HomeMy WebLinkAboutBuilding Permit 09-0450 DATE TIAAE
CITY OF PRIOR LAKE
INSPECTfON NOTICE SCHEDULED ���I'/,[_ _
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ADDRESS 25�� � �
OWNER CONTR.
PHONE NO. PERMIT NO. ������
❑ FOOTING O PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
� INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
� WORK SATISFACTORY, PROCEED
v�
❑ CORRECT ACTION AND PROCEED
❑ CORRECT ORK, L FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr.
CALL 7-9850 FOR 7HE NEXT INSPEC710N 24 HOURS IN AbVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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� PRtp CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
°"' `�; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
,,,,; �a �..�0.�9
�<'~ ' E� AND UTILITY CONNECTION PERMIT
U � �
M��'NES��P � Wh,�e Fde pERMIT NO. �
2 Pmk Ciry O 9 / Y� - �"fv
3 Yellow Applicant /� V T��
Please e or rint and si at bottom)
ADD�$$ a 5 � � � (�'j �-� F f � � � � � �j � ZOI�TING (ot�'ice use)
P R� o R l.,R K� �(`1 tV 55 3�1 Z,
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
.� � P�-NK�s k��� �N� �h��. qsz-��Z 133�1
(Address)
BUII..DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK � New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding Lower Level Finish ❑ F�replace
❑Addition DAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Conshuction: I II III IV V A B pROJECT COST/VALUE S
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have fl�mished mformanon on thu appticaaon which is to the best of my knowledge true and correct [ also certify that I am the owner or authonzed agent for the
above-mennoned property and that all constniction will conform to all ex�snng state and local laws and will proceed in accordance with submitted plans I am aware that the buildtng
offic�al can revoke th erm�t for�ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspechons
x � 6 ' , °�
Contractor's License No. �ei � ��'.:�� '
Permit Valuation 2()Q a Q� Park Support Fee # $
Permit Fee $ � ��- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ �. (� � Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ �._. TOTAL DLTE $ � Z�
.
This A plicarion Be mes Your Building Permit When Approved Paid 3 Z R i t No.
���� �, 3 � ' G Date 3U. U B
;� r
Buti n � Utticial Date
This �s to cert�fy that the request m the above appLcanon and accompanymg documents is m accordance with the Ciry Zonmg Ordmance and may proceed as requcsted Thu document
when signed by the C�ty Planner consututes a temporary Cert�ficate of Zomng compliance and allows construchon to commence. Before occupancy, a Cert�ficate of Occupancy must be
�ssued
Plazming 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
- - - - - - - - BasemenrFinish otrInteriar Alterati�n to H6uie� - -
BY: Date: �v . .3. 4 �j
Building Permit # ��. a PID: Zoning:
Site Address ZS .--� � �� ��
Legal: L B Subdivision:
Ezisting Structure• YES r NO
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 V
Does the alteration include any additional kitchens? Refer to Planning ,�
Does the proposed alterarion 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 nornial single r
fam�l home office, ou home, da care, etc. ?
TffiS CAECKLIST MUST BE COMPLETED AND IIVCLUDED IN THE BUILDING PERNIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. .
,
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P R I 0 R LA K E BUILDR�VG AND INSPECTION
INSPE TI N RE RD
C
O O
SITE ADDRESS ZJ�S� ����� L L �� Y
NATURE OF WORK E
USE OF BUILDING -� �
PERMIT NO. O. 0�S� DATE ISSUED lo. 3 G- �
CONTRACTOR �G�/ U� �� PHONE �}3Z , /33
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ ' INSPECTOR DATE
P NCRETE UNTIL ABOVE HAS BEEN SIGNED
-- ROUGH - INS
FRAMIN� - - -- -- � J b�
INSULATION
ELECTRtCAL
PLUMBING �
' required) ;,cic�
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
_ _ _ FINALS
-- d9
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