HomeMy WebLinkAboutBuilding permit 09-0323 DATE TIME
CI7Y OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 3 �(
ADDRESS �� , � �^r� ���vl. �
OWNER CONTR.
PHONE NO. PERMIT NO. / �' ��
O FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAfNT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
,�L.FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST
O SITE INSPECTION ❑ MECH FINAL CJ
COMMENTS: �j��,
4 . � � 6�1. -�a� ��
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YDUR PERSONAL HEALTH dc SAFE'TY!
�NSnori
oF r►t� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ., � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE n �
�' - ` � AND UTILITY CONNECTION PERMIT � � ¢' U �
.. x
U �
M�NNES��P 1 Whrte File
2 Pmk ��� PERMIT NO. � C�7 ��
3 Yellow Applicant �
Please e or rint and si at bottom)
ADDRESS �1 � � � ` ZONING (otfice use)
l ���(.J�, � `
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
ovvrr�R �`� C� - ,�� � ��" 7 $ � � S
(Address) \�
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish ❑ Fireplace
❑Addition ❑Alterarion ❑Utility Connection ( T3�In T�'1/�
� � #�
CODE: R.C. ❑I.B.C. ❑ Misc.
Type of on I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hc�reby cen�fy that I have furmshed mformanon on this appl�canon whuh is to the best of my knowledge true and co:rect [ also cemfy that I am the owner or authonzed agent for the
above-menhoned property and that atl construction will conform to all existmg state and local laws and will proceed in accordance with submitred plans I am aware that the buildmg
ot1'icial can revoke thu permit for�ust cause Furthermore, I hereby agree that the c�ty official or a des�gnee may enter upon the property to perform needed inspections.
X �, � — O
r:.- Contractor's License No. � . .,
Permit Valuation (1 � Q� � v Park Support Fee # $
Permit Fee $ �,¢� ��.f' SAC # $
Plan Check Fee $ `^ Water Meter Size 5/8"; 1"; $
State Surcharge $ ,�'b Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $ ,
Plumbing Permit Fee $ �. Q Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fe $ TOTAL DLJE $ s
This A li n o es Your Buildin� Permit Whe ppro ed Paid Rec ' t No.
Date v B 1
ui Ufticia� �te
This �s to cerhfy that the request in the above applicanon and accompanymg documents u m accordance w�th the City Zumng Ordmance and may proceed as requcstcd Th�s dixument
when signed by the Gty Planner consutufes a temporary Certificate of Zonmg compl�ance and allows construcnon to commence. Before occupancy, a Ccrt�ficare of Occupancy must be
�ssued
Planning D'uector 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
Residential Building Permit Checklist
- - - - - Bas�ment �nish or Interior to Siffgle Faini�y — — -- - — — -- -
BY: Date: � , ¢, � �
Building Permit # Q�, 03Z3 PID: Zoning:
Site Address
�/3Z ��./-��D�� pOr�IO �/ [.�
Legal: L B Subdivision:
Egist�ng 5tructur . YES 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 alterafiion include any additional kitchens? Refer to Planning
. �
Does the proposed alteration include any outside Refex 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, o home, da care, etc. ?
TffiS CAECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUII.DING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. .
L:�TE1bIl'LATEIALTCIiCK.DOC �
. r
P R I O R LA K E BU �LD1NG AND INSPECTION
INSPE TI N RE
C RD
O
C
O
SITE ADDRESS �'/�2 ��a�/� 1��/�/O 7"72�/ �—
NATURE OF WORK L-D�/�/2 C.Ev�Z- l.�f�"T�f�OU/`�1
USE OF BUILDING S/9' �
PERMIT NO. 4'�!. 0.32 DATE ISSUED . �
CONTRACTOR %(JD�D PHONE � �Z• S?d � �-6 3�
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 � ,r
INSULATION
ELECTRICAL I,J
PLUMBING
i r quired)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING (/ J 3 �
ELECTRICAL
PLI�MBING
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 availabie, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850