HomeMy WebLinkAboutBldg Permit 05-0044
1. 'Mia n.
.- ""
) V'" AftIIk:M:
Date Rec'd
./
/-I-3-()S
, PERMIT NO. (/ S- L/ tj I
.
CITY 01' PRIOR LAKE BUILDING ~ .w~.BT,
TEMPORARY'-l!.AtUACATE OFZ~'.I..u\G COMPUANCE .
AND UTILITY C u" 1,1, \h... .au'.' PERMIT
IPleue'!!!.Ol __......_
I ADDRESS i/q sf
[) I~t+
He.:c,J,ts
~
T~))l S.L
I z...,.,~ ''''(Om""..)
LEGAL OJ .1SCJ1..& ..~'.\ 1--0llIy)
?.. ---"'1, /l
LOT \ [ HLOCK V Au.....uON C-:;!~/lJz!J~ (I A f2.07
fJr~
PID , -;>5)- LloX fjt1)-()
6SJ- 6J'b- )VJU{}
Je-G-~/ -:L u-tl'l.yTl
J$3 ~-ill J.",;,t:- L.~tI#1" ,1)1# SJJ73
MmDD D r f~ )
(Company ~ame) v;l?14 \.: C(1f'l?
(Conrad Name)
OWNJ!1l
(Name)
(Phone)
(Address)
(Phone)
(Phone)
(Address)
TYPEOFWOJlK ON..C.......~, [JDocIt [JPcm:h ~ Obsidiac ,PI(o-Levl!IV'- OPiRpIaoe
OAddition OAlloraIion OUtility..._..~._ OM"lSC,
CODE: llzIl.ll.C. DI.B.C. Pll.OJECTCOST/VALUIl S ':::';006. 0/
TJteofC~: I D m IV v A B 1.............1I1ll11l1)
Ocm_qGtoap: A B E F HIM II S U
Dinsioa: 1 2 3 4 5
I beftbyca1il, Iball haft l1.rrDisMd~""'OQdhl 'I' ,':.. .-. whidl islDlbcbtstofmy'.,., I.., ,_ IIW_CDRCl. I aIsomtifJlbat I UllbeCNfllCl'OI'autboritrdacrntforlht
~.... _"~'''' d~""''''''''''''''wilI_''''_'''''''''_II''''''''''''_''''''''''_'''' .............._.....""'..._
~an""...... ...~...~ ~l_...........ciry_.............,.---..._..-J -':"7 ~'os-
\ SiIr>>aDBe C. ",...... UoalRNo. DR,
, J.
I PennitVahation I 11.=50019, trD P8IltS-,F... (# 5
I 1'=nit=1' F.. 5 7<1, 7,5-- SAC (# 5
I Plan F... 15 t, 50 Wala'Mder SizeS/S"; I"; S
I State S _ I 5 -.... Reducer 5
I Penalty S SewerIW.....C., ..:,.. Fee (# 5
I Plumbing ?ermitFee (~tUfv~. 4{)~().O Wa....TowerF... "5
M~ Permit Fee I S BuiIc1er'. D<pooit S
Sewer & 1Y..... Permit P... I $ IOtber e/eL - tl",mv S
Gas Firep ace Permit Pee I S I TOTAL DUll S ) I (p. :?-~-
TldsA '.,.~ _y_....._~AppIomI
&t~~ (/;0s-
I Paid //(;,.z_~
I Dale /. 12. c's-
I ~..~ - ''ffl(0391>
Bv ~
/:
1lusisL:..:rrydWdlrftqlXStiacbl:lIboftapplia.bon'" ... ."""'. "', "'. ,.",iI;.., ... .. . .-"'-arrZaaiaa~"""JlRD'elI.~. Tbisduaameet
\Irbm' '" 1Ilc C"ay PIanaer .. ..,:,.",~, . ,_n r . "".1 Ctrtifil:atIeci'Zanina.. . ,~... "_.. allows ., "", ".:. . 10 .. . " .,. . BtfoR . "", ""., .' a CcniIicaIc oIOo:ap1ncy......
"'"'"
--
o.re Sca:ilIII6'- ...,_.it.,.
