HomeMy WebLinkAboutBuilding Permit #03-0535
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I ~. t3 7 f, ~M v2J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
fA FINAL
/Q SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
DATE nME
tQz,71cB
1-~3~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~.PLUMBING FINAL
" MECH FINAL
LI"AJBV (~ ~~
(' J .D$-P~ b~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
IJ~'5 5
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~. ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
.....
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lN$NOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~/\.DJ
(f () - Z-D+'
(Please type or print and sign at bv.-v...)
ADDRESS
/4J7e ,eoP'/,v ~
I. While File
2. Pink City
3. Yellow Applicant
I PERMIT NO.O> -{)S3(
fl/(5
ZONING (office use)
~/
LEGAL DESCRlPTION (office use only)
LOT / BLOCK 5 ADDITION /CN'tld h'/i/C- 2 ~
PID 2..5-339- d?.7-0
OWNER
(Name)
5'A'fFb~LAZI'.ZA ~h~~n/ (Phone)~2..))(1J---zJ32
)'-1:1 75? ;< t:)/< LJ! 12:/ .MF .fkA:'>~ _/'~ ,/~I./.:; ~~ ~ 7;2.
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc,
o New Construction
~ower Level Finish
/~ ..:::J ~S.
ODeck
o Porch
ORe-Roofing
ORe-Siding
oUtiIity Connection
o Fireplace
DAddition
o Alteration
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 aware that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
~"'upon ~"""'.-?d<d~O~ _
X -L-/(...~~~ ~-S-_D~
./ . ~ignature . - Contractor's License No, Date
Permit Valuation ::J,I)()O.OO Park Support Fee # $
Permit Fee $ 1'1 '7S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
I State Surcharge $ /..5D Pressure Reducer $
I Penalty $ City SAC and WAC # $
I Plumbing Permit Fee $ 4"0.0 IJ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other ae V/&Ie.n V $ /.~O
Gas Fireplace Permit Fee $ TOTAL DUE U~"']:J r:" .05 $ 1/7. 25'
7f{l7!l;:~ Yom Bnililing P;;-7; A~
Builliing Official Date
I Paid 1/'7. b~
I Date . S /7. 0'
ReceipJlNo. +rZ-FZ-
By 1--
o
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 ~7anner constitutes a temporary Certificate of Zoning compliance and allows constructio. n to commence, Before occupancy, a Certificate of Occupancy must be
issui1i~ /;tAx-- 5:-C-d1 (iffAd ~ L-()wv L('ul ~d()vr
~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: 1M rL Date: .s:C,-d3
Building Permit #
Site Address I L{ :3 7 &-
~
PID:
~oblyt f2-c.J
Zoning:
Legal: L
(
B
Subdivision:
/t'-t10~ 1-1-,/(
Existing'Structure: ~r NO
/--<1
('5/
CONFORMS 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 horne, day care, etc.)?
Refer to Planning
2J'1c!
NO
NO
v--
~
~
v-
~
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
-n
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Y3'1S I!MIN ~
NATURE OF WORK - i.fJW.6~
USEOFBUILDIN~_ ~ 4-
PERMIT NO. -Il.X"" . ATE ISSUED ti:.1t....fJ.3
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE U TIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. I
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
CX-,
~
{~
(~!P6
tL-
..
~
.....
t.v
/I\J
, I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
~
v
~
41A-
/;(() t 2--1 /D'L
/.\
.~
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
i I