HomeMy WebLinkAboutBuilding Permit 03-1290
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please we or vrint and siJm at bottom)
ADDRESS
I. While File
2. Pink City
J. Yellow Applicant
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Date Rec'd
9. 23. 03
PERMIT NO. OJ _I z.. q 0
PritJ (" 1.4-1< e J/IlAJ SS3? z..
ZONING (officem,)
ref
LEGAL DESCRIPTION (office use only)
LOT S- BLOCK (0 ADDITION
OWNER M
(Name) aJ i ~ I\.
(Address)
l53 I?'
BUILDER
(Name'
(Conlact Name)
/J'r
- J,J A - W EN..f /"'7 /'J /V';<../
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hes/rt'<
.p oJ Ie. wtLlot
,
(Phone)
AJt.U Pr/o/' ic....k.e. MAl 5537?-
CU r C-vl
u ) e..",5,. WI a.. Y'I f")
-I..IP,-
(Phone)
(Phone)
(Address)
U1C/S- PIA-ZA Ar;J€.
Su if-€.. 2.00
EQ.cO/l. MU .C:;S/2.7-Jr./Z..
v
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
-f- ,.t;/'1S
ODeck
DPorch
ORe-Roofing
DAlteration
PID 2S. 37b. (J&/ ()
(qfJ'L) l.{1./7- 11.{7 L
((os /) <./Ofn - 4 f./ 0 ()
DRe~Siding
DUtility Connection
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 upon the property to perform needed inspections.
1rJ ~ 0 '7d/-
x
,
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pennit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o Fireplace
DAddition
PROJECT COSTlY ALUE (excluding land) $
VA
Signature
Contractor's License No.
'1-,1700.00
$ 87.2-6"
$
$ 2.00
$
$ ~O .0 0
$
$
$
Park Support Fee
SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Olher
I TOTAL DUE
Paid /..50. z...s
Date ? j]O')
This Application Becomes Your Building Permit When Approved
~ ~ q/..;1J~3
Building Official
,
Date
23 S€-tl 03
Dale
# $
# $
$
$
# $
# $
$
$ /.00
$ /.3lJ. 25
11~#
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 Che~klist
Basement Fmish or Interior Alteration to Single Family Homes
r
BY: ~ 7~ Date: 9/.;23~3"
Building Permit #
Site Address
Pill:
Zoning:
L~aI: L :5'
c.
~/P'f=
B
Subdivision:
Existing structnre~r NO
CONFORlv!S TO ZONING
ORDmAi~CE
YES
NO
Is this an e;'CpllIlSion of the e:tisting footprint or
building height?
YES
Refer to PlamJing
NO
Refer to PlamJing
J{J
~O
~ll
~()
rJo
I Is the property located within the flood plain?
I Does the alt=tion include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to PlamJing
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a nonnal single
farriiy ~on:.e (office. grou,!, home. day C:lre. etc.)~
Refer to Planning
Tms GlICKllST :VIT:ST BE COMPLETED ..\..c'lD INCLUDED Ii'! THE BllLDE'iG PER;,lIT FILE TO
:vr..\Ji'fTA1!'l A RECORD OF THE RZVITW.
.
.
~ ----...-:u:...::.o.....
1
.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
S'TE ADDRESS 153/3 WI v[)S jJlfe,LWIl V
NATURE OF WORK L[JfA/f--/C. /EVOc........ '
USE OF BUILDING j2fff A-'/.€..-,
PERMIT NO. ().J -/Z,c/O DATE ISSUED q 23_()J
CONTRACTOR 1/l/1t6N PHONE 44- 7 - 747'L-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.....~.~....,_iI
DATE
I
I I
ETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
f()/ 11-7:1
I
I
1
V
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Wth I 9-6&
'/ /
I
/
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be pDsted near an electrical service cabinet prior to rough-in inspectiDns
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
INSPECTION NOTICE
OA.TE
q - ':28-DJ
I'::>S\5 W~~ \?\<\J)~
CONTR. 0
PERMIT NO. ""3' - t:2 cr.!)
TIME
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ WATER HOOKUP
g.INSU~ON to \' . 0 SEWER HOOKUP
~INAL' \9 \ ... ~ t~ PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ORKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREmc' ALL FOR REINSPECTION BEFORE COVERING
Inspector: ( OWner/Contr:
CALL 1-9 5 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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