HomeMy WebLinkAboutBuildingPermit 09-0082 TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTiCE SCFIEDULED 1 Il
ADDRESS 3�1 D l KJ r�,�t�J �e.C/l �
OWNER CONTR.
PHONE NO. PERMIT NO. � — ��
❑ FOOTING ❑ PLUMBING RI ❑ EXlGRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� NSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH F{NAL ❑
COMMENTS:
1 � e�u r cn �-�.(� t�
❑ WORK SATISFACTORY, PROCEED
� CORRECT TION AND PROCEED
❑ CORREC W CALL FOR REINSPECTION BEFORE COVERING
Inspector: , OwnedContr:
CALL 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL H�'ALTH dc SAFETY!
rNSnon
�� P R I�� �
� � CITY OF PRIOR LAKE BiTILDING PERMIT, Date Rec d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3, I�, O
" �' AND UTILITY CONNECTION PERMIT 9
�r ��'
`�'NES�
, w�,�,� F�le pERMIT NO.
2 Pmk Qty D ��
3 Yellow Applwant �
lease or rint and si n at bottom
ADDRESS � ZONING (ott'ice use>
3 �l°`3 (_�l� r � oLJ � �� .
LEGAL DESCRIPTION (oii'ice use only)
LOT BLOCK ADDITION PID Z,�� / � J. �
� ( 5 ,� , ����� (Phone) CD � 2 -22 O— [ 3 �
�Q
(Address) 3 �O � U•J L��p� �r_.c.t., `�(^�-„
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 ❑Alteration ❑Urility Connection
CODE: ❑I.R.C. �I.B,C. ❑ Misc:
Type of Construction: I II III IV V A B �
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ S,
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished inf ation on this application which is to the best of my knowledge true and correM. I also cerdfy that I am the owner or authorized agent fot tlie
above-mentioned erty and that all nstruction will maform to all exisdng state and local laws and will proceed in accordance with submitted plans. I am aware tfiat the building
offrcial o is peimit for just e. Fu rmore, I hereby agree that the city official or a designee may enter upon the properry to perform needed ins ections
� Q �
Si ture Contractor's License No. ate
Permit Valuation Q � Q � Park Support Fee # $
Permit Fee $ ¢, -7� SAC # $
Plan Check Fee $ � Water Meter Size 5/8"; 1"; $
State Surcharge $ � �b 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 $ TOTAL DUE �, �7 Q $� J r-
This Applic o rnmes Your Building Permit R'hen Approved Paid Rec ' No. G
Date 8 O B
? U
in Da1
This is to certi that the request tn the above appLcauon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
whea signed the City Planner constitutes a temporary Cerdficate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Speciel Conditions, if any
24 hour notice for all inspections (952) 447-9850, faa (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
�-- t
Residential Building Permit Checklist
Basement �nish or Interior Alteration to Single Family Homes
BY: Date: �, / 7. G 9
Building Permit # �C�'�,� 0� Z PID: ZS ��d , U.3/� cs �ning:
Site Address
Legal: L B Subdivision:
Egisting Structu : YES r 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 properiy located within the flood plain? Refer to Planning �/
Does the alteration include any additional ldtchens? 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 �
famil home office, ou home, da care, etc. ?
TffiS CHECKLIST MUST BE COMPLETED AND INCLUDED IN TAE BUII.DING PERMTT FILE TO
MAINTAIN A RECORD OF TI� REYIEW. �
L:\TEMPLATE�ALTCHCK.DOC
.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3�9 �IL,�,OIA/ BF.AC�� % I��IG..
TYPE OF WORK W �i
USE OF BUILDING /9 �.
PERMIT NO. ISSUED .
BUILDER /V PHONE # G/� � �
NOTE: THIS IS NOT A PERMIT F R AN OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPA TE DOCUMENT
� INSPECTOR DATE
�
PLAC NO CONC ETE UNTIL ABOVE H EEN SIGNED
FRAMING �/ . l z Zz �
t. ^�1y'
FINAL 2 /o
FO R A LL I N S P ECTI O N S(952) 447-9850