HomeMy WebLinkAboutBuilding Permit 10-0068 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED J� (o l D
ADDRESS �� � � � ,� �,�VulJ�t-QJ G� �
OWNER CONTR.
PHONE NO. PERMIT NO. ��) �OV (Od'
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP O FIREPLACE FINAL
�f`FINAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �U���`�90�
.
V�WORK SATISFACTORY, PROCEED
/
O CORRECT ACTION AND PROCEED
❑ CORRECT O CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr. •
CALL 7- 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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O F PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, ,�:' �a:,; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2�( ��`-�
�����" �'� AND UTILITY CONNECTION PERMIT
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M��'NESO�P I Whrte Fde
Z Pmk ��� PERMIT NO. ( O O 0
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDRESS ZONING �oft us )
I� 7 7 /M ,6 e� w� N w
LEGAL DESCRIPTION (oflFice use only)
LOTa4 BLOCK ADDITION wD 0 I� Q„� "]►-'� L.{� � S PID
owrr�R �A �r �e.L cSI�� � v� 1� 9�f'z s�3 Sd�7`t
(Name) � (Phone)
(Address)
BUII.,DER
(Company Name) �* wv.`. '" (Phone) .�-+�---��
(Contact Name) (Phone}
(Address) �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Fimsh ❑ Fireplace
❑Addinon ❑Alteration ❑UtilityConnechon � aQ,►rls,r.t//
r� i i / -.,�- /
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Constxuction: 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 hcreby certify that I have fiimished mformat�on on this appl�catwn whuh is to the best of my knowledge true and correct. I also cernfy that I am the owner or authonzed agent for the
abuve-ment�oned property and that all construchon will conform to all exisung state and local laws and w�ll proceed m accordance with submitted plans I am aware that the buildmg
official revoke this permit for Just cause Furthermore, I hereby agree that the city offiaal or a designee may enter upon the property to perform necded mspechons
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X �r� e�/ � / O
Signature Contractor's License No. Date
Permit Valuation � Q O O, U a Park Support Fee # $'
Permit Fee $ 3 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 $ �' . Z . J r'
This Application Becomes Your Building Perntit When Approved Paid � Zj� 1 t No.
Date Z / d • l �
Buildm�� Otticial D�te
This �s to cernfy that the request m the above applicahon and accompanymg documents is m accordance with the City Zomng Ordmance and may proceed as requcsted Th�s document
when s�gned by the Ciry Planner constrtutes a remporary Certificate of Zonmg compl�ance and allows construcnon to commence Before occupancy, a Cemficate of Occupancy must be
�ssued
Planning D'uector Date Special Conditions, if any
24 hour notice Tor all inspections (952) 447-9850, Tax (952) 447-4245
4646 Dakota Street Frior Lake, MN 55372
Residential Building Permit Checklist
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BY: Date: Z • / � � � � �
Building Permit # PID: Zoning: �
Site Address /�-7 /� �`� 6E�C�G C.�/� i��C.� ,
Legal: L B _ Subdivision:
, � -
E�sting StrnMure• YES NO .
. . �; .
CONFORMS TO ZONIlVG � YES NO
OR�INANCE . � �
YES Np '
rs this an expansion of the existing tbotprint or Refer to Planriing � �
�building height7 ✓
Is the property located witt�in the flood. plain7 Rcfer to Planning �
Does the alteration include any additional ldtchens? � Refer to Planning �
Does the proposed aiteratiaa inciude anq outside Refex to Plaiming
entrances other tban pa.tio dc�ors? � •. ✓
Is the proposod use of the finishod spa+ce ar Refer to Plaiming
alteration for anything other than a normal single ✓
' home office home da care etc. ? �
� TSIS CHECIQ.IST MUST BE COMPLETED AND INCLUDED, IN THE BUII.DING PERMIT FII,E Tp �
MAINTAIrt A RECORD OF THE R�VIEW. � .
. '
. � .
L:\TBMPLATB�ALTG'�FiCKDOC � . . •
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P R 10 R LA K E BU LDING A�1D INSPECTION
IN PE TI N RECORD
SITE ADDRESS Q�� � � h �.�s'��2W0C� �u- -
NATURE OF WORK L-�WE1Z 1��1���%Z F��i��.46
USE OF BUILDING � /q' �--
PERMIT NO. � • CJ ��o� DATE fSSUED 2. ! 0.
CONTRACTOR �C�'t/S�-( PHONE <I.�2., 3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL
THE PERMIT IS BY SEPARATE DOCUMENT
_ - INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING T 3�
INSULATION �
ELECTRICAL w �
PLUMBING
' equired) �,,, ��
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- FINALS
BUILalNG
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