HomeMy WebLinkAboutBuilding 01-1001
:;- 0 0 (') 000000 "ll 0 > -0
'" 0 :I: ~ 0 z_
"'0 0 :;E en"TIz"TI"TI"TI 0 0 ~~
g III 0 3: z
0 U :xl 0 =4zenS!OO z m :xl mO
> 0 :xl 3: ~>C::l:i~ m :xl m
l'"" :l :xl " zl'""!;zcz Z en ~"TI
t"'l l'"" m en m 9 en --0
~ t 0 > z ~ ::!c>~c> O:xl
t"'l -I z-
-I -f m 0 - zO
~ ..... (ij o Z 0
. en 0;:0
S CD "TI -I Z
co > (5 ::!!;
~ 01 0
0 -I Z 0"
"TI 0 0 mm
~ 0 > ~
;:0 l'""
~ -I l'""
"TI "ll
~ :t: 0 :xl
~ m :xl 0 000000
Z :xl 0
~ m m m :l:"llen::e:l:"ll
>< m
-I Z c ml'""~>ml'""
~ Z ~ CIl oC: -IOC:
=< ~ "ll :E::l: m:E::l: "ll 0 en
~ en m "TI2!;:O:xl;:o2! m 0 0
~ "ll :l 0 ZZ:E::E:-Z ;:0 Z :t:
::! III -I
m :::t >(i)00 C> i!!: -l m
~ 0 0 (5 r"TIOO :xl =4 ?' 0
-l 0 Z -"" - c:
~ 0 ;a. [ll zc:c: Z r
Z :-1 m ~"ll"ll 9 m
c N "TI 0
~ .... 0 r
:t: ;:0
m
~ 0 0 ...........
c: 0 , ~
:xl
en < 000000 .......
m
~ Z :xl C>"TI"TIO~ ~
> z >SiiSiiO
Ao 0 (i) ~mm:l:(i)
~ ~ _"ll-o"llS! ........
~ Z ~!;!;!;c
0 >ooz=i'j
""l !11 _mm-l_
~ ;:O"TI;:O r -I
-1-- r i
enz z m
-I~ C>
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
? '~lCJz /YJa
/' / {
LEGAL DESCRIPTION (office use only)
LOT BLOCKS-ADDITION
OWNER
(Name)
(?/h 611~r
It 11jd rctu
(Address)
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
xkd
PID
L
(Phone) '1'(/7 -710 ~
BUILDER C -,
(Name) ~~~-
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
o Porch
OAddition
o Alteration
OUtility Connection
.&'J.Lower Level Finish
ODeck
~Fireplace
ORe-Roofing
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
o Misc.
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
enter upon the property ~ PJf~ded inspections.
~...._'~ __ ~?-/--o/
Signature Contractor's License No. Date
Permit Valuation ~ , Od:).OU
Permit Fee $ (..2....Z.5
Plan Check Fee $
State Surcharge $ ( .~O
Penalty $
Plumbing Permit Fee $ l..lD.C9()
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ .,frJ .00
es Your Building Permit When Approved
t1-2 -J.c>Ol
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE M1u~.D CJ-13~O I $ /~3.25
.
\ ~Jttt~5M/
\ Paid
Date
/43~
tJ"'/ .... I
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 a\l inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
The C('nler of 1he Lab Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
U?l~~ (!Mf;vJ
~J- 7-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11[1/9 C/ oO-~ [jJ
Accepted
Accepted With Corrections
Denied
Reviewed By: f2f ~~
Comments:
i<lU& +k~~ nk"~ ~J--
Date:
'l-/2-~/
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
By:r;}>
c
Date:
l~ ~ '7-:C) (
Building Permit #
Site Address
Pill: _ Zoning:
/1 i//9 e D{1~!l~(0Z--)
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORlvlS TO ZONING YES NO
ORDINAL~CE
[
I
YES
I
NO
Is this an expansion of the existing footprint or Refer to Plarming ':I-
building height?
Is the property located within the flood plain? Refer to Planning ~
Does the alteration include any additional kitchens? Refer to Plarming \ y
Does the proposed alteration include any outside Refer 1:0 Planning X
entrances other- than patio doors?
Is the proposed use of the finished space or Refer to Plarming )Z
alteration for anything orner- than a normal single
family home (office, grou~ home, day care, etc.)?
THIS CHEC1G...IST MUST BE COMPLETED .-.\.1'1D INCLljl)ED IN THE BU1LDING PE.&'1llT Fll..E TO
MAINTAIN A RECORD OF THE REV1EW.
T \"'T'"'T"'" ("T"'lT ....""r'C, ... T ""''''''''TJr''''J''' nnr
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4'-111 COC1~ma.V\ L"
NATURE OF WORK c-g~ ~..'>.4Kk
USE OF BUILDING s. FD
PERMIT NO. ~o 6 DATE ISSUED "1- 1'--0 I
CONTRACTOR J:J ~DLLw-- PHONE rf'l'7-7r;lIJ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
'" '07
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
c=--- __ __u_
BUILDING
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, car~ shall ~e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850