HomeMy WebLinkAboutBuilding Permit 03-1491
(please ~ or llrinr and sUm at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/rI. fl. 03
1. White File I PERMIT NO I
2. P;.' c;<y . 0'3 _/AO/
3. Yellow Applicant I~
15280 ~//UV/ft( /IT.> A!:.O
LEGAL DESCRlPTION (office use only)
LOT/Z-BLOCK Z-ADDITION WB7VfM~# /~
OWNER
(Name)
(Address)
(phone)
BUILDER a, - ~} ~ /
(Name) 1(11 rr ) fJ:1{ [J. '11tJ111WY1V~
(Contact Name) 4?J"lJ't"' ~'AJI€.V
(Address) 1'7 7.->-0 MK~ /f.IJ k
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
3~.J'.
I ZONING(offic,use)
/<.1
PID z.5: '376:,. O/~. 0
(Phone) ~.fJ.-="J -ZeJ/f
(Phone) "74 Z. VL/Q-//3J
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
DAlteration
ORe-Siding
Dutility Connection
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
. - . "':oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
w t the . g official can revoke this penmt for just cause Furthermore, I hereby agree that th~~al or a designee may
erro ededinspecl1ons. h j ~
\. yature Contractor's LIcense No. Date
I Permit Valualion
I Pennit Fee
I Plan Check Fee
I State Surcharge
I Penally
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
3,000.00
$ 7'1. 75
$
$ ;.sO
$
$ 40.00
$
$
$ 4<J .00
This Application Becomes Your Building Permit When Approved
~ :ftuJ;;- ///6//13
Building Official /Date .
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid /tR..ZS
I Date /f ~.a:J
# $ I
# $ I
$ I
$ I
# $ I
# $+------
$ I
$ I
$ /5(P.Z? I
I ~:~ ""(}~Z I
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, jf 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
BY:~~
Date: /11"/0:J
Building Permit #
Site Address
15~
B
PID: Zoning:
~ ~ K:a.
Subdivision:
Legal: L
EJisting structure~or NO
CONFOR.J.v!S TO ZONJNG
ORDIN.Al~CE
YES
NO
I
Is tbis an e:tpa1lSion of the c:tisting footprint or
building height?
YES
Refer to PIamring
NO
I Is the ".~I'~' _;located within the flood plain?
I Docs the alt=tion include any additional kitchc:l.S? I
Docs the proposed alteration include any outside
entrances other than patio doors?
Refer to Pr......;..~
t-Jo
NO
t--Jd
Refer to PIamring
Refer to PIamring
Is the proposed use of the fiDished space or
alteration for anything other than a n=al single
famiiy home (office, groU;loome. day care. C':c.)?
Refer to Planning
~o
f'Jo
THIS cm:CK1.1ST :VIUST BE COMl'LETED .~'iD I:i'fClUDED I:i'f THE BOLDING PER;'tIIT mE TO
:V1A!NTA1N A RECORD OF TIfE REVIEW.
.
.
----
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /5280 Pl/,e-W/ll./ /trs ,eL)
NATURE OF WORK LoW.lfK-- La/et--
USE OF BUILDING .e6S -"1//L .
PERMIT NO. ()S -I ~ DATE ISSUED / I. t; . ().:3
CONTRACTOR R~WLr8/ PHONE~.1/3L
NOTE: THIS IS NOT A PERMlf FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ -- I I
I I ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING f![1 ,12,-1 - b~
INSULATION I I
ELECTRICAL I I
PLUMBING I I
HEATING (if required) "f I
FIREPLACE "f J
GAS LINE AIR TEST rlb_l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL,!).
(-I~ I
I
I
V
17
,
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
,
, ~,
/I-c...
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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
of) i
ADDRESS J.S:lPf) f.ll.....~ /....{,~ ~
OWNER CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,)I'1oINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
O..JEWER HOOKUP
)Z! PLUMBING FINAL
o MECH FINAL
COMMENTS:
TillE
'3 -1'19/
o EXlGRADlFIUING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~K SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
o CORRE CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL 50 FO~E NEXT INSPECTION :u HOURS IN ADVANCE_
CODE REQUlRE~NTS AIlE FOR YOUR PERSONAL HEilLTH 4 SAFETYI
/ .. uaNOn