HomeMy WebLinkAboutBuilding 05-1216
DATE TIME
CITY O~ PRIOR L1K~
rN5PEcrroIV ~OTrCIE
ADDRESS I (p "S 0 ~
ek
r );:7C>}-==
, .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5- 11l~
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO
YFINAL
o SITE IN PECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
d~~\le
\:
~RK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
1&308
~ /l et<:... AVE- jJ 1/ C;
ZONING (office use)
LEGAL DESCRIPTION (office use only)
Date Rec' d
12./3,OS-
1 White
Pink
Yellow
I PERMIT NO. 05. I Z 1(0 I
File
City
Applicant
LOT II BLOCK
ADDITION LAaJ/.tJb P/l~
PID 2-5. OQfF. (Jo7. 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~~ ~t;;S~Nclf~r
t7c./ f?v fIo- J f< '-IV,
(Phone)
(Phone)
~/V'
tfO- ~O ....$""O ><f'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition o Alteration o Utility ConnectIon
ower Level Finish D Fireplace
4. L-. tJl97J/
CODE: DI.R.C. DI.B.c. D Mise.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certity that I have hlrnished mformatIOn 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 t(lr the
above-mentIOned property and that all construction will conform to all eXisting state and tocallaws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke thIS permit for Just cause Fur hereby agree that the CIty official or a designee may enter upon the propet1y to pertorm needed mspectlOns
.~ '
-e::- /c? - /.3~ 0 ~
Signature
Permit Valuation /,dCl~.OO
Permit Fee $ 34 _ 75'
Plan Check Fee $
State Surcharge $ .5V
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
~ :P:Ii,"IiO~ ""::;: y;~ B~:;n, p,~" ~bm Appw,,'
~ ~ 1'I~,':!/oS-
Buildlllg Oflicial
Contractor's License No, Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThlS lS to certtfY that the request m the above apphcal10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Plannn constitutes a temporary Certificate of Zonmg comphancc and aHows construction to cummencc. Before occupancy, it Certificate of Occupancy must be
I issued
Planning Director
-
Date
24 hour uoticc for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
"
BY:~~
Date: /C)-/#~ >'
Building Permit #
Site Address /6 308
Legal: L / ( B
Pill: Zoning:
~~~.
Subdivision: ~ ~
EDsting structure~r NO
@
I CONFORlVIS TO ZOi'lThG
o RD IN" AJ'{ CE
NO
NO
YES
Is this an expansion of the existing footprint or Refer to Planning
bwlding height? ,Jo
Is the property located within the flood plain? I Refer to Planning I
~D
Does the alteration include any additional kitchens? I Refe:- to Planning I
"-10
Does the proposed alte:-ation include any outside Refer to Planning
entranc:s othe:- than patio doors? rJ6
Is the proposed use of the finished spac: or Refer to Pla."1Ding
alteration for anything other than a normal single IJo
family home (office, gro~ ho~e, day C:lI'e. e!c.)?
THIS CEECKL1ST :vn':ST BE COMPLETED _-\l'ffi INCLUDED IN THE BllLDfNG PER;.'rlIT mE TO
:\-IAlNTAIN A RECORD OF THE REvrrW.
'It
T ,\T;'~,f11r ~ TI:'" ~ T ii't.:r"<' nor:
PRIOR LAKE
INSPECTION RECORD
~~T~~~D~:~~R~I., .~~~t~~.""l
USE OF BUILDING ~.~ O.
PERMIT NO. 05. /Z~ ~~TE.ISSUED 1Zl'':JltJs..
CONTRACTOR ~ ~,~,~ PHO -Cf .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
ETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMIN
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
Il,tf-05
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
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