HomeMy WebLinkAboutBuilding Permit #03-1593
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12. /8,03
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 03 . /593
(Please type or print and sign at bottom)
ADDRESS
54 30 Jeer-t-,'e-I d.
/'1 .
vi ~.
ZONING (office use)
fez.
~f
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID ?,Z). 4-00. 0/3. ()
OWNER
(N ame)
~)-i
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
R,
1-1 'aIJ5eJJ
(Phone) W") 110- 5"1#
(Phone)
(Phone)
o New Construction
~ower Level Finish
If- ~.5 .
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
OUtility Connection
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
;te~ Z::w0 e dedmspections. f)~.,/ ro I ~
(, l\ ~ SIgnature Contractor's License No. Date I
&::::::~g~~W;2~~
Building Official / Dafe
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
+,bOO. ~O
$ at. 2S
$
$ z....o 0
$
$ 4-0.00
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$ Ir()O
$ /30. ~S-
ReceiP~~4 7Y
BYj
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other el4:;;c" le4~
TOTAL DUE
I Paid
I Date
/::1 o. "?--.r-
/2--,,/ f. lJ 1
,/
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 all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"'....,._... J -'_.. . ._...' ..~ v.... . ........... '~'.f."'..".."'..,.."..'.........~ll......,.-.......,....',..'~......~ .......~~~...... '.. ._._.._..,._'.....~...._...'._._,,....,....'-,...._,,,,....... _,_,_ .. .....~
~ITY'S COpy
December 18, 2003
City of Prior Lake
Building Inspection Department
Re: 5430 Deerfield Circle
Permit #03-1593
To Whom It May Concern:
This letter is in regard to the lower level finish permit for the above referenced address.
I, Richard Hansen (owner), verify that the completion of the lower level, which includes
a kitchen area, will not be used for rental purposes.
a~~a~
Richard Hansen
.....,.,
,.
..
PRIOR LAKE DEPARTMENT OF
_BUlbDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Si! ~ 'J)EEJt.F1ew ei~,clE ~ CI
NATURE OF WORK tlJuJE'It.,. ~)J/~H
USE OF BUILDING S-, F: A .
PERMIT NO. 03 -I $'C13 DATE ISSUED J2.~ ~
CONTRACTOR · ""-~ f. ~rJBJ PHONE!St.I("~-.9(I+'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..1,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
r.
yW/
~
"l
1'1/,n
(1/
) v I~~o~
/
/
/
,;;J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(IllY/' J.- /~,()0
tNr 7'-to-OC-1
?1/f' y "(~~Oli)
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 811 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
tl1Jo
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION @
Jiil""FINAL -
o SITE INSPECTIO
COMMENTS:
/
/
/
f
\
"
'----
SCHEDULED
fk~!cL
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~
9f' MECH FINAL W
DATE TillE
,2 -/~;()')
'3 --1S13
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
--------~
,,-r / '"
rILe '\
~ /
~
~
/' /
U ()5e
-----
/WORK SATISFACTORY, PROCEED
IZf CORRECT ACTION AND PROCEED
o CORRECT ~o;~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: -/1/ r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTJ