HomeMy WebLinkAboutBuilding Permit 09-0016 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULEDI3 f J�O
1 - j'
s —ADDRESS ' J 1,6 1 IvAasInAOl T
OWNER CONTR. �}
PHONE NO. PERMIT NO. ( —o O(cP
❑ FOOTING 0 PLUMBING RI 0 EX/GRADIFILLING
O FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
O INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: •
• MINIONEill1111111111
11l4
0 WORK SATISFACTORY,PROCEED
O CORRECT ACTION AND PROCEED
❑ CORRECT , • °K,CALL FOR REINSPECTION BEFORE COVERING
Inspector. if) Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
II rasNora
of PRIDR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /,/2 i o7
AND UTILITY CONNECTION PERMIT
U
yl I.I. White File PERMIT NO. 0 00/
NNESO 2. pink City /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LOCO Tib Qo `-(LL
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID &5 3&3 , 03 0
OWNER
I
(Name) \ �Yl 6I`�„"��� (Phone)
(Address)
BUILDER
ompant' ��v^ C Rjle,LS (Phone) S 7—L193-33/
(Company Name)
(Contact Name)l — A N (Phone) I
6
(Address) O- 1 b (/ U c •4 v" , azgU(...(e /k&)
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ['Re-Roofing ❑Re-Siding , wer Level Finish 0 Fireplace
❑Addition ❑Alteration ['Utility Connection ���,'V���////
0 Misc.
CODE: I.R.C. ❑LB.C.
Type of struction: I II III IV V A B PROJECT COST/VALUE $
Occup cy roup: 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 c.• • •,e t. .,.ermit for ju cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform 1-13- 0?
ded inspections.
X
— nature Contractor's License No. Date
Permit Valuation1./ Q D o, a?) Park Support Fee # $
Permit Fee $ 67, 2,5 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Z 0 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ sv, va Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Per it Fee $ TOTAL DUE $ /37 Z�
lilt/
_ ���.Z� Re t No.
This Becomes Your : ing Pernvt en: proved Paid p _572.2.2,_
Date /, 2� U' B
lik.. ILA t /3 / /
uildin... :i, P to
This is to ce • that . 'n the above application and accompanying do% ments' in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sig if,;tt •ty Planner cc itutes atemporary Certificate of Zonin: omplia' e and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. ;/• it
A.
1
i �h .3 D e Special Conditions,if any
ing Director
24 hour notice for all inspe ions(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
B cut Finish or Interior Alteration to ingl Family Homes
/0BY: Date: 9
Building Permit# PID: Zoning:
Site Address l 4? ?0 Tref 6,-/-3-•w,t, 6..F.,
ll`
Legal: L B Subdivision:
Existing Structur ES r NO
401.
CONFORMS TO ZONING NO
ORDINANCE
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? e
Is the property located within the flood plain? Refer to Planning
Y"
Does the alteration include any additional kitchens? Refer to Planning
4.7
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 ,--
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
PRIORDEPARTMENT OF
LAKE BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS
7'G Q�J
o �; . A F 772,11J
NATURE OF WORK ie.
-5 � �
USE OF BUILDING f
ECONTRACTOR
RMIT NO. C � U Ol& DATE ISSUED I I . �O
/1/le L2 PHONE
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENTDATE
INSPECTOR
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..... 1111111111
FRAMING
INSULATION 111111111
ELECTRICAL
PLUMBING
HEATING (if required)
.111.111.11
COVER NO WORK UNTIL ABOVE- HAS BEEN SIGNED
FINALS
BUILDING _
ELECTRICAL
PLUMBING
HEATING -
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabin
t prOior
to mugs and additions
ugh-in inspections
and maintained until all inspections have been app
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850