HomeMy WebLinkAboutBuilding Permit 04-0835
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
g-II-OL)
I PERMIT NO. 01-. 08351
White
Pink
Yellow
File
City
Applic~nt
(Please ~ or oriot and sim at bottoml
ADDRESS
<
/5~;;"'c; -W~
Pf:WIA
(7
LEGAL DESCRIPTION (office ose only)
LOT { BLOCK foADDITION IL/~q~ Is I-
--
__ ,I ~IAJ
jJ 6 ('Q() tJ 776
(
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
ZONING (office use)
lei
Pl02~ -"37h-or;/7--0
9s'Z.
K'Z. I
V f./ S {")R.I?g'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding Xower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: DJ.R.C. DJ.B.C.
Type of Constrornon:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby cenity 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 fOf the
above-mentIOned propetcY ~ "j~,)nstnLctlOn will conform to all extStmg state and local laws and Will proceed In accordance With submitted plans I am aware that the buddmg
:"'1 'n~' 'o'r ~;:::::' I hereby ,greeth"the"lY 01lk..1 0" des.gnee may enle' upon the property 10 perform neCdC~
~ / ' Contractor's LIcense No
I' I ./
P~uation
J
E
II
F
I
IIIIVVA
H J M R
2 3 4 S
1
\ Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
1 Plumbing Permit Fee tJtv~-$
I Mechanical Permit Fee $
1 Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fell LJkJtrJ $
('000'01
7'1 "IS
I .qJ-
Park Support Fee
$
$
$
$
SAC
Water Meter
Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
tlo,-
'10.-
TOTALDUE l'.JlUm? 0.11.. .04-
es Your Building Pennit When Approved
/':;>/t? r~")
'R'-/~- ()C,f
9;--/).-01.-{
Paid
Date
Date
#
#
#
#
$
$
$
$
$
$
$
1 $
I $ /5(,. ZS
1
1
I
1
A
I ReceiPt No, 1-1'7# UU
By ~ - '!
ThiS IS 10 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 Checklist
Basement Finish or Interior .,3Jteration to Single Family Homes
BY: tMrtu ~~
Building Permit II
Site Address
PID:
Legal: L {
C9
B
Existing Structure: x"ES or NO
CON~ORl"IS TO ZONING
ORDlliA.l'fCE
Is tills an expansion of the existing footprint or
buildir.g height?
Is the propert"j located within the flood plain?
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
alt=tion for anything other than a normal single
family home (office. group home. day C:lIe. etc.)?
Date: rf -(I --- cJ ~
Zoning:
(S 30<9 !L/d~
Subdivision:
~vt.~i1o\"",
6)
YES
Refer to PlaD!1ing
Refer to Planning
Refer to Pl=ing
Refer to Planning
Refer to Planning
~
/s -r-
NO
NO
;/
V'
~
v---
~
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BU1LDING PERMIT F1l.E TO
i'lL.lJJ'iTA1N A RECORD OF THE REV1:EW.
i ,",7"':-:-,,('OT j, ::='~ ' -~-:r,~ r:Ci~
PRIOR LAKE
INSPECTION RECORD
IIh1h P~IAN'
,:."." ~
DEPARTMENT OF
BUILblNG AND INSPECTION
SITE ADDRESS ~,
NATURE OF WORK
USE OF BUILDING
PERMIT NO. M.06 DATE ISSUED &, IZJ)4--
CONTRACTOR 0J,u"~, PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,.---
'I-J
I
. .. . - ow (f .1 . "'--''''IIM I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..
- - ------ -lo-' - --- .
J'o:';q-lll"'- . ...-- -
lUG- 1.It.%
-till
firs
lItl~
s ~-Z4'
I
I
J
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS L~NE AIR TEST
~OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/JJIVf 1 / /
, 1\/
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
If ,Ii ,.()4-
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5'..3..2 9 u///,k,
OWNER
PHONE NO,
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
".liHlllAL
lJ SITE INSPECTION
COMMEN}:S:
/7~')4(
CONTR,
PERMIT NO.
lJ PLUMBING RI
lJ MECH RI
lJ WATER HOOKUP
o SEWER HOOKUP
,a1'LUMBING FINAL
~CH FINAL
DATE nME
///.F6~
/Lv
/
,..., '/ -R'~J
lJ EXIGRADlFILLlNG
o COMPLAINT
lJ FIREPLACE RI
,.e1'lREPLACE FINAL
lJ GAS LINE AIR TST
lJ
~ . -' _ 4 I'
hd-.~ I~.. r/~/Ctr
0<<'
. -
#;I'7-ec:~/ h#.., '/
///IV""~~'9
V
- ;
F:;j..-q/.~ ~ e-
'-if U~..
~
hJ. e; /
o/f
- .
~~.../ OA-
t=::> ~-~' ~/,.{
r--;..
( ,,)-t~./
Bk:
- ------.............
~/ ....-r/~,
/' /'/tf'J:-e- h./~ _ /
'-"" ~.
./WORK SATISF",,,,, I \"I" I, r n.""'......~"
/b ~ORRECT ACTION AND PROCEED
lJ CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
. r
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN$NOT,