HomeMy WebLinkAboutBuilding 02-1506
5" 0 0 0 (') 000000 "tI ~ > -0
z_
en 0 :J: C ~~
"t:l C') =: Ul'TIZ'TI'TI'TI 0 0
11l Z
g Sl 0 0 i: ::jZCll~OO z m ;:0 mO
g ;n ;n ~ ~>c!!l:iS m ;:0 m O'TI
;:0 ;0; zl"'"!;zoz Z Ul ::!"'tl
t!l m m Ul
0 CIl ~ ::!(;)~(;) 9 0;:0
:.tl -I > Z z-
t!l > -I -t m 0 - zO
l<::l 0 en en o z 0 0;:0
S -I 'TI -I Z
> (5 ::!~
~ 01 ?' 0 0
0 Z -I Z 0"
'TI 0 > 0 mm
~ 0 > Z ;n
;:0 I"'" :<
. 0
r;s -l -n "'tl "'tl
~ :I: 0 ;n ;n
~ m ;n 0 0 000000
Z ;:0 C') C')
;j m m m m !!I:"'tlUl:E!l:"'tl
>< z m m m'~>ml"'"
-I 0 0 OC -IOC
~ CIl
~ C5 z ~ "'tl xl: mxl: "'tl 0 CIl
Ul m -n~;n;n;n~ m 0 0
~ ~ "'tl :> 0 ZZ:J::J:-Z ;n Z :J:
~ m 11l -I >(;)00 (;) I: -I m
~
"1:l 0 () 0 .-noo ;n :j ~ c
~ -l 0 Z -"" - z c
0 ~ tD ZCC .
~"'tl"'tl 9 m
z :"l m c
~ 'TI
N 0 ~
".
~ :I: ;n
m
~ 0 0 to
C 0 I
;n < 000000
Ul m
~ z ;n (;)'TI-nom " >-
> z >;ij;ij0~ ~
Ro G') ~mml:G') m
c
~ < _"tI"'tl"'tl~
> ~~~>o
~ z >ooz=t;
~ 0 _mm-l_
!'" ;n-n;n · ~
'4 -I -'- · i
CIlZ Z m
-I~ G')
CITY Olf PIll OR LAU~ DUILDIND P~DMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
r,ate ~ec! d
//'19 -p 2-
White File I PERMIT NO
Pink City . () 7 -/ .5lJL
Yellow Applicant , V" (0
ADDRESS
/5~05 rRe noAfT /ltl6 /'IN
LEGAL DESCRIPTION (office use only)
LOT hLOCK / ADDITION /St,/l/V'O
m
PID
OWNER
(Name)
A-~\I
~/l ?~~ ~~
~?--?/~
7~/~
(Phone)
fl5:.~
I
(Address)
ZONING (office use)
R. IS..f)
BUILDER
(Name)
(Contact Name)
(Address)
...( t< .~ I~.A / I C/; <?-
/ ./
(Phone)
(Phone)
-Y'l77~ ~ ~
~'
, J- r ~ ~." -1--
TYPE OF WORK
ORe-Roofing
ORe-Siding
o New Construction
jtLower Level Finish
ODeck
o Porch
o Fireplace
OAddition
o Alteration
o Misc.
PROJECT COST IV ALUE (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 awar that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city offi(;ial or a designee may
~ter upon ope p t m pections. / _ / ~
Contractor's License No.
~-,/-'
Permit Valuation .3 000,00
Permit Fee $ "I: 7..r
Plan Check Fee $
-
State Surcharge $ .51J
Penalty $
Plumbing Permit Fee $ 4-/),00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other 6tA3c'71!/l ML-
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Building Official
Date
OUtility Connection
$
$
$
$
$
$
$
$ (. ()tJ
$ 117.ZC
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may p;-.Qceed 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 Sinjle Family Homes
BY: r-O ~ / Date: l\ !(~!OL
Building Permi Zoning:
Site Address . V\::" '
Legal: L
Subdivision:
Existing Structure: YES or NO
1(3 I
I CONFORMS TO ZONING
ORDINANCE
NO
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 .r
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? It"
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ~
familv home (office, !ITOUP home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINT AIN A RECORD OF THE REVIEW.
L:\TElVIPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \S B C) ~ f~.cl'1ot'--\ A\J6.
NATURE OF WORK ReS A 1(<
USE OF BUILDING FIN \5f.\ Le~~ Levf-t,... .
PERMIT NO. o-z.. - \t:;00 DATE ISSUED '11,s>/o~
CONTRACTOR T~ LAJ0M[Z-\D(QC< PHONE_'M-7 .,L::>82-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if require )
- .
-~~
BUILDING
ELECTRICAL
PLUMBING
HEATING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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
~~-t..
"~I'
'<,\:";c'''.'-l'::~'-i::~'_':''~~F. ''''n::~,\~~''~,;;;:t._ .~'~"'.~ :,;~~:~-~'.!~:::"r,""'t~~'~"~4:~.'o4t'~r~~-"~'';':~''~~''~~~t~~F~
';;
.0
^
.0
~
.l.'~f':;n"~?,-;~',""';-
BUS. (612) 544-7619
lAND
SURVEYORS
Jl\TC.
Certificate
of
Survey
~~:
ELDON FOSSUM
SURVEYING & L"'NO PLANNING
5905 GOLDEN VALLEY ROAD SUITE?:>:l GOLDE,,";ALLci W,"~,,<
~
Me/rePS
N
o O.p~""rFS" /,,;>aA/
A/GYO IFA"T/C,-Q>C 6)RTVM
r'95.?"./) X' OF;"",-or-<!"'.. cC'..t'/S7?';</6' ~""'v"qr/oA/
9~.? J , ~,v~.s- ~o;t::>a:r~c:> FC~VP7'/OA/
- OF.-</~S S<:/__""c.;<- CW!'.4/A/~.,,~
O~SCh'/P17ol1/
.H...c//..r#"':-~ M~AG~ H:at::>~ ~~v. - 9340
tor ~ Bc::oc~ 1_ /S~~A./O j//EW
4 r"iV ,.c?~/r/OA/J $C07/
C'OUA/TY, ~/V-v~sorR.
SC'~L.~" I '::'30 I
WE HERE8Y CERTIFY THAT THIS IS A TIlUE AND COUECT REPRESENTATION OF A SURVEY OF THE
80UNDARIES OF THE LAND A80VE DfSCRI8ED AND OF THE LOCATION OF ALL 8UILDINGS, IF ANY
THEI!EON, AND ALL VISI8lE ENCROACHMENTS. IF ANY, FIlOM 011 ON SAID LAND
Dalgd Ihls /9-r".; dol' 01 OC7(::)e~. A D 196'9
/c2,q/3
b, ~-I156
SU'Vgyo" M'nne,olQ "Qglllrollon No 1:J'Z91
Job No
Book ~S'
Page
T //5'
R. ee
4'6
,a..:;/
See