HomeMy WebLinkAboutBuilding Permit 01-0013
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I/S/O/
(Please !We or vrint and sim at bottom)
ADDRESS
/~(,z ..,..
1. White File I PERMIT NO 3J
2. Pi" C;,y 'O./-()Ol.
). Yellow Applicant
dt-/ N 1/
Lj7~6 (}:!.rj/ t-- I Zo;;;o"U") I
LEGAL DESCRIPTION (office use only)
LOT~BLOCK 3 ADDITION WIf-06leNG.sS PONDS 2~ PID Z5-~-04-S-0
~':~~~
(Address)
~
tine.
BUILDER
(Name)
(Address)
gue 1,cA.
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck
)8fLower Level Finish I)(Fireplace
4- ,e/lf.5.
o Misc.
OPorch
OAddition
ORe-Roofing
L/Li7- I/c'>?
ORe-Siding
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
$ 87.25
$
$ 2.00
$
$ +0.00
$
$
$ -'f0. t) ()
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other eUenet c.
I TOTAL DUE
OAlteration
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
;teru~..) tott::..e.,~;ons I_~
~ Contractor's License No. _
. ......,
~m7iluildingPermitWhenAPproved
~ /~ 09-0/
B' gOffi# Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Size 5/8"; 1";
~
/-<7. () I
# $
# $
$
$
# $
# $
$
$ /.00
$ /70.z6
I Receip~~ -:?J% f'S cr
IBv~
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
I Paid /71).2..$
I Date 1- / Z- 0 I
Date Special Conditions, if any
24 hour notiee for all inspeetions (952) 447-9850, fax (952) 447-4245
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
a Date: C - ~.,- of
Building Permit #
Site Address I (, r.. ZC{
PID:
c-aJ. t1:-
-
l..r-
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~""""I
~
NO
Is this an expansion of the existing 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
~
;L
Refer to Planning
Refer to Planning
-,(
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
'<
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUlLDING PERMIT FILE TO
iVWNT A1N A RECORD OF THE REVIEW.
.
L:\Th\1PLA TE\AL TCHCK.DOC
PRIOR LAKE' DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /(~~ hl,.J ~. ~.J}:-.
NATURE OF WORK _' fJ- F::......~^
USE OF BUILDING SFD.
PERMIT NO. 1'\ tJ I- 00'/3 DATE ISSUED I - c.. -of
CONTRACTOR L-J/aueJrd....... PHONE it.f7-1/~lJ
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 CONl,n.: I UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
"'Ie. f:r,
bJ.,
J.//3m!
&I; iitJ/
FRAMING
INSULATION
ELECTRICAL
PLUMBING (j:;., ~/11()/
HEATING (if required) ~. , .ilJ:~/ tJ/
fiREPLACE ~ ~/U /f,)l
GAS LINE AIR TEST k dId/1M
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
,
'/d/'f'
th~jo~
~~ i/..~if.
.~ 1(~ft~
HAS BEEN SIGNED
OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections have been apjnoved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE nlll!
~/~y
~6'f~ ~1'1;,,/ 4Le 7//
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
MNSULATION
INAL
a SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
a PLUMBING RI
a MECH Rf
a WATER HOOKUP
a SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
&-/.3
a EXlGRADlFILUNG
[] COMPLAINT
[] FIREPLACE Rf
a FIREPLACE FINAL
[] GASLlNE AIR TST
a
COMMENTS;
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~RKSATIS Q"V PROCEEll ~
a CORRECT ACTION AND PROCEED
[] CORRECT wo~~ :'~R REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Cont..
CALL <147.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALffl & SAFETY/
....."