HomeMy WebLinkAboutBuilding Permit 10-0140 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 6, 13. �O Z:,3 �
ADDRESS ! �p � � � ���/ C� � � 2. .
OWNER CONTR.
PHONE NO. PERMIT NO. � U.�'¢v
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� ❑ NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL O PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: [,�G✓(��'C- C�v� � — /7�d a✓�/E,
�S-e_ �
�1NORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEEO
O CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT IN SPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
oF pRt CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3����
�' ° ' AND UTILITY CONNECTION PERMIT
C� ^ ; ; T
M��'NES��P I N'hite File pERMIT NO � O O I/� /,
_ rink cicy T V
� Yellow Applicnni � �
(Please e or rint and si n at bottom)
ADDRESS ZONING ��r���<<����
�� � c � s,:� �, � ��: , -- � �a � �
LEGAL DESCRIPTION (ofTice use only)
LOT BLOCK ADDITION PID
OWNER {� /' qy -
(Name) 1'� L E� l� R�111 � (Phone) I�Z— �{� `" �3 �03
(Address) ��- ��L;� - �, [. S �, P(L{p �"1C..�
i BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Consvuction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding �.o�ier Lecel Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry Connechon � rj�A/) S
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. _ _ _ _
Type of Construction: I II III IV V A B pROJECT COST/VALUE $ 5ac o
Occupancy Group: A B E F H I M R S U
(exclttding land)
� Division: 1 2 3 4 5 ,
� I hereby certity that l liave himished mti�rmatiun un this applicatiun which is ro the hest uf my knowledge true and currect. 1 alsu cerury that 1 am the uwner ur authunzcd agent fi�r the
� abuve-menhoned properry and that all cunshuction will conform tu all exuting state and lucnl laws and will proceed in accordance with submnted plans- I am aware that the buildmg
� ufficial can r�vuke thi � permit for �ust cause Furthermore, I hereby agree that the ary official ur a designce may enter upon the prope�ty tu perform needed in1 echuns.
X iJ ��/ _
S re Contractor's License No. Date
Permit Valuation 3 OO O Park Suppart Fee # $
Permit Fee S j SAC # $
Plan Check Fee $ ��_ Water Meter Size 5/8"; 1"; $
State Surcharge $ � Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ s'O , U(� Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit �$
Sewer & Water Permit Fee �$ Other $
Gas Fireplace Permit Fee $ ____, TOTAL DUE $ �` Z
This Applic Becomes Your Building Permit When Approved Pdld � Z�. Z� R' 1 t No. S
I Date 3 (p . l l� B,
�. O�o. /�
3uildms Ulficial Datc
This is ro certify that thc request in the abuve applicat�on and accompa�ymg documents is m accordanec with the Ciry Zuning Ordinance and may prucecd as requcsted. "I'his ducument
when signed by the City Planner consututes a tempora�y Certificate uf Zunmg compliance and allo«:s construction to mmmence- Beti�re uccupnncy, � Ccrufica[c uf Occupancy mus[ bc
issucd
Planning Direc[or Date Special Conditions, if any
24 hour noticc for �II inspections (952) �1d7-9850, fax (9S2) 447-�2d5
4646 Dakota Street Prior Lake, MN 55372
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Residential Building Permit Che�klist
Basement Finish or Interior Alteration to Single Family Homes
BY: Date: 3,� �� l 0
Building Permit � f v U(� PID� Zoning:
Site :�ddress �� � � ¢ ���
GSlp� Cf��.
Legal: L B Subdivision:
Esisting Structur . YES r NO
CONFOR1tiIS TO ZO�ING S NO
ORDI���CE
�s vo
Is this an e�pansion of the exisring iootprint or Refer to Plannin�
building hei�ht? '�
Is the property located within the flood plain? Refe: to Plannin; �
Does the alteration include any addirional latchens? I Refer to Plannin� �
Does the proposed alterarion include any outs:de Refer to Plannin� �
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Plannin;
alteration for an�hing othe: than a normal sin�le V
family home (ofrice, group home, day care, etc.)?
THIS CHECKLIST MtiST BE COI�IPLETED .�`ID INCLL IN THE BL'ILDING PERtiIIT FILE TO
�I�INT�I�! �, RECORD OF THE REVIEW.
L:\T�ti�L�TE`u�LTCriC.{.D OC
P R i O R LA K E BU LDING AND INSPECTION
IN PE TI N R� RD
SITE ADDRESS /�a7� C�%E�ii�'SID� �'i� /Z��
NATURE OF WORK OWE�. C.EVEI.. � ��i�Ss
USE OF BUILDING EJ � �-
PERMIT NO. /U , o�� DATE ISSUED 3- /� •/ O
CONTRACTOR /Z�� G2��C� PHONE ��, £�363
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
C
FRAMING L. L, :� CCy�ESS , �
INSULATION
ELECTRICAL
PLUMBING v• (7. ti / b /l, .
HEATING (if required)
COVER NO WORK UNTIL ABO!/E HAS BEEN SIGNED
FINALS
BUILDING L, L . � � �2�SS � � � �s ,
ELECTRICAL
PLUMBIN�
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
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