HomeMy WebLinkAboutBuilding Permit 09-0676 ATE TIIr1E
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �Z I� Z?
ADDRESS ` �L� d�9�
OWNER CONTR.
PHONE NO. PERMIT NO � " � �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION �MECH FINAL ❑
COMMENTS: �ss �S
� L E� � � l. �-c'T
WORK SATISFACTORY, PROCF�D
❑ CORRECT ACTI D PROCEED
❑ CORRECT WO K A L Et1�ff�TiUN BEFORE COVERING
Inspector: er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HB.4LTH & SAFETY!
�xs�vor,
OF, PR '
�� �.,� ��.�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d
��` �4' � x TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"' `�' AND UTILITY CONNECTION PERMIT � Z • v y
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, �'1Y E So
l. White File PERMIT NO . . /_ �/
2. Pink CiN V V
3. Yellow Applicanl
(Please or ' t and si at bottom
ADDRESS ZONING �o�re u�>
��-I � � �v ��� 1 aa K �� �. �.�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) �.C1 ti'L� � l G� r' ►/ + K (Phone) �� �? ' �� � " - `7 LP l �
(Address) �(' � � ' � ,T
BUII.,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK � New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ower Level Finish ❑ F�qeplace
❑Addition ❑Alteration ❑Utility Connection � � " �—
CODE: �I.R.C. �I.B.C. ❑ Misc: � �� •
Type of Construction: I II III IV V A B
Occupancy Gmup: A B E F H I M R S U PROJECT COST/VALUE S
Division: 1 2 3 4 5 (excluding la�)
I hereby certify that I have fumished information on this applicaaon w6ic6 is to the best of my knowledge true and rnrrect. I also ceitify tha[ I am the owner or authorized agent for [he
above-mentioned property and that all oonstruction will conform to all e�cisung state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. Furthermore, I hereby agree [hat the aty official or a designee may enter upon the property to perform needed inspections.
x ��� G�� � G� � rt ..,�.
Signature Contractor's License No. Date
Permit Valuation ��D—v ,�� Pazk Support Fee # $
Permit Fee $ ' SAC # S
Plan Check Fee $ — Water Meter Size 5/8"; 1"; S
State Surcharge $ .�� Pressure Reducer S
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �O. O O Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiTE $ $¢, s
This Applicallon Becomes Yo�a Building Peimit When Approved Paid . 7 IZCC t NO. Q
Date , p B
Buildin Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This dncvment
when signed by the City Planner constitutes a temporary Certificate of Zoning mmpliance and allows construction to commence. Before occupancy, a Certificate of Occvpancy must be
issued.
Planning Director Da[e Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
-- - --- -- - ----- Ba�e�renr�nish or Interia�r�terati�u �ainilyHairi�
BY: Date: ¢ z , G�
Building Permit # Q�� Q( PID: Zoning:
Site Address ���� O ! / �� LU �, �� �
V �`- �b r � /1/V
Legal: L B Subdivision: 1`J
��
Existing Structure: YES or NO
CONFORMS TO ZONING YES NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ✓
Is the property located within the flood plain? Refer to Planning �
Does the alteration include any additional ldtchens? Refer to Planning ✓
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? . �
Is the proposed use of the finished space or Refer to Planning �
alteration for anything other than a normal single
fami�l home office, ou home, da care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. _ .
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DEPART.MENT OF
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SITE ADDR � ���
NATURE OF WORK s .
USE OF BUILDING � pATE ISSUED ��•�
PERMIT NO. O �� PHOI E
CONTRACTOR �
NOTE: TH
IS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT DATE
INSPECTOR
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
� 3yf
FRAMING G
INSULATION
ELECTRICAL -n� � �
PLUMBING
HEATING (�f required) ,
�y
'����� z �',
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
�, 3 �� ��
BUILDING �
ELECTRICAL � � � � �
PLUMBING �
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service fob�eat �n idings and additions
and maintained until all inspections have been ap aced near main entrance.
where no service cabinet is available, card shall be p
FOR ALL INSPECTIONS (952) 447-9850