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Home My WebLink AboutBuilding Permit 11-0109 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �� ADDRESS f �� nQ [�dn� OWNER CONTR. PHONE NO. PERMIT NO. � � � � '� ❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT O FRAMING O WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAI. ❑ FINAL 0 PLUMBING FINAL ❑ GASUNE AIR TST ❑ SITE INSPECTION O MECH FINAI. ❑ COMMENTS: �1 WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT , ALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 44 - 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY! �nsnon oF rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd � ° � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Z�� / ., x AND UTILITY CONNECTION PERMIT U � t�j M��'NES��P I White Fde 2 Pmk �� PERMIT NO. �� v 3 Yellow Applicant (Please e or rint and si at bottom) ADDRESS ZONING (ott use) /�7Z� � ��7o N� f! r� N`✓ ,�isl� LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID . ZSZ . 6/ Z, O OWNER � --m � 1 (N�me) /�" �/�U.c�t'f� /�',�''`� � (Phone) (Address) BUII,DER D (Company Name) �S�tn �L�^o ��5 ��^G (Phone) � � Z " yq B ' �S 60 (Contact Name) � t�.� _>>0 �`G _ (Phone) (Address) 21 G j nC, � �(� ��i� TYPE OF W�RK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level F�msh ❑ F�replace ❑Addition ❑Alteration ❑Util�ty Connection � � CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Type of Constcuction: I II III IV V A B pROJECT COST/VALUE $ Occupancy Group: A B E F H I M R S U Division: 1 2 3 4 5 (exciuding land) I hereby certify that I have hirmshed mformanon on this apphcahon which is to the best of my knowledge tnie and correct. 1 also cerhfy that I am the owner or auth ized agent for the above-menuoned property and that all constn�cuon will conform to all existmg stare and local laws and will proceed in accordance wuh subm�tted plans I am aware hat the bmldmg offici an revoke �s permrt for �ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed �nspecnons X�- Z0� 3oy�� 2-2�- �� Signature Contractor's License No. Date Permit Valuation 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 ' $ 3� ZS This Applicati comes Your Building Pemrit When Approved Paid $, „� Re ' t No. Z tJ Date Z , / B Z, z3, �/ - i m � Utticial Date This �s to cert that the request m the above appLcahon and accompanymg documents is m accordance w�th the Gty Zonmg Ordmance and may proceed as requcstcd Th�s document when s�gned by the Gty Planner constrtutes a temporary Certificate of Zomng comphance and allows construcnon to commence Before occupancy, a Ceruficate of Occupancy must be �ssued Planning Director Date Special Conditions, if any 24 hour notice for all inspections (9S2) 447-9850, fax (9S2) 447-4245 4646 Dakota Street Priar Lake, MN 55372 ,. Residential Building Permit Checklist ---- � - a�seinent - �nis�ax�Int� - ior �Ylt •iy BY: �i;�� .G.-�. Date: 2 - Z3, / / Building Permit # PID: Zoning: Site Address /� �Z 3 f ��/��/l� / �� Legal: L B Snbdivision: Eyisting Stractare: �3� r NO CONFORMS TO ZONING YES NO OR�INANCE � � YES Np � �s this an expansion of the eacisting footpritit or Refer to Planning building height7 ✓ Is the properl,y located within the flood plain? Refer to Planning ,� Does the alteration include any additional ldtchens? Refer to Planning V Does the proposed ait�ratian include any outside Refer to Plazming eatrances other than patio d�o�s? . .� Ls the p�+oposod use of the finished space or Refe.r to Planning alteration for anything other than a norn�al single ✓ famil home office h da care �bc. ? THIS CHECKLLST MUST BE COMPLETED AND IIVCLUDED IN THE BUII.DING PERMIT FILE TO MAINTAIN A RECORD OF TA� REVIEW. , . ' , L:\TEMPLATS�ALTCHCR.DOC � . . DEPART�IIENT OF P R I O R LA K E BUILQ►iNG AND INSPECTION IN PECTION RECORD S SITE ADDRESS �� '�� f�'✓E. NATURE OF WORK LUw� L�Y�L-- ,/�i USE OF BUILDING /ZF f�'/� PERMIT NO. . d DATE ISSUED Z. Z3, �/ CONTRACTOR J PHONE U! Z. ¢y� .,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 z z � INSULATION � ELECTRICAL HEATING if re uired) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING �y i - ELEC'�RICAL HEATING DO NOT OCCUPY UNTIL ABO E 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