HomeMy WebLinkAboutBuilding Permit 03-1293
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or orint and sign at bottom)
ADDRESS
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1/l/L
1-<
A/iN.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) C~d'(-;.C
.
Date Rec'd
Cj u03
; ';i~i:' ~:;y I PERMIT NO. 01 -r _/? /J? I
J. Yellow Applicant './ V7.-.J
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MV
C-H R,r;,,:,PHcK 5 b'..}
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(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
D New Construction
~wer Level Finish
DMisc.
(Phone)
(Phone)
DDeck
DPorch
DAddition
ORe-Roofing
o Fireplace
DAlteration
PROJECT COST IV ALUE (excluding land) $
(--.~'7."'L
" I J {
I I
ZONING (office u"j
Jl?-z.
PID 25.385: OSfD
( 1) i.
.., .., I
'-''-'b
1{2-c
ORe-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 uportroperty to[fi"l needed insP!J' ns. I I
. '.J-- '1 2-~ Ii)?,
X ~ ~J. 'A.~::t:... '....vJ I\...rr -PAlA..J,--
f Signature Contractor's License No. Date
I Permit Valuation 3,OOO.() 0
I Permit Fee $ 'lel-$5
I Plan Check Fee $
I State Surcharge $ /,{J7J
I Penalty $
I Plumbing Permit Fee $ 4-0.00
I Mechanical Permit Fee $
j Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
T~!fj]:~ YOmBUildingperm;~7~:;d
-f1/~Ullding OffiCial Date
Park Support Fee
SAC
I Water Meter Size 5/W'; \.,;
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
j Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
// $". 50
tJ'.ztl. ()(
# $
# $
$
$
# $
# $
$
$
$ 1/5.,q)
I
Rece~o. "f'!;C,;f !,
By Q-.
U
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 bour notice for all inspections (952) 447-9850, fax (952) 447..4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
ft
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~~ Date: 1,21-,0)
Building Permit # D? 1213 PID: if. Jtr. or9. 0 Zoning: If!- "L-
Site Address 3(:,3'" FoX "/)C(1 v ~.
Legal: L B
E~tingSttucmr~rNO
Subdivision:
CONFORlVIS TO ZONlNG
ORDrn.~~CE
YES
NO
I
Is this an e:tpaIlSion of the e."Cisting footprint or
building height?
YES
Refer to Plamring
NO
v
I Is the proper:'jlec:ued within the flood plain?
I Dees the alt=tien include any additional kitchens?
Dees the propesed alt=tion include any outside
entrmc::s other than patio doers?
Refer to Plamring
y
Refer to Plamring
y
Refer to Plamring
y
Is the prO]lesed use of the finished space or
alt=tion fer anything other than a n=al s'.ngle
famiiy home (oEce, grOlI!l home. day care. etc.)ry
Refer to Plarmng
\{
THlS cm:CKI.IST ~n;ST BE COMPLETED .~'fD !i'lCUIDED Jj'I THE BtlLD['iG P~R.ylIT rn~ TO
)[AJj'lTA.E'1 A RECORD OF THE REvtEw,
.
.
.
- -
. PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 303fR rO)G 7111t.- TR-AJ L-
NATURE OF WORK ~wrJe.. I h-V~
USE OF BUILDING ~ S ~;e....
PERMIT NO. /13- /Zq) DATE I$SUED q 2-4.o.J
CONTRACTOR &'17U.J7lJ,;:?/-ID#,,J'OrJ PHONE 22fLJ' /7ZA:J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
RiA
- ./
}
I
t
tV
7~27
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
0)
I
~
7 -2<"
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
DATE TIME
CITY OF eRIOR LAKE
INSPECTION NOTICE
ADDRESS
3(P~
SCHEDULED 9-;n.<::>y
~ ieu-j
,.--..
lr
OWNER
CONlR.
PHONE NO.
PERMIT NO.
"1-1zr?
o FOOTING
o FOUNDATION
o FRAMING
D~SU~ON /J I-
)ll FINAL~~f"-\
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
fiORK SATISFACTORY. PROCEED
o CORRECT J AND PROCEED
o CORRE ALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
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