HomeMy WebLinkAboutBuilding Permit #14-0028 Lower Level Finish CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED 3 � �
ADDRESS �� p2,� S� � �� {---
OWNER CONTR.
PHONE NO. PERMIT NO. � y- aa
❑ FOOTING O PLUMBING RI
❑ FOUNDATION O MECH RI � �G�D�ILLING
❑ FRAMING ❑ WATER HOOKUP � COMPLAINT
❑ INSULATION O SEWER HOOKUP � F�REPLACE RI
I�FINAL ❑ FIREPLACE FINAL
❑ PLUMBING FINAL ❑ GASIINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAI.
❑
COMMENTS: L (, [-; µ;S(�c�.
� WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT O CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwneNContr.
CALL 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODEREQUIREMENTSARE FOR YOUR PERSONAL HEALTHd� SAFETYI
rNSNOrr
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ; TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.. x AND UTILITY CONNECTION PERMIT �� �� ��
U �
y�NHeso'�� i wn,�e Fde pERMIT NO . ��'� 2 ��
z ���► c��Y
; Yellnw Appiicam s
(Please or rint and si at bottom)
ADDRESS ZONII�TG co�t�� �St>
� - 7 � `� �-_.al �--! `���.� L�t-
LEGAL DESCRIPTI�N (of1�'ice use only)
LOT BLOCK ADDITION PID
OWNER / ' �•` � / \ c (3
(Name) _�� C� � �'- ( � �/� � s �c�� �J`c�/' ! i � (Phone) l �-� � ) D��C^7 ���
(Address) ,.�5 ��� � .�� 't` � �
1 BUII.DER Q� .� /
(Company Name) i� � / �'I �CS:� �C1 �: I �c�'� S �L--�/�C � (Phone) �� �Z-� �J�����P �
(Contact Name) ��c�Sf��'�� - � s � r (Phone) ��C��� ��� ^�L � '
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(Address) 3 - ;x �,�... :., � � _ � l� J J
TYPE OF WORK ❑ New Construcuon ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg ower Level Fimsh ❑ Fireplace
❑Addiuon ❑Alteratron ❑Util�ty Connectton
CODE: ❑I.R.C. ❑I.B.C. ❑ M�sc
Type of Construction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 Z 3 4 5
i hcreby certity that [ have Eum�shed mformauon on this applicahon which u to che best of my knowledge true and currect 1 alsu cetUfy that f am [he uwner or authonzed agent for the
abuve-mentioned proper[y and that ail const�ucuon w�ll conform [o atl existmg stace and local laws and wdl proceed m accordance w�th tiubmittcd plans I am aware that the ba�ldmg
utTicial can revoke this peim�t for�ust cause Fw2hermore, I he�eby agree that the ciry offic�al or a designee may enter upon the pioperty tn peiform necded mspecaons
x � �-- ' ,�����P�r �.,�-�r�� ��. �--c�/`T
Signature Contracror's License No Date
Permit Valuation G� � A C/,J Park Support Fee # $
Permit Fee $ � �r^ SAC # $
Plan Check Fee $ - Water Meter Size 5/8"; 1"; $
State Surcharge $ w �� � Pressure Reducer $
Penaity $ Sewer/Water Connecrion Fee # $
Plumbing Permit Fee $ � s Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit �
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $
�
This Applic n Becomes Your Building Pernut When Approved Paid G� R ei t No. �
� � Date B -
.
Bui na Ufticial Date
This u to ccrtify that tltc requcst m the abuve appluat�on and accumpanymg documents �s m accordance wuh the Gty Zoning Ordmance and may p�occcA a+ requcsted Tlus do ment
when signed Uy the Ciry Planner conshtures a tempu�ary Cerhfica[e uf Zumng compliance and alluws cunstrucunn to commence Befure occupancy, a Ccihticate of Occupancy mus \
�ssucd
Planning Director Date Special Conditions, if any
2A hour noticc for ail inspections (9S2) d47AR50, fax (952) 447-d245
4646 Dakota Street Prior Lake, MN 55372
O � YRip� Date Rec'd
� CITY OF PRIOR LAKE PLUMBING PERMIT ���
v � `
dr �NES���
z: �o a ary PERMIT NO.
3. Yellow Applicant
lease or ' t and si at bottom
ADDRESS ZONING (ofl�'ice �se)
� �q ������ < <
LEGAL DESCRiPTION (office use only)
LOT BLOCK ADDITION PID
/ � / q ��+�
�aWNER �/J� C� d� [ � �( � ��l�F�� 5 (Phone) 6 �� � ����
�•� �r
(Address) � _ �.� S ��
(NameCANT�� � ,� 1 � ?� �1� ��� (Phone) l� � ^ `� �� � � ( �
�' V
(Address) �t'��� l� � � �C�� � B.s'OC1 y�,/�f ��! � ��7� � ��
(Address) (City) (Zip Code)
(Contact Person) �` / t� �` ��d" (Phone) � � �7 0 ^ � 6 �
APPLICANT SIGNATURE DATE � C ��
APPLICANT PLEASE COMPLETE BELOW
uanti T e of Fixture uanti T e of Fixture
— Bath Tub with or without shower Rou h-ins
Dishwasher Water Heater
Floor Drain Water Softener
Lavato Bathroom Sink Stand Pi e Washin Machine
Laun Tra 1 or 2 com artment sink Sewa e E'ector
Shower Stall Backflow Assembl
Sinks Backflow Assembl Test
� Bar Sink Lawn S rinkler
— Water Closet Toilet Other
FEESCHEDULE
Industriai, Commeroial & Multi-family l% of job cost with a$49.50 minimum Residentiai, New One -� .
Residential, A ' ons & Alterations $49.50
Estimated Cost $ Building Permit �
. `t_,/
PLUMBING PERMIT FEE $
STATE SURCHARGE $ � r �
TOTAL PERMIT FEE $ 1��� 1�.
(Office Use Only)
This Application Be Your Building Permit When Appr ed Paid
� C � Date By
Buildine Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: � C��� Date: %� � / �
Building Permit # C��'� � PID: Zoning:
Site Address -7 - l� J � �'� 1�� f��� .
J �z f
Legal: L B Subdivision:
Existing Structure: ES 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 ./
Does the alteration include any additional kitchens? Refer to Planning �/
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
famil home office, ou home, da 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �7L ���
NATURE OF WORK
USE OF BUILDIN
PERMIT NO. . DATE ISSUED •
CONTRACTOR /A/ �.. PHONE / Zi0 � �
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ""�' � ,y��
INSULATION °
ELECTRICAL
PLUMBING
HEATING
FIREPLACE
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
LATH
FINALS
)
BtJILDING .� z f
E�ECTRICAL
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