HomeMy WebLinkAboutBuilding Permit 04-0135
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3,11,04-
q>lease'!vp<:' or vrint and sign at bottom)
ADDRESS
~7D'1 WilJs Li\
;~;~:' ~:;y I PERMIT NO.O+.O /3SJ
). Yellow Applicant
~w. ~~I'nr
La kp .1/ Ai
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K -::?~
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ZONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZS'. 301,02-7.0
OWNER
(Name)
dp'! t- ~ 1<u +h V I+D I fer
/
(Phone)
'l5-;J. J{. if 6-- 7 LJ6(]
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
;4oW~Lev;;;:/
DDeck
DPorch
o Fireplace
DAddition
ORe.Roofing
DAlteration
ORe-Siding
Dutility 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
enter~~the p~~erty ~r n~e~ed ~spections.
X 'AattU7/~/ .:3-//-61/
. if - Signature Contractor's License No. Date
I Permit Valuation 3. oc,o.,() I Park Support Fee # $ I
I Permit Fee $ 74-. 7S I SAC # $ I
I Plan Check Fee $ -- I Water Meter Size 5/8"; 1"; $ I
I State Surcharge $ /.s-n I Pressure Reducer $ I
I Penalty $ I City SAC and WAC # $ I
I Plumbing Permit Fee"V I"',....er J 4--0.00 I Water Tower Fee # $ I
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other b~l~ $ /. ~O I
I Gas Fireplace Permit Fee j)ilJi! , $ I TOTAL DUE $ //7.25 I
,
This Application Becomes Your Building Permit When Approved Paid /ri.~ Receiqf}( o. 4-6,Z,8Q--
~ ~~ l?/I (/0'/ Date 7. /I. 04- Bv --r _'
U
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 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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
.
Residential Building Permit Checklist
Basement F'mish or Interior AlL~. ..~OD to Single Family Homes
BY:~~
Date: 31' I (at(
Building Permit #
Site Address
Pro:
wJ.JL ~
Zoning:
;.l.w.
c??a?
B
Subdivision:
Legal: L
~gSttuc~~rNO
CONFORlVIS TO ZONING
ORDIN.AJ.~ CE
YES
YES
Is this an e."'tpllIlSion of the e::isting footprint or
bw1ding height?
Refer to Planning
I Is the prope:t'/located within the flood plain?
Does the alte:"..tion include any additiODaI kircb.=?
Refer to Planning
Refer to Pl=ing
Does tile proposed alter:uion include any outside
entta:Ilc:s other than patio door.;?
Refer to Planning
Is the proposed use of the finished space or
alle:':ltion for anything other tlw1 a nor.nal i.ngle
f:u-..i1y home (occe. g:ro~ ho!:':e. day c:are. e:c.)?
Rder to Pl=:ing
NO
NO
fJo
/JO
tJO
rJc
NO
Tms <':cu.CX!.lST }!1:ST BE COMPLETED .-L'iD ll'iCLlJDED ll'i TID: Bl1LDf:'iG P~R.yIIT P.LE TO
}(A.E'!TAIl'l A RECORD OF TID: REVn;:W.
.
.
.
.
PRIOR LAKE
INSPECTION RECORD
2707 WIL-DS' LA.J.
NATURE OF WORK 1--0 W ~ /C- {A::;,vE;7--",
USE OF BUILDING /ZfSf' M IC...
PERMIT NO. 04-. 0/3 s;- 6ATE ISSUED J, (1,04--
CONTRACTOR }-iOf-.lbK._ PHONE 44-5.7()(oO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
i
I
"
,
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I .
: (II!:> I
,
,I. L
V
,I
OCCUpy UNTIL ABOVE HAS
NOTICE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1'# I
/
/
/
/
.17
:S--/j7
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!
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BEEN
SIGNED
,
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
-_..__._._.~._--_._----~.~--,-.."..__..,--,.~..._------_...~_.._._.
CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED ,- J'i-at.{
ADDRESS ;)/10'7 ~-
OWNER CONTR.
PHONE NO. PERMIT NO. 4 - \~s-'
o FOOTING o PLUMBING RI o EXlGRADIFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SULATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: L.l~ t:':..........t~
~RK SATISFACTORY, PROCEED
o CORREC~CTrON AND PROCEED
o CORRE WfCALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL t7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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