HomeMy WebLinkAboutBldg Permit 06-0516
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. ALU..iaESS
3375
LII i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CER.u.CATE OF ZONING COMPLIANCE.-
AND 1) II.LITY CONNECTION PERMIT
Date Rec'd
~:Et Sa.. IPERMITNO'00-~9~
LO \ \d.wcod T \'Q\ \
ZONING CoIIic:e lIIe)
.\'.\ , LU.
LEGAL DESeL. &&ON (ofllce use only)
~~ BL6cK ADDITION! j )Jai<; / J tie Mdb
~~383DJ40
PID
~= 1'ouc. t\ N't.l,,~ ()\~OY\
(Address) 337S\j 10~ \~woDd <ft-~.\ \ N,lO.
BUlL.. '..:,a
(Company Name)
(Contact Name)
(Address)
(phone) (qSd) aalo455'~ _
lf5'~J 0>/0-/ ~t.{1 c~( QJho,,,<
Sqvy\ ( qc,
nwV\.-€v
(phone)
(phone)
TYPE OF WORK 0 New Construction ODedt OPordl ORe-Roofing ORe-SidiDa 111__ Leve.I Finish ~ireplaa:
OAddition OAlteration OUtllityConnec:tion 0 Misc:. ,-----
CODE: OI.R.C. [)I.B.C. PIlOJECTCOST/VALUE S i./O.trX:;>
Type ofCOIIItnIdion: I n m IV V A B (uclucliq land)
OmapallCY Group: A B E FBI MilS U
Division: 1 Z 3 4 5
1 baeby~lball ba fUmisbcd information OIllhls appllcalion wbleb is lO lbc bat of my Icnowlcdle lnIt and CllmCt. I Do calif>' lball am lbc uwner Ilr audloriml qetlllOr lbc
a1.. ...... .,',' ~Olr~~'I~ClIon will conIbrm to aU exIIIIqllalund locallawuJld will" ,...J in I....;.,... with ..,..:.".1 plans. I am __lbal rhc INiIdins
~c lhia ~'0 7 ~,..lherebyqmlballhecilyollkialoradnisneemaJenleruponlbc".. -,I lOperform ..:.: t.., "d;!/S/txo
( Sipature Contractor's L,. _'. '. No. Da~
State Surcharge
Penalty
I P1umbingP~,.......:.~Fee tknfv
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Oas~1acer/r.:tFee/)
L' j/JU 1/.
- i. '-7!J;-'
f/ ,
ThIS Is 10 califY that ~ request in die aboft , ,..,. \. ., "ion alld I ... .." myinl documenlll is in &IXllIdan<< with lhe CiIy Zoniq Ordinancr and may,,, .... J u~. 1bis cklcumenl
when sipcd by lbc ~ly Planner COIlIlitulCS a ,.>, ," ry ~ of Zonina compIian<< and allows COIISlrIIc:lioa to " ,.", . ... 1Iefi:n"",.,,~. a CCl'lifIc:ale of ~ _be
issued
Permit Valuation
Permit Fee
Plan Checlt Fee
I'IaDIIlDa 1::."....
s
s
s
s
s
s
s
s
1I000~
?5'7...~ 0'
#-
#-
$
S
$
S
S
S
S
Park SL.... ... Fee
SAC
Water Meter Size 5/8"; I";
d. CJ-o
Pressure Reducer
SewerlWater Connection Fee
#-
LlCJ,,-
Water Tower Fee
#-
Builder's 0.... . ".:~
Other (~fl fv
TOTAL DUE
'$
d.
S I (a Cf... (J,6
l/o.,-
I Paid /;;, 1/;;5"
Date /".- /~ .....(0
- .....
R...":"t No. Fi / Lj "! '1
Bv ~
U
DIlle SpecIal ~ If lIlY
24 IIoar .011<< for an iaspeellolll (952) 447-91!'8. fill (952) 447..045
16200 Eagle CMek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:P;-
Date:
0- /s-(
Building Permit #
Site Address
PID: Zoning:
33~<5~ ~tead ;rL
Legal: L
B
Subdivision:
Existing Structure: YES or NO
/~
~
CONFORi\'IS TO ZONING
ORDINANCE
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
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
entrances other than patio doors?
Refer to Planning
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.)?
Refer to Planning
NO
NO
X-
X--
;L
X-
X~
THIS CHECKLIST MUST BE COMPLETED AI'm INCLUDED IN THE BUILDING PERI'rIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TE?vfPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
WlltU,vtl.J I rt
OEPAPTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -3 '3 ?5-
NATURE OF WORK t..t ·
USE OF BUILDING _ SF '
PERMIT NO. ~~ 5"/~ D~TE ISSUED ~ "IS..4. :
CONTRACTOR -1)al.A ., fW-t' IS ~I-J PHONE~I(). tZ!1!J
NOTE: THIS IS NOT A P~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
ill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
We.
-
{I~ /
I
I
I
I
,~
6 j~?/
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
,
./
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
4"bd
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
(j))
~tJ
\vL-
t1 /
9 / 17/~
J I
OCCUpy
I
/
r~~ I
UNTIL' ABOVE H1s BEEN
NOTICE
SIGNED
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
OWNER
DATE
SCHEDULED e,./J!1.Pt
3Y l~ LJvLcf ~
PERMIT NO. lj - 1;J (,P
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
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: L L F:'v.... .
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C'LP
\.
~n~V~~ORY'PROCEED
OR ACTION A D PRO~
RRECI"f: L FOR REINSPECTlON BEFORE COVERING
Inspector: _ Owner/Contr:
CALL 7-9 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE ~EQU~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl