HomeMy WebLinkAboutBuilding Permit #03-1506
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CO:NNECTION PERMIT
Date Rec' d
/ I. / o. 03
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 03 - /50 ro
(Please type or print and sign at bottom)
ADDRESS
379S~ -(~~ ~'m-1.tl.1 JI1)) ~
ZONING (office use)
K'/
..~ ;'i_
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z r::-, _-:> t? - r7". () ~., O'
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OWNEP
(Name) ~ut. q ~4Lu- G~
(Phone) CJS2-li'l7-SI39
(Address)
_ ._. _,BUlLQE~.
(Name)
(Contact Name)
(Address)
.:1' "'~..
~ ~ ,~~ --
! .,_....~-
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..' <I. ........ _ .
(Phone)
(Phone)
......
Tl ~ OF WORK
o New Construction
MLower Level Finish
rt- 2 e-tl/::
o Deck
o Porch
OAddition
ORe-Roofing
ORe-Siding
DUtility Connection
~
o Fireplace
o Alteration
o Misc.
PROJECT COST/VALUE (excluding land) $
"-
I hereby certify that I have furnished information on this application which is to the' best of my knowledge true and corre<;t. I also ceitify:tp,at I am the owner or
a~thorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceediniccordance 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
en.fEi upon the property to perfo eeded inspections.
...
Contractor's License No.
03
Date
Builder's Deposit
'----L
$
$
"'$
$
$
$
[tLC!.. /./D~-;'/l1 rll< $
TOTAL DUE $
#
Permit Valuation
Permit Fee
Plan Check Fee
I State Sutctfa'rge"-
Penalty .
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
2,000,00
(, Z : 25
Park Support Fee
.t..,.
$
$
-', $
$
$
$
$
$
SAC
#
'"
I. 0' 0 .~..
Water Meter Size 5/8"; 1";
I-pressure Reducer
City SAC and WAC
Water Tower Fee
'.
40.00
#
#
Other
/. 0 0
/()4. Zb
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~' ~~ ////0 joY
Paid
Dat(~
I(J 1-. 2 5
/1. 16. u7
I .:.
ReceipW,sI 4&(;:1' (;
BY~.. ."
, ('\~. ",
"",<
Building Official
Date
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 constnlction 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
..
~
Residential Building Pel.wit Che~klist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~
~,~
,.
'=1~ p
Pill:
Building Pel uJt #
Site Address 37/5
Legal: L B
~~
Existing Structure: ~or NO
CONFORlVrS TO ZO~l1'fG
ORDlli.AJ.'iC'~
Is this an ~"tJansion of the ~~~g fool.iJJ.~t or
building heigh!'?
Is the proplw4 _/ located within the flood plain?
Does the alte:':ltion include any additional kitchens'?
Does the proposed alteration include any outside'
e:l.uwces othe:- than patio doors?
Is the pro1'os~d use of the finished space or
alteration for anything other than a nVJ.~al single
f~..iiy home (office, grot!;' home. day care. etc.)?
Date:
11/;~/o3
Zoning;
I~I~ i<~ }/,w,
Subdivision:
YES
YES
Refer to Planning
Refer to Planning
Refer to PI~g
Refer to Planning
Refer to Planning
NO
NO
f'JL?
tJCJ
~O
rJ6
~()
THIS L.d..l!.CKLlST ~IUST BE COMPLETED .~'ffi INCLUDED IN THE BtllD[~G PER'ffIT mE TO
}L4.lNT.-UN A RECORD OF THE RIvlI\v.
..
,
_ -.....-. ~,. _.. _ _ ___ ~r '!""'\~.,.-
,.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3795 ~J'4&eeY If!,ID4e JeD.
NATURE OF WORK UWBL _ kSV~ls-
USE OF BUILDING ~S 4"~ .~. .
PERMIT NO. ();;f . ~~ DATE ISSUED I.Y~ ~
CONTRACTOR 'Ii ~ PHONE ~ tS1.39
NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONS BELmY
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTil. ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-
111
. /
//
tf
tf- J
.J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
/J
tft!l }
~
UNTIL ABOVE
NOTICE
This card must be posted ncar 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 ay,silable, card shall be placed near main entrance.
HAS BEEN SIGNED
~
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE I I
INSPECTION NOTICE SCHEDULED ~ -';;17-0....'1
ADDRESS ;S' l'l~ ~\a.:rV'''( ~{~
OWNER CONTR.
PHONE NO.
PERMIT NO.
J- (sol,/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ti. FINAL (... L .
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORR:~TION AND PROCEED
o CORRr 171rCALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CALl. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl