HomeMy WebLinkAboutBuilding Permit #03-1272
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'J &"q / 1/''./ ~ III! W IA/ dad
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.A!!f'PLUMBING FINAL
. MECH FINAL
COMMENTS:
rl) .'ht<;h/(
DATE TIME
-1/-).L~ '5
c;r
y/J.. /2
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
ACORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
~'i'W"'-'~"~---'--'.'-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
9-/8.0?
I. White File
2. Pink City
), Yellow Applicant
PERMIT NO. oj ..-Iz" 7 2-
(Please type or vrint and sign at bottom)
ADDRESS
38q/
WILL-OIA/WOOO
STIZeGT
6W
ZONING (office use)
1<./
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 4- ADDITION 1ST /lOON. 77,) W6STl5lJey PONO.5 PID 25-308- 011-0
OWNEIh
(Name)C~~ \
(Address) ~~ \ \AJ \ \ \n l/.J W (Y) 0
~~ {Jt;jb~l~OI\l (Phone) crS-d.'V\~_)-~ ~3R"
s,-~W ?R..IO'l'L l~E rnAJ SS~J.J
BUILDER \ )
(Name) () \-\..Ef<.,,\ \ 1'.CW YY\~
(Contact Name)
(Address) ~ ^___ ,_ __ " ....... _
~ t""fl" Y '-=- rr-.. ~ ~n ,J G
(Phone) ~- \..1 \.111- "3 ~~
(Phone)
TYPE OF WORK
o Misc,
o New Construction
)fr...ower Level Finish
3 /f2.I11!5.
ODeck
OPorch
DAddition
ORe-Roofing
ORe-Siding
o Fireplace
OAlteration
OUtility Connection
PROJECT COST/VALUE (excluding land) $
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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
=:OTr'r;{"'""" ','_o"J1 qfuj(/3
:J tignature Contractor's License No. Date
I Permit Valuation 3.1 000.00 I Park Support Fee # $
I Permit Fee $ '74-. '75 I SAC # $
I Plan Check Fee $ _ I Water Meter Size 5/8"; I"; $
I State Surcharge $ I. 50 Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ 40 . 0 0 I Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other t;",BC:T)fU ~ L- $
I Gas Fireplace Permit Fee $ #. 00 TOTAL DUE $
I
I
I
I. 00 I
/57. 25 I
This Application Becomes Your Building Permit When Approved
, Paid
Date
'57.2.6"-
q If ()?
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B(j .
Building Official
Date
This is to certify 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~,
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: 1-3/- 0 Z-
Building Permit #
Site Address 38q /
B 4-
PID: 2.5-.308 - OII~O Zoning:
tAl / '--'(,.,0 W 11/ () ().LJ ~fI2.6b I ...5W
te-/
Legal: L I
Subdivision: 1ST //ooAl 77J tV6,"UIUf potJo.S
Existing StructureCYE~t- NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I
Is this an expansion of the existing footprint or
building height?
Is the property located within the flood plain?
YES NO
Refer to Planning
/'
\..'
Refer to Planning t/
Refer to Planning
V
Refer to Planning
V
Refer to Planning V
Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED MolD INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 36q / WI L,-[,.- OWWOOD S7""R&6'J sV\!
NATURE OF WORK L..tJ..W.ER ~Vf:, ~
USE OF BUILDING ~S AIR-
PERMIT NO. OY-/27'2.- DATE ISSUED 4, /9~ O?
CONTRACTOR b/U?]rn-./I/<-lp~2-P(JJJ PHONE H'7-.?Y.lf'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPA-RATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
FRAMING IIJIY' I (j -t{--f/3
INSULATION
ELECTRrCAL
PLUMBING yvy/.... If) -q-t(>
HEATING (if required) V I/Y./ II) -f-CD
FIREPLACE (/1,11// /O.,ct--tl)
GAS LINE AIR TEST v ~ (O-t7'rh
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
('
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
, 1"1
IVf
1/- J+v17
/1
1/ YI( /J I/('f-/~d)
r yr'
II rt-/r (/'J
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.
"
"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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