HomeMy WebLinkAboutBuilding Permit 12-0043 DATE TIME
CITY OF PRIOR LAKE ��
INSPECTION NOTICE SCHEDULED :d/J�_
ADDRESS ,y, 7 t 0
OWNER CONTR.
PHONE NO. PERMIT NO. 1 2- o O 4,5
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
'IkFINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
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WORK SATISFACTORY, PROCEED
❑ CORRECT • TON AND PROCEED
❑ CORRE a - K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner /Contr:
_
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
/p4 r u.' O4;
CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
E S
1. while File
2 Pink City PERMIT NO. 2 4-3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5671 Crossandra Street SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Steve and Heidi Pflipsen (Phone) 952 -447 -0614
(Address) 5671 Crossandra Street SE
BUILDER
(Company Name) Home Owner (Self Perform) (Phone) 952- 447 -0614
(Contact Name) Steve Pflipsen (Phone) 612 - 490 -6232
(Address) Same
TYPE OF WORK ❑ New Construction ❑Deck ['Porch [Me- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition IllAlteration ['Utility Connection
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CODE: ®I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ $4,500
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I 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 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c. eke : - ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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Signature Contractor's License No. Date
Permit Valuation ` U G 0 C , Park Support Fee # $
Permit Fee $ 34 :75- SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ - — 4 7 ', `J7 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE , $
This Application Becomes Your Building Permit When Approved Paid 7 7� ceipt No. , I'• 1
Date /. /l
Building 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 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 S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
Basement - Finish or Alteration - to - Single ' amily Hammes
BY: Date: 7- / '
Building Permit # /Z -f3 PID: Zoning:
Site Address 567/ Sf ,- ,uzx1q
Legal: L B Subdivision:
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 kitchens? Refer to Planning
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? v
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single I.-'
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: \TEMPLATE\A.LTCHCK.DOC
P R I O R LAKE P L A D R I DING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS . 7 / C 74 Alp J 7
NATURE OF WORK ��6'1�C7� L6 /�Z, � ( fr1
USE OF BUILDING /' /VA_
PERMIT NO. f 2, _ CO -3 DATE ISSUED /- /6.
CONTRACTOR S= [,f / / PHONE 4 7_ CjC./ ---
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
p yob 7
ELECTRI CAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
BUILDING 2) /2
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