Loading...
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