HomeMy WebLinkAboutBuilding Permit 03-1087
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
q'lease!VD~ or orint and sim at bottom)
ADDRESS
37/1 7-0~ T6,L Troll NW
I, While File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 03 ~ -tIJR? I
Pr;or~Oj(p I MAl Jj'&j37d-..
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOTO~LOCK t ADDITION
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OWNER
(Name)
(Phone)
Cf5Cl. / ;)CX/o -/t>O 7 7
,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(phone)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
~Lower Level Finish
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ODeck
OPorch
ORe-Rnofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
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 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
SUbmi~S I am aware that the buildiog officral can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
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-r' silwure Contractor's License No Date
I Permit Valuation IY/, tJ "tJ. DO I Park Support Fee # $
I PennitFee $ 3"1. 7S I SAC # $
I Plan Check Fee 1$ IWaterMeter Size 5/8"; I"; $
I State Surcharge 1 $ . 5 t::I I Pressure Reducer $
I Penalty I $ I City SAC and WAC # $
I Plumbing Permit Fee I $ ..y'tJ. tJ () I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer&WaterPermitFee $ I Other e/ec- $
I Gas Fireplace Permit Fee $ I TOTAL DUE IAIAm &. z.D.113 $
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I Receipt~o. rSZ,3-/
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This Application Becomes Your Building Permit When Approved
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Buildiog Official Date
I Paid '7(,. z.-5
I Date e. :)1_" 7
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 t......!'......., Certificate of Zoning compliance and allows construction to __..__.____. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notice for aU 1m, ,.:. , (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
,...
Date: t- Iq~03
~ ~
BY:~
~/-.J
Building Permit #
Site Address
PID:
Legal: L 3:;). B
/
Emting Structure:~r NO
CONFORl"IS TO ZONING
ORDINAi'fCE
I
Is this an expansion of the existing footprint or
building height?
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside.
entrances other than patio doors?
Is the proposed use of the finished space or
alteration for anything other than a nonnal single
family home (office, groU)l home, day care, etc.)?
Zoning:
3?11 :rOK ;a/I Tr
Subdivision: /J~ C?,J)
YES
NO
YES NO
Refer to Planning
tJO
Refer to Planning t-JO
Refer to Planning WD
Refer to Planning
tJO
Refer to Planning
tJO
THIS cm:oa..IST MUST BE COMPLETED AND INCLUDED IN THE BUlLDING PERi'tllT FlLE TO
MAiNTAIN A RECORD OF THE REV1EW,
T .ITl",fllT ;, TF\ALTCHC'K.DOC
PRIOR LAKE DEPARTMENTOJr~
BUILDING AND INSPECTION
.
INSP,ECTION RECORD
SITE ADDRESS 3'11/ r fil..IIA " IT"...
NATURE OF WORK JI.".
'.USE OF BUILDING --.SF It
. PERMIT NO. 03" IIJ'''' DATE ISSUED
\CONTRACTOR' ",." PHONE~~ (,tJ17
NOTE: THIS IS NOT A PERMIT FOR ANY bF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I-
I
DATE
I
c:lcflll) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
fIJ /
/
/
OCCUPY UNTIL ABOvFi 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.
#M
~
~
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Vl{
OWNER
PHONE NO_
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAl
o SITE INSPECTION
SCHEDULED
1ir4~
CONTR,
PERMIT NO,
o PlUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PlUMBING FINAL
o MECH FINAL
COMMENTS:
LJL.lk.:Y16 ~tJ~~
,
~lo
.,
JO/;?-
/
TIME
'J I,os/
,
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAl
o GASLINE AIR TST
o
('\
'- ""':>'(,.
",,"'m
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRE1J.K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CAl _ 850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE,
~
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEiUTH & SAFETY!