HomeMy WebLinkAboutBuilding Permit 07-0739 DATE TIME
CITY OF PRIOR LAKE `' /
INSPECTION NOTICE SCHEDULED
ADDRESS ���p S �N.t�t WO �T'
OWNER CONTR.
PHONE NO. PERMiT NO. �^ �,��
O FOOTING 0 PLUMBING RI ❑ EX/GRAD/FItLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
0 FINAL ❑ PLUMBING FINAL C] GASLiNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
.� , �
_ O� -C.��l.�t.J,�
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACT N AND PROCEED
O CORRECT O CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 7- FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
rN.snon
oF rx� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � 7 U �
�' � AND UTILITY CONNECTION PERMIT
U �r
M�NNESD�P 1 Whire Fde
? Pmk ��� PERMIT NO. �? U��
3 Yellow Apphcam
(Please e or rint and si at bottom)
.�,BS � ZONING (office use)
t ��l ro ��rw�� �ra,,� �. �
LEGAL DESCRIPTION (ofifice use only)
LOT B OCK ADDITION �P ��� PID Z,� 35r3 �Z d
OWNER
(Name) (Phone)
(Address) �.�j �'-""��
BUII.,DER {�ncu— ���5� � � ��-
Q� . . , , �`°$��t� ���.., �� �
( _, 1'!Tame) �.��C (Phone)
�� t�-(, 'eJ+�tn✓o�� '�ra
TYPE O� WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding [�}L,ower Level Fimsh ❑ Fireplace
❑Addit�on ❑Alteranon ❑Ut�l�ty Connecnon � �yy� r
CODE: �I.R.C. ❑I.B.C. ❑ Misc.
Type of Consmiction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALLTE $
Division: 2 3 4 5 (excluding land)
I hereby certify that I have hirmshed mformat�on on th�s appLcanon which is ro the best of my knowledge tn�e and correct I also cerhfy that I am the owner or authonzcd agcnt for the
above-menuoned propeiTy and that all consauction will conform to aIl local laws and will proceed m accordance with submuted plans I am aware that the buildmg
ufficial can revoke this peimrt fo ui rm , I her ree that the c�ry offic 1 or a designee may enter upon the property to perform necded mspecuons
X � O
Contractor's L�cense No ,.. �
� ., �
Permit Valuation !�. � � U e Q b Park Support Fee # $
Permit Fee $ Z� SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1", $
State Surcharge $ Z � � V Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �.O , U Q Water Tower Fee # $
Mecharucal Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ ,,�.._,_ TOTAL DUE $ �Z � Z�
This Application Becomes Your Building Permit When Approved Paid i t No.
����,� , `�� Date �_ �U B •
c
��u► 0
Buddma Ufticial Da
This is to certify that the request m the above appl�cation and accompanymg documents is m accordance with the City Zonmg Ordmance and may proceed as requested. Th�s ducument
when signed by the Ciry Planner constrtutcs a temporary Certificate of Zomng comphance and allows construchon to commence Befure uccupancy, a Ccruficate 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
4646 Dakota Street Prior Lake, MN 55372
t'�
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
^ �� (
BY: Date: �1 �► d 7
Building Permit # PID: Zoning:
Site Address � � t 7�g j ��� � I�7�,, r!1
..i �.iG��•�'
Legal: L B Subdivision:
Existing Structure;C.�.�' NO
CONFORMS TO ZONING YE NO
ORDINANCE
, �s No
Is this an expansion of the existing footprint or Refer to Planning
building height? w t
�v a
Is the property located within the flood plain? Refer to Planning
O
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? O
Is the proposed use of the fmished space or Refer to Planning
alteration for anything other than a normal single � f�
famil home office, ou home, da care, etc. ? �"
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMTT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
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P R I O R LA K E� BUILDRNG AND INSPECTION
IN PE
TI N
RE R
D
SITE ADDRESS i�7� ����'/��7� u� i��� C.�
NATURE OF WORK �vw� ��v�Z
USE OF BUILDING �' ,�- �
PERMIT NO. d�7. U7.39 ATE (SSUED 8- � d 7
CONTRACTOR /'�7 �� PHONE 9�- -�3 a�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTlONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CON E UNTIL ABOVE HAS BEEN SIGNED
R4UGH - INS
FRAMINC � g � �
INSULATION (�
ELECTRICAL
PLUMBING
HEATING if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINAL- S
BUILDING
EL�CTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricai service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabi�et is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850