HomeMy WebLinkAboutBuilding Permit 09-0204 CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ,DAT I 0? TIME
/ •30
ADDRESS I 3 KC; (� s f,-Jai
OWNER CONTR. y
PHONE NO. PERMIT NO. en•SO 4
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
n-FINAL L .L- 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: I - cI V6Q_- 2- 566
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❑ WORK SATISFACTORY,PROCEED
CORRECT ACTIO •ND.PROCEED
❑ CORRECT4 ,,, ALL FOR REINSPECTION BEFORE COVERING
Inspector:
4q ! _, Owner/Contra
CALL 447-9• ' • r - T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
of ���PRCITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE s' s"-- 0
.. 7 AND UTILITY CONNECTION PERMIT
U rrj
M'NNESO:P I. white File PERMIT NOPink City / 9� 644 OH'
3 Yellow Applicant
3 . V
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
/3&SD W'r/,vc 'ii N /& Ne /2./
LEGAL DESCRIPTION(office use only) l
LOT .BLOCK 2.-ADDITION W/i/C gore_ (r)9-T 3 PIDi , .1--
if". 0/1- U
WNER � t cTSL �9S e.3110O
(NamOe) '1yI C h e"� G lam/Q f �,5c/f f/ d (Phone) `
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck CI Porch El Re-Roofing ❑Re-Siding Lower Level Finish ❑Fireplace
['Addition ❑Alteration CI Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
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 an r ke thi er ' for it ca .e. Furthermore,I reby agree that the city official or a designee may enter upon the property to perform needed inspect ns.
Signature Contractor's License No. Date
Permit Valuation 3 60 0. (AD Park Support Fee # $
Permit Fee $ 14- 1 S— SAC # $
Plan Check Fee $ ----- Water Meter Size 5/8"; 1"; $
State Surcharge $ / 3-7) Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 5-0 (/?..) Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /2.6 ,
This Applic ':i mes Your Building Permit When Approved Paid /Zi( .2A—
/
ieipt No. S 777
5--,r d 7
Date S-..r a7 B ,
i lildina Official Date
This is to ertify 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 Prior Lake,MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: Date: b- 0
Building Permit# Q 9 PID: Z�. ¢/3 0/4: 6 Zoning: /e /
Site Address /3851) ec/v.-1 /v67-6,Al /11/6.3-
Legal: L B Subdivision: ,-//A/1)s_ci __,
Existing Struc re: YES or O
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?
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single �C
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\ALTCHCK.DOC
PRIOR LAKEIJW'AIlI MCNIur
BUILDING AND INSPECTION
INSPECTION AECORD
SITE ADDRESS /3060 s'/N �2 n' Ne e
NATURE OF WORK LOW ISL
USE OF BUILDIN .' . •
PERMIT NO. • 02.04- _ D ATE ISSUED -121LET
CONTRACTOR 1--g'/zSC/167,Q PHONE .s 2544
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
OEM.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING K (4- • ctI (d?
ELECTRICAL `
PLUMBINGi1\
HEATING cAfI�,
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