA�
PLUMBING
HEATING
DO NOT OCCUPY �fNTIL ABOVE HAS BEEN SIGNED
` NO,'TICE
This card must be posted near an electricajt service cabinet prior to rough-ih inspections �
• and maintained until all inspections have been approved. On buildings and aciditions
where no service cabinet is available, card s'hall be placed near m�in entrance.
�
� FOR ALL INSPECTMONS (952) 447-9850