HomeMy WebLinkAboutBuilding Permit 10-0076 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ��
ADDRESS 5�'�� J �,;�P� � .
OWNER CONTR.
PHONE N0. PERMI7 NO. /�-- Qn `� �
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
o�yQ, �
�
�WORK SATISFACTORY, PROCEED
Q COR TION AND PROCEED
O CO E ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
o � rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
'� " � ....� � Z . (� . � �
� ,� AND UTILITY CONNECTION PERMIT
U �
��n'NES�'fp' ' wn"e F'ie pERMIT NO . � (1 . (1
z r�n�, c�ry
3 Yellou Apphcant L/ ��
Please e or rint and si n at bottom)
ADDRESS � ZONING (ott�ice use)
���-� �4�C.;I I �� '� Q C/ �C'Q � -- �I'� 1 � Y` L-(�� ��
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER � f ^-�
(Name) J v � C �� � � � (Phone) � � � - 2q � � � /
(Address) �j��� �,�G 1 � L �6 � � � � L-� �� � ' 1
BLTILDER ` � ���1 �
(Company Name) � � (Phone)
(Contact Name) C ��� C (Phone) � � �- ` ^ �7 ���'
(Address) �'j�jCj�' �rCQ � 1 G? �,- rQ )" � 1 0 1 �J �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re•Sidmg �Lower Level Fmish ❑ F�replace
❑Addiaon �Alteranon ❑Utility Connect�on I
CODE: ❑I.R.C. ❑I.B.C. ❑ M�sc. •
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 $ �� ��
Division: 1 2 3 4 5 (excluding land)
I hereby cernfy that I have h�rnished mformauon on this apphcahon which is to the best of my knowledge tnie and correct I also cerhfy that I am the owner or authonud agent for the
above-menhoned property and that all construcuon will conform to all exisnng state and local laws and will proceed �n accardance wrth subm�tted plans I am aware that the buildmg
otTicial can revoke for us e Furthermore, I hereby agree that the c�ty official or a designee may enter upon the property to perform needed mspecrions �
X � N� 2 �- 1 O
Contractor s License No. Date
Permit Valuation I Q Q Q (� 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 $ TOTAL DLTE $,� �,2S_
This Applica comes Your Building Pernut When Approved Paid 1. R i t NO. (o� / C7
Date , / , i U
Z.��,r�
uldma Utticial Date
This is to ce nfy that the request in the above appl�cat�on and accompanymg documents is m accordance with the Ciry Zomng Ordmance and may proceed as requcsted Th�s dexement
when s�gned by the Ciry Planner conshtutes a temporary Certificate of Zonmg comphance and allows construct�on ro commence Befure occupancy, a Cc�vficate of Occupancy must be
usued
Planning Director Date Special CondiUOns, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permi� CheckIist
BY: ,�, Date: t � � 7, ��
Building Pe�rmit # +� PID: Zoning: �
Site Address ��� ���/����
Legal: L B Subdivision:
Egisting Structnre: �fCE� � NO .
�1,.■� .�'°°�
�-
CONFORMS TO ZONING � ,� YES NO
ORDINANCE ` �
�S NO
Is fhis an expansion of the existing footprint or Refer to Planriing �
building heightT
Is the property located within the flood plain? Refer to Planning �
Does the alteration include any additional lcitchens? Refer to Planning �
Does th� proposed aiteration inciude any outside Refer to Planning �
entrances othez than patio doors? � .
Is the proposed use of the fixushed space or Refe,r to Planning �,
alteration for anything other than a normal single
f' home office horne, da care etc. ? �
�. THIS CHECI�LST MUST BE COMPLETED AND INCLUDED IN THE BUII.DING PERMIT FILE TQ
MAINTAIN A RECORD OF THE REVIEW. ,
4 .
L:\TEMPLATB�ALTCHCK.DOC � . . .
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P R i O R LA K E BUP aRNG A DONSPECTION
IN PE TI N RE RD
SITE ADDRESS �'S� /L-t�F D ��
NATURE OF WORK N/ O.�
USE OF BUILDING ��S �/IC
PERMIT NO. /D � b 07�i DATE ISSUED Z. /.� O
CONTRACTOR ��/V.I' PHONE G/2. Z9"�_ S��
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 3 �
INSULATION �
ELECTRICAL
HEATING (if required) �,JG
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUff�DING � //
ELECTRICAL
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 shatl be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
�
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