HomeMy WebLinkAboutBuilding PErmit 11-0079 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3( Y
ADDRESS �p� p�,� � 1
OWNER CONTR.
PHONE NO. PERMIT NO. G'd �- �"j�`j �'�"
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATtON O MECH R{ O COMPLAINT
O FRAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION � SEWER HOOKUP ❑ FIREPLACE FINAL
� INAL O PLUMBING FINAL O GASIINE AIR TST
SITE INSPECTION � MECH FINAL O
COMMENTS:
6 `
� WORK SATISFACTORY, PROCEED
❑ CORREC T N AND PROCEED
❑ CORR T W K, CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SrlFETY!
,�snon
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
U ` �
M��'NESD�P � Wh��e File pERMIT NO.
2 Pmk City ! M�
3 Yellow Apphcant Ny
Please e or rint and si at bottom)
ADDRESS ZONING (ot�'ice use)
q-22� G�,�,,,,�,+- �--�-, � �,� .
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
�� � �A-�! � � �--� v � c� ,1 �. (Phone) �.t 1 Z- - � ! � , - 7C7 ( Z,,,
(Address) 4'� ��s �-+� ��-- �
BUII.DER � F✓i �r� � .�-� _ ( ) � � Z - � d - � �o �I �
(CompanyName) Sr5 S _ Phone
(Contact Name) � �"'� R— (Phone)
(Address) 7j( � 3( G rC�,� �(JrG�w�- vl/1 vl - �3 rZ►
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ F�replace
❑Addition ❑Alteration ❑Utility Connection
CODE: �R.C. ❑I.B.C. ❑ Misc.
Type of Constntction: I II III IV V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
1 hereby cernfy that have h�mished mformahon on this appl�cat�on which is to the best of my knowledge tnie and correct 1 also cerufy that I am the owner or authoriud agent for the
above-menuone ro erty and that all construct�on will conform to all exisung state and local laws and will proceed m accordance with subm�tted plans I am aware that the bu�ldmg
official can revd e s ermrt fo t cause rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspecaons �-
x G� � ?��s`B��L� Z'`r�
S�gna Contractor's License No Date
Permit Vaivation ,> Park Support Fee # $
Permit Fee $ Z_ � SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ ( _ —� Pressure Reducer $
Penalty $ -. Sewer/Water Connection Fee # $ ,
Plumbing Permit Fee $ �- � ater Tower Fee # $
Mechanical Permit Fee $ , Builder's Deposit $ ^>
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $
.
This Appli n omes Your Building Pernut n Ap oved Paid Recei t NO.
'r �' Date ' � B
TI
Bu m�� Ut�icial Dat
This �s to ce at the re i ve apphcation and accompanymg do men is m accordance with the Ciry Zonmg Ordinance and may proceed as requcstcd This dixument
when s�gned h Gty� nner constttutes a�emporary Certificate of Zomng ompL ce and allows construcaon to commence Before occupancy, a Cert�ficaze of Occupancy must be
�ssued
�
Plan ' ctor Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9R50, Tax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checl�list
Basement Finish or Interior Alteration to 5ingle Family Homes
�
By Date: L � � r
Building ermit # PID: Zoning: � �
5ite Address �� � ����''�"
Legal: L B Subdivision:
Existing Structure: YES or NO
�
CONFORMS TO ZONING S NO
ORDINANCE
yES NO
Is this an expansion of the existing footprint or Refer to Planning
building height7 .�.
Is the property located within the flood plain? Refer to Planning
�
Does the alteration include any additional kitchens? Refer to Planning �
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors7 '�
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ✓
family home office, ou home, da caxe, etc. ?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE�ALTCHCK.DOC
P RIO R LA KE BU D�1NG AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 4Z� �t� �r�E'
NATURE OF WORK .��
USE OF BUILDING f►-
PERMIT NO. tt ~- BID7� DATE ISS ED
CONTRACTOR �� .,..c�e� r- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR OATE
or to Backfill)
PLACE NO CONCR�TE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING z �
INSULATION
ELECTRICAL
PLUMBING u�, P� 2 r tc
HEATING (if requiredj
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
o Sodding)
BUI�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 ali 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