HomeMy WebLinkAboutBuilding Permit 07-0120 DATE TiME
CITY OF PRIOR LAKE
INSPEC7lON NOTICE SCHEDULED ��
ADDRESS � L(�� p�,r'�� �„
OWNER CONTR.
PHONE NO. PERMIT NO. 7� 1GV
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDAT{ON ❑ MECH RI ❑ COMPLAINT
� FRAMING ❑ WATER HOOKUP ❑ FIREPIACE RI
� INSULATION O SEWER HOOKUP O FiREPLACE FINAL
INAL ❑ PLUMBING FINAL O GA5lINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL �
COMMENTS:
-, �
�WORK SATISFACTORY, PROCEED
❑ CORRECT I AND PROCEED
❑ CORRE WO CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETYl
�vsxon
o � pRlp� CITY OF PRIOR LAKE BUILDING PERNIIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZOIVING COMPLIANCE . 3�3 , U,
.. � AND UTILITY CONNECTION PERMIT
U �
4�NNESOq� I WAie F'ik
:�* ��, PERMIT NO. �-1, 4 I Z�
7 YAbw Appik�nl
ar md si u bottom
ADDBESS ZOI�TITTf� (otree u�e)
2 8(�5 �3�bcQ+ Tr�t,� I N w
LBGAL DESCRIPTtON (oftiee �se ontyy
LOT BLOCK ADDITION PID ZS. S Z O�e O a 8
OWNSR ` 1 � /}
(Naane) � 1. �� ('� �' Q.�(1(�, ��VIO.ni� �0.-�f � i"P.lr (Phone) �1 — �{�l �9 — Z�f�{�0
(Addreas) Z� � GU � JiJ� Y10`r � l'-�
BUII DBR
��P�Y Name) �p�)
(Contact Name) (P1t�)
Address
TYPB OF WO$S � New Construction �Deck ❑Porch �Re-Rooting �RaSiding Lev�el Finieh ❑ Fiteplaa
�Addidon [1Alteration DUrilitY �� ❑ Misc. Z �I1�,$ .
• CODB. R.C. C]I.B.C. P�OJECTCOST/YALUB s InTQ� OD
Type of ��naron: I II Ia IV V A B (exclidiaa lan�
Qccnpancy C�raup: A B E F H I M R S U
Dl�i�ipa: 1 2 3 4 S
1 haeiry eertil�r that i have WrniahM infarmation on this application whic6 is ro the best of my knoaledee true �nd conect. 1 ako ee�tiy ehat I am the � ur w�aeised a�w�t 6or tlie -
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X
Contru�r's Liaenae No.
Permic Vatuaeion Z 0 0 O. D V Farlc Supporc Fee � S
Permit Fa S � J r- ' S�►C # f -
pfan (�ecic Fe,e f �_.,. Wata Meoer Size 5/8":1"; t
Stsu Swncharge S l� � 0 Perasurr Reduoer I
p��j, s Sewer/Water Con►�ectim� Fa # S
pju��g p�� gK = =�= Wata Tower Fa � t
Mec�euucal Pennit Fee i Builder'a Deposit t
Sewer 8t Wstier Pumit Fee S � �-�,. s �. 0 C�
Gaa Fireplaa Pumit Fee S O 7, 6 OSTJ TOTAL DUB S
'ilae wppiication Hecoo�es Yom Boua6g Pa�ie wLen App�►d Paid . Z ' No. t
� � Date � . /� d B
� /3 �7
Bnaa� c��� o.0
7�! 16 i0 Ct[h� thit thC tlQYClt i0 IbC �bOVC �PP�tiOA iOd i�►Y�i dGCYIl1�S it lrt �CCq�ditltt Wldl 1� �11Y �.OtICi� �f�11iACG ii� IIMY P� q�• T�1lf dIX1ltpCpt
W�1[119�C� �!y f�l! Ctty p�iil�lf COIMptO[CS 3 tCll���[y �.'Q'd�t Of �ARIIIS COn1Q�liR�Y Uld i��OMi COItlft11Cf1011 M COIOfOCfICC. BlfOft OOdIQ�6Cy � CCRI�tC O� �CCI�ICy f11tl� �I!
ISiU!'d.
D�E
24 bonr notice tor all iaepectimu (9S2) �47A8.�0, t�z (9S2) M7�41AS
162(10 Bagk Ccrek Av�ue Pr� Laloe. MN 53372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
�
BY: w Date: ,? /� � �
Building Permit # PID: Zoning:
Site Address �g � �' �
Legal: L B Subdivision:
Existing Structur YES r NO
CONFORMS TO ZONING S NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? , r
r�
Is the property located within the flood plain? Refer to Planning � b
Does the alteration include any additional kitchens? Refer to Planning •,
1� Q
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? � a
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single � Q
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
P R I R LA K E B�lPL �ING AND INSPECTION
IN PE TI N RE RD
SITE ADDRESS ��aCa� Z36L3C.�"i ��/ (�
NATURE OF W(�RK G�/ �L--
USE UF BUILDING i~�'
PERMIT NQ, �j 7, 0 l� DATE t SUED �3. �'3. a
CONTRACTOR ��. �-�'��-� PHONE ,�-�����'��
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSRECTI�NS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
WSP�CiOR DATE
PLACE NO C4NCRETE UNTtL �460VE HAS BEEN SIGNED
RQUGH • iNS
FRAMING W C � .ao G
tNSUL.ATI4N ��.
El.ECTRICAL
RLUA�BING
HEATIl11G 1f uir�►d � �o
G�'� li
_. GOVER NO WORK UNTI1. ABOVE HAS BEEN SIGNEQ
FINALS
Bui�o�NG z
� ELEGTRICAL
PLUMBING
�HEATING �
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTI�E
This card must be post+ed nesr an electrical s�rvice asbtnet priar to rough-in inspect�ons
and maintai�ed u�til ail inspecUans hav�t been approved. On buildings and addltlons
where no service cabinst ia avaitabfa, card shali bs piaced nsar majn entrance.
F4R ALL INSPECTtONS (952) 4r47-9850