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Home My WebLink AboutBuilding Permit 09-0076 pATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � / ADDRESS I 7� � 3 C�Q� tt� OWNER CONTR. PHONE NO. PERMfT NO. � ��_ ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION O MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER H001C1lP � fIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL FINAL ❑ PLUMBING FINAL O GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: � WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT K, CALL FOR REINSPECTION BEFORE COVERING Inspector: OwnedContr: CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADYANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFBTYl uvsnori o � Prtr CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd ,, ,, _� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3�/� U � °� ' � �� ' AND UTILITY CONNECTION PERMIT � U � ' C�j M��'NES��P � Wh��e Fde pERMIT NO. 2 �,�k ��Y D 9 0 0� �o 3 Yellow Applicant lease e or rint and si at bottom) DDRESS ZONING (o�f use� !�- �� 3 �EH ��►� s. E LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (NaWmTER � N'b� 1JhS E E �. D� nt , A• iJ �� UG G N2 (Phone) � 5 2 � 2� 6$� 6 (Address) 1� 7`13 Gl..�tzy 'r'�P� � L S E �''(ZI v 2 L�►�.� 55 3� 2 BUII.,DER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Finish ❑ Fireplace ❑Addition ❑Alterarion ❑Utility Connecnon 3 � CODE: ❑I.R.C. ❑I.B.C. ❑ Misc Type of Consmiction: I II III N 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 I hereby ce hat I have h�mished mformanon on this appLcahon which is to the best of my knowledge true and correct. I also cert�fy that I am the owner or authonzed agent for the abov -meq(io property and that all construchon will conform to all extshng state and local laws and will proceed m accordance with subm�tted plans [ am awaze that the buildmg off' al c e t permit for�ust cause Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform necded mspecnons � / l, v Signature Contractor's License No. Date Permit Valuation �� v p,, Park Support Fee # $ Permit Fee $ ? �"' SAC # $ Plan Check Fee $ �►—� Water Meter Size 5/8"; 1"; $ State Surcharge $ � � Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ � Water Tower Fee # $ . Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ e ,_,� TOTAL DIJE $ � i This Application Becomes Your Building Permit When Appzoved Paid . Z Rec ' t No. ?i Date ,, / - d B � Buildm�� Otticial Date This is to certify that the request m the above applicahon and accompanymg documents is in accordance w�th the Gty Zonmg Ordinance and may proceed as requcsted. Th�s document when s�gned by the Gty Planner constitutes a temporary Certificate of Zonmg compLance and allows construcuon ro commence Before uccupancy, a Ccrhficam of Occupancy must be issued Planning D'uector 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 Residential Building Permit Checklist Basemen� Finish or Interior Alteration to Single Family Homes gy Date: .3, �� Building Permit # Q 9,GU'(v PID: Zoning: Site Address / � � � 3 L � G �-�, C � �„ �l � �,/ Legal: L B Subdivision: Existing Structure: YE5 or NO CONFORMS TO ZONING YES NO ORDINANCE YES NO Is this an expansion of the existing footprint or Refer to Planning building height? '� Is the property located within the flood plain? Refer to Planning � Does the alteration include any additional kitchens? Refer to Planning r 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 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 � � pRI�� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT H �' � x � r� � 1. Blue File Z. Go�a �; PERMIT NO.O !� �.(f � 3. Yellow Apphcant ease e or ' t and si at bottom ADDRESS ZONING �o�ce �� 1 1 1 �1 c �c�ri� T�+� SE LEGAL DESCItIPTION (oflFce use only) LOT BLOCK ADDITION PID OWNER (Name) b�a '^ ►J A S��-L � nf h1 le- 1 Uc �� (Phone) �15 2• 2 2� S g 4-b (Address) 1 �� -�G►�R-y T{L/a � L S E P�► v� �nt,�� n� N 55 3� 2 APPLICANT (Name) d 1��` s i�v� � GrS F`�'vJ� (Phone) (Address) (Addxess) (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE Z � " � DATE �' � / � ° ��' � APPLICANT PLEASE COMPLETE BELOW uanti T e of Fixture uanti T e of Fizture Bath Tub with or without shower Rou h-ins Dishwasher Water Heater Floor Drain Water Softener Lavato Bathroom Sink Stand Pi e Washin Machine Laun Tra 1 or 2 com artment sink Sewa e E�ector Shower Stall Backflow Assembl Sinks Backflow Assembl Test Bar Sink Lawn S rinkler Water Closet Toilet Other FEESCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a$49.50 minimum Residential, New One & Two-Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # D4 - pQ7 6 PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ � �'�'� (O�ce Use Only) This Application Becomes Your Building Permit When Approved Paid �' Receipt N / �� Q Date c/U By JG uildine Ofticial Date O 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 P R 1 O R LA KE BUPL�R G AND INSPECTION . IN PE TI N RE RD SiTE ADDRESS ��7 �..� �E��%y �`�� NATURE OF WORK U(�✓E7"L EZ� USE OF BUILDING /c�E.s' R" /L- PERMIT NO. !� �'. a 0 G DATE ISSUED 3� // U CONTRACTOR � � �'�� PHONE ZZG . S�� NOTE: THiS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT M�SP�C'1'OR DATE PIACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - 1NS FRAMiNG � INSULATION E1.ECTRiCAL � G PtU�IlB1NC M�TING if uired COVER NO W�RK UNTIL AB4VE HAS BEEN SIGNED FINAtS BUILDING � Z S .� Ei.E�CT'RlCAI. PLUMBlNG � HEA7'ING DO NOT OCCUPY UNTIL A80VE HAS BEEN SIGNED NOTlCE This card must ba postad near an ek�triaai service cabM�t prior to rough-in irESpections and malMaine+d untfi a!1 inspections have been apprnved. On buildings and additions where no senriae cabin�t is avaitabl�, card shali be placed near main entranc:e. FOR ALL INSPECTiONS {952) 447-9850