HomeMy WebLinkAboutBuilding Permit 04-0094
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(P1ease'!vp!:: orurint and siQJ1 at bottom)
ADDRESS
1ft> 7 7~
WeJrhu,u
,
LEGAL DESCRIPTION (office use only)
Ave. _I. tv.
Date Rec' d
J. White File I PERMIT NO
2. P;.' c;~ . () 11_ rv /
3_ Yellow Applicant ...., 7"1'
I Z'RtOffi"UKl I
LOT 1 BLOCK 1/ ADDITION We-54,;! ~
OWNER
(Name) E v J!
'J. /?ltdoJ/JA
,
(Address)
BUILDER
(Name\
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~ower Level Finish
oMisc 1.l2..,t. ~.
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
PID"l'i" -,;PJS--03.J.-f,
(Phone) t;S.2 -"'22~ - o/~y?
(Phone)
(Phone)
oDeck
oPorch
ORe-Roofing
ORe-Siding
oAddition
DAlteration
Dutility Connection
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 r--r--:; and that all construction will confonn to all existing state and local laws and will proceed in accordance with
submitted lans. 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
enter up e y....y......l' to nee inspe 'ons.
x
~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit FeeOWIVe..r-
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
tf .3;JtJt!J,()O I
$ 7i/, 7S: I
$ I
$ J.QJ I
$ I
$ '/10,- I
$ I
$ I
$ I
This Application Becomes Your Building Permit When Approved
~~~
Building Official
02/~/a1
---, Dati
Contractor's License No.
J;J~ :)t1~O~
~ Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I City SAC and WAC # $
I WaterTowerFee # $
I Builder's Deposit $
I Other eJ e.c $ I {;IO
I TOTAL DUE MlJUtW 'Z-:"t-Io.o4- $//7. Z-5'
I ::"'~ N.:i,"1o '-1V 7
I Paid
I Date
//'/- O{~
-3 -'"?-I.-/
,
This is to cenify 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 __.__.._.__. 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 Fillish or Interior Alteration to Single Family Homes
BY:~
~
Date:
;{- ,J 5-0~
Zoning: '
l~f7?- jj.JJI(}-f~al)/'f'../
SUbdivi7J~ ~
Building Permit #
Site Address
Pill:
Legal: L C)
B
~
EIisting Structure: YES or NO
CONFORl'rfS TO ZONlNG
ORDlliAJ.'{CE
x'"E S
NO
Is this an expansion of the existing footprint or
building height?
I Is the propeITj located within the flood plain?
Does the alteration include my additional kitchens'?
Does the proposed alteration include any outside
entrances oth~ than patio doors?
Is the proposed use of the finished space or
alteration for anything other than a tlormal single
family home (office, grOti1l home, day care, e:c.)?
Tms cm:CKL1ST MUST BE COMPLETED AND INCLUDED IN THE BU1LDING PERi'fllT FILE TO
i'tlAll'lT..lJN A RECORD OF THE REVIEW.
~ "'--::'"I"PT ..l. -.::. ..l. ~ -,_'-':..:r( ':cc
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD' "
SITE ADDRESS -liD '7 "') (D, We , iF. S I tJ ,
NATURE OF WORK L. '-... F=i ","" :so,..,
USE OF BUILDING OS IF': 'C '
PERMIT NO. ~I.(- ~ DATE ISSUED 2.!J. tal tJ'"
CONTRACTOR ~ '-T. ~L~ PHON$2-221.-1.Jt.Jt/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPEcroR
DATE
I
I I
UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
.
/11/1// _
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO .N..QT.
~
.
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/ / zJ/o;;-
//.z~.r
/ /26/CJ
SIGNED
,
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~
OCCUPY UNTIL ABOVE HAS BEEN
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 ad.!!itions
where no service cabinet is available. card shall be placed near main entrance. .
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
pix
/6776 fLJ-es flu f V ~.e
/
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
SCHEDULED
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
e.~LATION
~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASL/NE AIR TST
o
COMMENTS:
~
7.-' /
7 /r"'~ f
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~~RKSATISFACTORy,PROCEED
./}.;;ORRECT ACT/ON AND PROCEED
o CORRECT WORK, ~ 7.l'YINSPECTION BEFORE COVERING
Inspector: /~z-.-- Owner/Contr.
CALL "7.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
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