HomeMy WebLinkAboutBuilding Permit #11-432 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED �
ADDRESS � 4,1 � ��,g ��� � � �
OWNER CONTR.
PHONE NO. PERMIT NO. � � — �13Z
O FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�d'�FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: C..(. �; k
DS Q..
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRE W K LL FOR REINSPECTION BEFORE COVERING
Inspector OwnedContr:
CA 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
rNSnor,
4 pR lO �
�� �P� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec d
� D� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��_ Z^� _��
`-' AND UTILITY CONNECTION PERMIT
�
�
'. `"''"`e F''` pERMIT NO.
z r�a� aTy
3. Yellow ApplicaM •� �
C83C OL LIIIt a11(I 3� SL LOLLOILL ��
ADDRESS ZONING�(osaT�
1'�-�i�b -�}a�a� L.aK� Grc,1e ` k�ccx 553�
LEGAL DESCRIPTION (oflf'ice use only)
�
LOT BLOCK ADDITION PID ���
OWNER
(Name) �Q.�'0. ��rC2C' �..� iL���U.S ���'1 (Phone) q5� a33 '��'�
(Address)
BIJILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Conswction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection � �� S,
CODE: ❑I.R.C. �I.B.C. ❑ lviisc: � � � '
Type of Construction: I II III N V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/ ALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify thaz I have fumished information on this applica 'on wlrich is to the best of my ]rnowledge true and co:rect. I also certify that I am the owner or authorized agent for the
above-mendoned property and that all construction will conform all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can mv this permit for just cause. F�rthermore, I here agee that the city official or a desi�ee may enter upon the pmperty to perform needed inspections.
X
�-a�� l� .
Signature Contractar's License No. Date
Permit Valuation 3 Q Q U O Park Support Fee # $
Permit Fee $ 4 S' SAC # $
Plan Check Fee $ �- Water Meter Size 5/8"; 1"; $
State Surchazge $ '� Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �'¢ � Water Tower Fee # $
Mechanical Permit Fee $ — G--_. Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ t r. TOTAL DUE � � 3/ -�� $ � 5� 2�J
This Applicaiio mes Your Building Permit When Approved Paid �, Zi R t No.
Date B
�• �/. �/
Bw Official Date
T7us is to c' at the request in the above application and acrnmpanying documenu is in accordance with the City Zoning Or ' nd may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning wmpliance and allows construction to commence. Before oc cy, a Certificate of O�upancy 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
BY: Date: .S 3 �. �/
Building Permit #� l Z PID: Zoning: �
Site Address
Legal: L B Subdivision:
, _
Ezisting Stra re: YE or NO
CONFORMS TO ZONING YES NO
O1�INANCE �
. YES 1Vp .
Is tHis an �xpansion of the existing fbotprint or Refer to Planriing
building height? ✓
Is the property located witliin the flood plain? Refer to Planning ✓
Does the alteration include any additional ldtchcns? Refer to Planning
. �
Does the proposed aiteration inciude any outside Refer to Planning
entrances other d�an patio doors? •. ✓
Is the proposod use of the finishod spaae or Refa� to Planning
alteration f� anyt�ing other ti�an a normal single ,/
faa�l home office home da care, etc. 7 �
TffiS CHECKLIST MIJST BE COMPLETED AND IlVCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
. � ' . . ' � ' , ' S .
L:\TEMPLATSIAI.TGHCK.DOC � � . •
• r `
Jul 20 11 04:35p John Cherry 9529330776 p.l
J u i. 20. 2011 4: l OPM Na. 4916 r. l/ t
O4 pRlp � Aate Rec'
�, � crrY og r�uaR x.,� ��vJN��vG ��t�
N �
� �
�° . �, ,���-.,� ��tMiTN�-
.� � �
�nSS� wrm�c�c.��
� �}
LBaAS D�IdR�'l'1[OTT (o�ae a� oe�r)
LOT �I.00� AADITION � YID
ow�, �, ` � ��� Q�� o�
(�� -
r��
�'�'�` �:.s'a 9 �� aSR�
(I�t.me ` L tPhoate)
! !'
, � �
�� � J�..
, (Ad�ea) (Ci�rj � (7od�
(Canracc �saal �=Ls ', (p � ' 3 �" .. .,�.
APt'LiCANT 3IC�1ATUftE DATB "'"" o �
PZ.tCANT PI.EAS� COMlL�fE H�A'W �
��
Ba1� Ttib ariffi, ar wiehout �ow�r -ims
I�►ad�t W�or �1ec .
Fbot Disia Wabt
La� S' Shaid I�iae
T 1 or 2 si�dc
S'hwvac Stall $acldloa
�� Bsdc�ow As�co�I Tast
B�c Sia�k �.awa '
w�ber t�o�at ot�„er
� ��At1�
Iodr�trnt. �1ore.ad�t � Maiti.euribr f X�f jo0 oo�t +r�bl► R�49.l0 si�amm P6a1d�rWi, irew O�e dt �ro•l'�r St�l.30
lt�ideiti�l, A+dii�ioe� � Al�n f�19.50
'1lie�� f �26B�.I48 � S �3��
"St!!tt'�I/1RC�' 6u booe e6�qod foc ooe
,ro.r.�rc pLU��NV �' �E s
.r�,►,,�e.�m��a�o,�. srA� svRCx�GE S .s� PAID WITH
�`�ss�� ���` �' s_ RUILDIIVG PERMi7°
TAa Appl�ss Dse�c Ye�r B� �a�dt Wb,e� �,pparo•cd �d ltcoe�c No.
�� � �
�� ��sd.� �e.. �� .
P R I R LA K E BUItiDING AND INSPECTION
IN PE TI N RE RD
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ATE ISSUED
CONTRACTOR PHONE
NOTE: THIS !S NOT A PERM FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ' 8 z � J
INSULATION
ELECTRICAL
PLUMBING ,�7 �,�
HEATING (if re uired)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
� FINALS
�
' BUILDING � ) �
ELECTRICAL ,
PLUMBING /
HEATING � j
DO NOT OCCUPY UNTIL E HAS BEEN SIG ED
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 piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850