HomeMy WebLinkAboutBuilding Permit 10-0052 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED q/4-1—t—
ADDRESS 5c ? 9 4 p L
OWNER CONTR. j �
PHONE NO. PERMIT NO. (b ^ 2_
❑ 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: L L
L Q L
A WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect° Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
!NSNOTI
o , P R t ° R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,:... TEMPORARY CERTIFICATE OF ZONING COMPLIANCE // /
x AND UTILITY CONNECTION PERMIT ! • 2 1' v 0
M /A' NESO 'c P I. White File
2. Pink City PERMIT NO. /0 .5 Z
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
SO 77 /2O»G/S cele e_ .1./1 5 E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) i �/ S 4 rill -1 (Phone) O` s " a ) /e/ ° a 7/ 7
(Address) /
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding wer Level Finish ❑ Fireplace
❑Addition DAlteration ❑Utility Connection p
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. /v
Type of Construction: I II III IV V AB
Occupancy Group: A B E F II I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above - mentioned property and that all construction will confirm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for lust c . Furth more/ ereby agree that the city official or a designee may enter upon the property to perform needed inspections.
. -77744 Signature Contractor's License No. Date
Permit Valuation 2� 600. Park Support Fee # $
Permit Fee $ Z.5 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / 0 O Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ -‘5-0 ` 00 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 6 0. do TOTAL DUE $ / &a ZS
This Application Becomes Your Building Permit When Approved Paid Aar. �.<— R eipt No. S73eto
Date i .Z (7 /v
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanc nd may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Fiuislr Interior Alteration to Single Family
BY: 0 0 Date: 4 (
Building Permit # (0, PID: Z,oninJ�:
Site Address — - 7 , Ai0s �---
� 7 V
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING YES NO
ORDINANCE
1 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 kitchens? Refer to Planning
Does the proposed a . on 1 el de any outside Refer to Planning
entrances other patio doors?
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:ITEMPLATE\ALTCHCK.DOC
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RE
SITE ADDRESS 5011 PoiJDsED L.N•
NATURE OF WORK L G% 4 R LIZV
USE OF BUILDING RS .S Ate.
PERMIT NO. (0. 005Z., DA ISSUED I. Zlee le)
CONTRACTOR s m L . PHONE 440 2,717
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOVV
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
1
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 6
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
BUILDING
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