HomeMy WebLinkAboutBuilding Permit 11-0036 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. � 1 3�p
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
O FRAMING ❑ WATER HOOKUP � FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
WORK SATISFACTORY, PROCEED
CORRECT A TION AND PROCEED
❑ COR C ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CALL 44T-9850 FOR THE NEXT tNSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
WSNOTI
04 PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE G/
�' � AND UTILITY CONNECTION PERMIT �" / / �/
U �
C�7
M�Nxeso�P 1 Whire Fde pERMIT NO . 1 / . � 0�
2 Pml. Ciry
3 Yellow Apphcan[ `
(Please e or rint and si at bottom)
ADDRESS ZONING (office use)
28�2 Co��� �T�t N � W
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ?J' ADDITION '��Y�i wl�.�y �0 �' f f' PID Zy . q,O¢, 03 � Q
OWNER
(Name) �OB�t ��� IG UYf. fIJ�T (Phone) _ qti� Z33 �(p�p�
(Address) a 1i � (f (rl� �� • N ' �^' �p � � 1� ,
BUII.,DER
(Company Name) IJ y G710� P • (Phone) _��JZ '�3 ' 9 �4G
(Contact Name) I!� (Phone) �v �Z — 363 � D/ZO
(Address) Z5 N �E GI� �1' �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Fmish ❑ Fireplace
❑Add�tion ❑Alteranon ❑Utility Connection
z ,C,�� r N� � p
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. '
Type of Construction: I II III IV V A B pROJECT COSTNALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 S
I hereby cerufy that av mshed mformanon on th�s applicahon which is to the best of my knowledge true and conect 1 also cert�fy that I am the owner <�r authonzed agent for the
above-menuoned � r nd that all construcuon will conform to all existtng state and local laws and will proceed m accordance with submuted plans I am aware that the bmldmg
utTicial ca r e th rt for �ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspecuons
X , �ZS� ����—�)
Signature Contractor's License No. Date
Permit Valuation 2 �L �, (n7 Park Support Fee # $
Permit Fee $ ��..^" SAC # $
Plan Check Fee $ _,.,,�_----, Water.Meter Size 5/8"; 1"; $
State Surcharge $ v Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ J T � j� Water Tower Fee # $
.
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiJE $ 7
This Applicat' es Your Building Perntit When Approved Paid R i t No.
// / 9 / // Date ,, (/
n dina (�t�ticial Date
This is to cernfy that the requcst m the above apphcauon and accumpanymg documents �s m accordance with the C�ty Zonmg Ordmance and may proceed as requcsted Th�s document
when signed by the City Planner consututcs a temporary Certificate of Zonmg compl�ance and allows construc[ion to commence Before occupancy, a Cer[tficate of Occupancy must be
ISSllfd
Planning D�rector Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Buildin� Permit Che��list
Basement Finish or Interior Alteration to Sin�le Family Homes
BY: Date: � / /�, / /
Buiidin� Permit T/ �.� 6,3 (o PID: Zonin;:
Site�ddress Z �5 Z �v��� P'��
L�ai: L B Subdivision:
E�sting Structure• S r NO
CON�'OR.1tiiS T� ZONING YES �O
ORD .�l tA,��t CE
yES YO
Is this an e�pansion of the e:cistm; footprint or Refer to Planrun;
buildin; height? `�
Is the groperty iocated within the flood plain? Refer to Plannin; �
Does the alteration inc?ude any additional ?dtchens? Refcr to Plannin�
�
Does the proposed alte:arion inctude an� outside� Refer to Planning
entranc�s othe: than patio doors? /
Is the proposed use of the finished spac� or Ref�: to Planning
aite:ation for anything orhe: than a normal s:n;ie ✓
family home (onic�, ;roup hom�, day care, ��c.)?
THIS CHECKLIST 1�NST BE COI�IPLETED .�YD I�fCLUDED Il! THE BiTILD1�fG PERiti1IT FILE TO
I�G�Ii(T�IiY �RECORD OFTHE REVTEW.
,
,
i ���'�,rpT 4T='��LTCHC':�.DOC
P R I O R LA K E BUP DRNG AND INSPECTION
IN PE TI N RE ORD
S
C
SITE ADDRESS Z S�� � U(JC1f�IZ ���
NATURE OF WORK GOG✓Eit° L-�f/E�--
USE OF BUILDING S
PERMIT NO. l�• D�3 CD ATE ISSUED .. �
CONTRACTOR �/V� (J �N��7�- PHONE . /0 D
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 � ��
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING $ « c t
EL�CTRICAL
PLU.MBINC
HEAT{NG .
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