HomeMy WebLinkAboutBuilding Permit 09-0117 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /(
ADDRESS ��� � K�^--+ �� - _ _
0
OWNER CONTR.
PHONE NO. PERMiT NO. � "' �� �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH R! ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATtON ❑ SEWER HOOKUP 0 FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
�
WORK SATISFACTORY, PROCEED
CORREC7 ACTION AND PROCEED
❑ CORRECT R CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwneNContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH dc SAFETYI
nvswort
oF . PRI�� CIT'Y OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ��:, ;� TEMPORA.RY CERTIFICATE OF ZONING COMPLIANCE 3 L¢-� D�J
�' °'° ' °: ,',� AND UTILITY CONNECTION PERMIT �
U " �j
M�'VNES��P � Wh��e Fde PERMIT NO. Q� O 1/��
2 Pmk City
3 Yellow Applicant
Please e or rint and si at bottom)
�,§S ZONING (office use)
/sy/S C,�.q�/E C'aver Nw -•Dizia.� �.q�� /'1'l 5 S� �a,
LEGAL DESCRIPTION (oft'ice use only)
LOT BLOCK ADDITION PID
���R ��.c�E� � '.f� `' 5��a 300�
(Address)
BUII..DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Fimsh ❑ Fireplace
❑Addiaon ❑Alteration ❑Utihty Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV 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 certify that I have himished mformahon on this application which u ro the best oE my knowledge we and correct 1 also certify that I am the owner or authonzed aQCnt For the
above-mentioned property and that all construction will conform ro all existing stare and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
official can rev e this permi r�u cause Furthermore, I hereby agree that the c�ty official or a designee may enter upon the property to perform needed mspecnons
X �iQ .� �+—• � U �
Si�ute _ �, C�ntract�r's License No.
Permit Valuation �U Park Support Fee # $
Permit Fee $ g7 SAC # $
Plan Check Fee $ �—. Water Meter Size 5/8"; 1"; $
State Surcharge $ Z Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �"6� � Water Tower Fee # $
Mechanical Permit Fee $ �/ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ �' 9 S
This Application Becomes Your Building Permit When Approved Paid g, Recei o. ,�7
Date d B ,
Buddm� Utticwl Date
This �s to certify that the request m the above appl�canon and accompanying documents is m accordance with the City Zonmg Ordmance and may proceed as requcstcd. 1'h�s dixument
when s�gned by the City Planner consntutcs a temporary Certt6cate of Zonmg compLance and allows construcnon to commence. Before occupancy, a Ccmficate 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
Resic�ential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: Date: 3. Z�� �
Buildi Permit # � — / / � PID: Zoning:
Site Address /��/� C J� �'/!'�
Legal: L B Subdivision:
Existing Structure: YES 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 /
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? /
Is the proposed use of the fmished 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
P R I O R L� K E BU Ld►ING AND INSPECTION
IN PE fi
I NR
E RD
SITE ADDRESS /,��/S C��I/VE C /
NATURE OF WORK G01�1/E�2. G�E L
USE OF BUILDING /��S' fi`/2-
PERMIT NO. O�• p/ �� DATE ISSUED 3. z4-. 09
CONTRACTOR :I��i'Ai✓ BA/�'�'�2... PHONE G/z. S9 0, 3 o aS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
T
.� - -
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - iNS
FRAMING , i
INSULATION ,
ELECTRICAL ,
PLUMBING
HEATING if re uired)
FIREPLACE Z +d
GAS LINE AIR TEST �
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
__ _ FINALS
BUILDING - L ,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical 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