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Home My WebLink AboutBuilding Permit 09-1015 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED � I I ADDRESS � � � � f �J� - OWNER CONTR. PHONE NO. PERMIT NO. 9— /Q ( j ❑ FOOTING O PLUMBING R1 O EX/GRADIFILLING ❑ FOUNDATION O MECH RI � COMPLAINT ❑ FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: o � �U � � v �t,l '� w�A. �- �.J i 0 i1A�� ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT O AND PROCEED ❑ CORRE WO , CALL FOR REINSPECTION BEFORE COVERING Inspecto OwnedContr: -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH �c SAFETYl uvs�von o� P CITY OF PRIOR LAKE BUII.DING PERMIT, Date Rec'd ti� ��I �� TEMPORARY CERTIFICATE OF ZOIVING COMPLIANCE � z �� 9 "� L�\ `� AND UTILITY CONNECTION PERMIT � �� 'NES I Wh�te File pERNIIT NO . � / / 2 Pink City � � 3 Yellow Applicant lease or ' and si at bottom ADDRESS ZONING �oe� �> I�-f�71 � nc.�l�v� '�- r�.r M, � SS 3� a LEGAL DESCRIPTION (ofl'ice use oaty) LOT BLOCK ADDITION PID o� / � � �� tASTd /\ s � G� r (Phone) S�� Nv � a� �aaa�, � �/�/ 7l �r�� Gf PL �� BUII,DER (Company Name) � y (Phone) (Contact Name) (Phone) (Address) TYPE OF WORg ❑ rtew consa,�caon pneck pPo,�c� ❑xe-xoosns ❑xe-s�g �Lowet Level Finish ❑ F��ace paaam� Oam�aon puw�cy c��aon CODE: �I.R.C. �I.B.C. ❑ Misc: 1�pe of Co�os�cuclion: I II lII IV V A B Oc�vpa�rcy Group: A B E F H I M R S U PBOJECT COST/VALUE S �/ vv� Division: 1 2 3 4 5 (esdndins land) I lrereby ' that I have fumished inCarmation on this applir�n which is to the bc5t of my lmowledge mie a� co�rea. I also ceitify that I am the owna ar authoaized a�mt for the above- fianed thaz all construction wll conform to all e�dsting srate and laal laws and will proceed in a000a�dance with submitted plans. I am aware the build'v�g of5cial iev this � for ju4t , I he►eby ag�ee that the city official or a designee may eorer upa�n the property to perfacm needed � . � a' 1I9 �, Contractor's Lice�e No. '' Permit Valuation �U � Pazk Support Fee # $ Pernut Fee $ ��, Z s SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; S State Surcharge S �� G-v Pressure Reducer S penatty $ Sewer/Water Connection Fee # S Plumbing Permit Fee $ S�j �� Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other S Gas Fireplace Permit Fee $ J � � TOTAL DUE $ Z�' z�is Aplr .. Yaar Bm7ding Peimit WLen Approved Paid ,� . R No. � Date B !L. ,G �uai ot�� a� 'Ihig is " t6at the mluest in the abave applic�� a� acmmpaaying documents is in acao�dance with the City 7.oning Ordioanoe and may prooeed a4 �equesbed_ 'Ibis dncument when ' by the City Planner mnstimtes a temporary Certificate of Zoning wmpliana and allows constructiwn to commence. Before occupancy. a Catificate of Oavpancy must be issued. Plaoomg Direda I�te Special Condi6ons, if my 24 Lour notice for all inspecHoos (952) 447-9850, faz (952) 447-4245 4646 Dakota Street S.E., Prior Lake, Minneaota 55372 Residential Building Permit Checklist emeutFinis� or '�rgte #a�� BY: Date: l� . � = � � � Buildin ermit # g�� PID: Zoning: 5ite Address /4-�f � / ��v�%t�fl �l� �' Legal: L B Snbdivision: Existing Strnctar . YES r NO CONFORMS TO ZONING YES NO OR�INANCE � � YES NO � Is this an expansion of the existing footprint or Refer to Planriing building height? e/ Is the properiy located within the flood plain? Refer to Planning ✓ Does the alteration include any additional ldtchens? Refer to Planning � Does the proposed aiteration inciude any outside Refer to Plaiu�ing entrances other thau patio doors? . � Is the proposed use of the finished space ar Refer to Planning alteration for anything other than a noraial single ,.� fam�l home office, home, da care, etc. ? � THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN 1'HE BUII,DING PERNIIT FILE TO MAINTAIN A RECORD OF THE REVI�W. _ . . � � ' L:\TF.IVIPLATB�iLTC�iCK.DOC . . . , P R 10 R LA DEPARTMENT OF K E BUILDING AND INSPECTION IN PE TI E N R RD SITE ADDRESS � � �i�l NATURE OF WORK USE OF BUILDING PERMIT NO. DA E ISSUED CONTRACTOR PHONE 7 NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CON UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ' INSULATION � � ELECTRICAL PLUMBING HEATING (if reqwired) FIREPLACE � GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED b FINALS BUIL.DING 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