14__,....u; ." ..:, I95ZIW...........l'J5Z)447-4U'
16200 IlIIcle Cn:ekA_ Prior.... MN 55372
Residential Building Permit Checklist
Basement Finish or Interior ..;Jterarion to Single Family Homes
BY:~ if~
Date: / - / 3-0~
Juilding Permit if.
: ;I,e Address
/J C; 5 ~
B "3
Pill: Zonia":
"
/il ~ )./-l>} v:~ '
.-- "fu'~Ivision; T~CN..:t-P~
: "egaI: L II
:C.risting Strucrure:~r NO
<:::ONFORL'rIS TO ZONING
I)RDlliA.J.'KE
Y"ES
NO
YES
NO
I 5 this 3..'"1 expansion of the existing footpr..nc or
C uilding height?
Ret4er ~o PlarJ1...L.'1.g
t-Jo
11) the pToperrf located within the flood piair:?
I I )oes the ~l,ention include any additional ki,cher.s?
Iloes the proposed alte:ation include any oucside
,ntrances oti:te:- than patio doors?
Refe:- to Pl2.J.-rr.ing
Refer co Pla=ing
NO
r--Ju
Refer to Plar....Th-:lg
rJo
I i the pro1Josed use or the Bnished ~ac~ or
~ tte:-J.non for anytr..L'"1g o6er :b.m l :lOrmal 5'i::gl~
E1I:ril~/ home (ofIlc::, grOU? none. d::.y care, e~c.)?
Refe-: co Planr~g
rJo
THIS CRECKUST :'IUST BE COMPLETED A,'m Ii'lCLUDED Ii'! T3:E BU1LDli'iG PERL,lIT FILE TO
:,1L.lJ:'iTAli'i A RECORD OF Till REVIEW,
,"'T"'":'~,J"Jr :. -::" j, ~ -,-"'-::-,-,~ ~CC
PRIIOR LAKE ~~rC'o~~~~~TD~~SPECTION
INSPECTION RECORD
SITE ADDRESS '-{'lss CL\.\FF t\E'J~H"'5 \P~L S'~.
NAT~RE OF WORK LO ~ €11.. '-€VeL Fi ~t S 1-4
USE bF BUILDING SO. F: A .
PERMIT NO. O~ - 00 t{ J.( DATE ISSUED 1 f , " I ~ Ii'
CONURACTOR !jf'A"f-'j~tv tA..u.so~ PHbNE/l;,'i/..~~.;1if"o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
II
~.>_ -lir.~ -..: ~t: rmi!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INS LATION
ELE :TRICAL
PLU !/IBING
HEA riNG (if required)
r/t/~
/$;---
~i.
~/--
/
,f/ .k /v$'-
~..z.- /os-
(/z/~S-
/'/2-/ q,s-
d:2 /.4:.5
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUll .DING
ELE' :TRICAL
PLU VlBING
HEAriNG
~ J/sf~!:"
;2/rtk;
~ 3p//05-'
~ Jpl/6J.s>'
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
rf'his card must be posted near an electrical service cabinet prior to rough-in inspections
md maintained until all inspections have been approved. On buildings and additions
"here no service cabinet ;s available, card shall be placed near main entrance.
DO NOT
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE ~ /.. . /
INSPECTION NOTICE SCHEDULED <LV/as~
'9- r
ADDRESS j!'~s:r 6~ if /4s 'ff/
COMME~S:
I~L,of.;:/jC.~ I
/4~~7 /7;;<;/
~ "'--
A~:A /?hq / C/t'f
0~6/c hih'c T~~S
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o .J!iSULA TION
,...)!'FltlAL
o SITE INSPECTION
CONTR.
PERMIT NO.
~-9".v
o PLUMBING RI
o MECH RI
o WATER HOOKUP
a.~R HOOKUP
~UMBING FINAL
~CH FINAL
o EXIGRADIFILLING
a COMPLAINT
o FIREPLACE RI
a FIREPLACE FINAL
a GASLINE AIR TST
a
./
h~..,/
"
'"
--2/#;0"-
c;7/
---
c9~
/; .
rh<i /
_.=::---..
/-::: ,c-;- ~
( c. !e;J e /G--/r e )
~ORKS~RYPROC~~n ~
o CORRECT ACTION AND PROCEED
NSPECTION BEFORE COVERING
./
O/C
Inspector:
Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI