HomeMy WebLinkAboutBuilding Permit 04-0370
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LOT 4--BLOCK I ADDITION e7tJ/WOOf)
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(Address) (S'fA. ,"-R.. I
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing ORe-Siding ~wer Level Finish 0 Fireplace
DAddition DAlteration o Utility Connection 0 Misc. r~~
White
Pink
Yellow
File
City
Applicant
(Please type or print and sim at bottom)
ADDRESS
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PO/lJ/ C-lte-
/1--934-
LEGAL DESCRIPTION (office use only)
2M>
(Phone)
(Phone)
(Phone)
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
Date Rec'd
5..$',04-
I PERMIT NO. 04, Q570
ZONING (office use)
je.ISD
PID Zr-: .-z-4-) 11 IJ ~? ()
G's l - '-/40 - h l( 'Z.9
B
S U
PROJECT COSTlV ALUE $
(excluding land)
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
I hereby certifY that I have furnished mformation (
above-mentIOned property and that all construct
:fi~':::1i"fOeU" ,
Signatu
his 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
will conform to all existing state and local laws and will proceed in accordance wilh submitted plans. I am aware that the building
rmore, I hereby agree that the city official or a designee may enter upon the property tn perform needed Inspections
YJ~ 0 ,;::rJ ?OO'-(
Contractor's License No. __L!( &. { Date
Permit Valuation 3,000. ()tJ
Permit Fee $ ;;+ 75"'
Plan Check Fee $
State Surcharge $ ;57)
Penalty $
Plumbing Permit FeelP~ $ 4-0.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
~e~mg:7;~p:;ed
BllIkhng Ortlclal t1ate .
Paid t.1~.-Z-S"
Date .s: 3,0 P
# $
# $
$
$
# $
# $
$
$
1$ 11r;.25
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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
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: ~j L(
Building Permit #
Site Address I ~ '1 j t(
Legal: L
B
E~tingscrucmr~orNO
CONFOR1VIS TO ZO~G
ORDINAL~CE
YES
NO
Is this an expansion of the e..-tisting footprint or
building height?
YES
Refer to Planning
NO
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?
Refer to Planning
NO
No
,Jo
Refe:- to Planning
Refer to Planning
tJo
Is the proposed use of the finished space or
alte:ation for anything other than a normal s'mgle
family home (office, group home, day C:lre, etc.)?
Refe:- to Planning
}J~
THIS cm:CKLIST :l<IUST BE COMPLETED A;W INCLUDED IN THE BDlLDrNG PER."v1IT FILE TO
MAlNTA1N A RECORD OF THE REVIEW.
.
LlTEvCPLA. TE\AL TCHC<:.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / ~34- ,t:// J(/ 6 PO I tV T (!..,I/t''''), c:::
NATURE OF WORK LrOWe7c... c:.E:V6 L-
USE OF BUILDING /&eS /f/IC.--
PERMIT NO. 0 <l-- ,OS70 ' DATE ISSUED .~.:3. 04-
CONTRACTOR PHONE 4tH;. fD ez..V
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
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
UILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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<f~ ')..IK/lI
~
~-~I
BEEN SIGNED
-
M.
/11'1'/
OCCUpy UNTIL ABOVE HAS
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 PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
~-kJ.<A{
ADDRESS
/'-1 ti3t-t ~Yff Pr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-776
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIOI-\. ,
M/(FINAL v-'v,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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rr,
{:.o--{ U.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 7)f/i#FOR REINSPECTION BEFORE COVERING
Inspector: J.IL.{ , Owner/Contr:
CAI,l. '"7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
IltSNOTl