HomeMy WebLinkAboutBuilding Permit 09-0112 DATE TIME
ClTY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS � l y(1�J ��'�J'Y'r e��Q
OWNER CONTR.
PHONE NO. PERMIT NO. q'� C� Z
❑ FOOTING � PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATIOM ❑ MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLlNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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a I I�c.S � � �
❑ WORK SATISFACTORY, PROCEED
D CORRECT AC ION AND PROCEED
❑ CORRE WO , CALL FOR REINSPECTION BEFORE COVERING
Inspector OwnedContr:
CALL 44 50 FOR THE NEXT tNSPECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
rHSivon
��� PRIp�
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 ��5, 0
� AND UTILITY CONNECTION PERMIT �
�
r �'N E S��
1 White Fde pERMIT NO.
2 Pmk C�ty � . O , /�
3 Yeilow Apphcant �
lease or rint and si at bottom
ADDRESS ZONING (ot�ce use)
�� �Ea.� SJ R �
LEGAL DESCRIPTION (off'ice use only)
LOT BLOCK ADDTTION PID
OWNER t �, CI _
(Name) I 1� C�41 � � al�.�_�� , � � J tc �1' (Phone) � .� a' ' �� �o ° eZ �l.,Z
(Address) � �v L� 2 /— S`�L � � S !� / C
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding �Lower Level Finish ❑ Fireplace
QAddirion QAlteradon ❑Utility Connection 2 �.�f �
CODE: �I.R.C. �I.B.C. ❑ Misc:
Type of Consmution: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished informaHon on this applicadon which is to the best of my Imowledge true and wrnct. I also certify that I am the owner or authorized agent for the
above-mentioned propetty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awaze that the building
official can revoke this permit for just cause. Furthermose, I hereby agree that the city official or a designee_ may enter upon the properry to perform needed inspections.
X --' �� 3 -/ �r-og
Si ture Contractor's License No. Date
Permit Valuation Z, d p p� W Pazk Support Fee # $
Permit Fee $ G Z� ZS SAC # $
Plan Check Fee $ �^ Water Meter Size 5/8"; 1"; $
State Surcharge $ �� Q p Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ f� p,� � Water Tower Fee # $
Mechanical Pernut Fee $ Builder's Deposit $
Sewer & Water Pernut Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ G3 ZS
This Application Bernmes Your Building Permit When Approved Paid (� .� , Z'S Re t NO. .$� Z S
Date ,/ 8 � G B
Buildin Official Date
This is to certify that the zequest ia the above application aad accompanying documents is in acmrdance with the City Zoning Ordinance and may proceed as requested. This documeat
when signed by the City Planner consdtutes a temporary Certificate of Zoning compliance and allows consuuction to mmmence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning DirocWr Date Special Condidons, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
4646 Dakota Street SE., Prior Lake, Mieeesota 55372
� ----- �. �.-••� ........�,..- a---....-,.._�.....� •.
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� o�` °'��, City Hall •� o �� A � P � T �� � i
4646 Dakota Street SE ;
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Prior Lake, MN 55372 • a ""� PITNEY 60WE5 �
02 �a � Q�.�4�
' '�vES��' 0004344992 FEB d3 2011 �
� RETURN SERVICE REQUESTED ' MAILEDFROM ZIPCODE 55372
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� Phil Steffes or Current Resident
i � 17463 Deerfield Dr.
� Prior Lake IN� �5�z7 - -- _ �
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�C: s��7a17'7a4lS �2LS7�-o47f��-oa-33
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Residential Building Permit Checklist
- - - -- - - - Bas�irrent �nis�rarl`nterior Singte �ami�y�o�� —
BY: . Date: .3 , / � � G �
Buildin ermit #�.. �/ Z PID: Zoning:
Site Address /�¢�� � ������ �.�� � � •
Legal: L B Subdivision:
Eacis�ing Strncture: YES NO
CONFORMS TO ZONING YES NO
ORDINANCE
YES NO
Ls this an expansion of the existing footprint or Refer to Planning
building height? ✓
Is the property located within the flood plain7 Refer to Planning ✓
Does the alteration include any additional kitchens? Refer to Planning ✓
Does the proposed alteration inciude 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
famxl home office, o home, da. care, etc. ?
THIS CHECIQ.IST MUST BE COMPLETED AND INCLUDED, IN THE BUILDING PERMIT FII.E TO
MAINTAIN A RECORD OF THE REVI�W. .
�
L:\TEMPLATEIALTCHCK.DOC
P R i O R LA K E ��U LDRNC AND INSPECTION
IN PE TI N RE
RD
SITE ADDRESS � � ¢� D�/?-�/�Z�D C> �'�. .
NATURE OF WORK �UL✓EY� L��
USE OF BUILDING �' �--
PERMIT NO. a�- a�� Z- DATE ISSUED / U
CONTRACTOR �ST��F'ES PHONE 22C� ► �/ z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRE NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUIL�DING
ELEGTRICAL
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 cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850