HomeMy WebLinkAboutBuilding Permit 04-0895
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please ~ or mot and si&n at bottom)
ADDRESS
: ~;::. ~:;y I PERMIT NO. /1 /1_ CPd1}o-
3 Yellow Applicant U Lf <1 -/ ~
500':
'J?/uU.
J.kk>Wr
"fir .
ZONING (offi", u.,)
PUlJ
LEGAL DESCRIPTION (office use only) ~ -
LOT1QBLOCK J ADDITION (\ ~A.,f~M+
a~
PIDA5' - L/Oc;.- () 6-0
OWNER
(Name)
(Address)
:r Ih Pl c.c......~
ILJ'loc f:..~~k
(Phone)
LJlio - So'i' J
f#V~
t:L.
I BUILDER
(Company Name) (fJi'm
(Contact Name) ~A-"""
(Address) ~ ~ Cu
("-"tv;b...~-
&-._ .I.I\...
~~ ~.V'CL
p"'. --
(Phone)
(Phone)
L.....\<.&-- M,,",
U\.i'l_ 'i".!.~'1..
{i'tr-..L.
~(7.:J
TYPE OF WORK D New Construction DDeck DPorch DRe.Roofing ORe-Siding J2rLower Level Finish D Fireplace
DAddition DAlteration DUtility Connection 0 Misc. "
CODE: m.R.C. Dr.B.C.
Type otE;nstmction:
Occupancy Group: A B
Division:
r
E
II
F
I
mrvvA
H r M R
2 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
'--
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 Of 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
offidal carnhiS p' t fo' lUst cause 'rtheemo", I h"'by ."', that the dty offid.l 0' . designee may entee upon th, pmperty to peefo,m needed mspectiun,.
X M <~<"~ 't -"1- d<<J'l
1/ Signature Contractor's License No. Date.
I Permit Valuation '!;'~/)OD . 0 II 1 Park Support Fee # $ 1
I Permit Fee $ '2.~ I SAC # $ I
1 Plan Check Fee $ I Water Meter Size 5/8"; I"; S I
State Surcharge $ J. t:u') j Pressure Reducer S 1
Penalty $ I Sewer/Water Connection Fee # $ 1
Plumbing Permit Fest' ).f>.,reV $ L./IJ . - I Water Tower Fee # $ I
Mechanical Permit Fee $ 1 Builder's Deposit $ I
I Sewer & Water Permit Fee S 1 Other 1 $ "I
I Gas Fireplace Permit Fee No s 1 TOTALDUE I $ /O3.()..5 I
./ i/I / L1~-q
This Application Bccomcs Your Building Pcrmit When Approved I Paid fI? ~ .;?-J ReceiPtJ\fo.
~ ~ ~t/ I Date Q-7-()["{ By Ul
t7l
Building Otlicial
. ThIS is to certify that th~' 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 .4Jteration to Single Family Homes
~- "."'1. .JL, ,
BY:~~
Date: q - '7 -() t/
Legal: L /1
B I
PID: Zoning:
~~~:on~~ ~ .h
T~~.-Iu
Building Permit ;;
Site Address
E:dsting Structunc~or i'iO
CONFORlvIS TO ZOi'1LNG
ORDlliAJ.'1CE
TIS
NO
Is this an expanSlOn of the existing footpr',nt or
building height?
YES
Refe:- to Planning
NO
rJo
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 othe:- than patio doors?
Refer to Planning
Na
Refer to Planning
tJo
Refe:- to Planning
t--J()
Is the proposed use of the finished space or
alteration for anything athe:- than 1 nam:al 5ingle
family home (office. gtau-p harne, day care. etc.)"
Refe:- to Planning
NO
THIS CHECKLIST MUST BE COMPLETED A.:m li'fCLUlJED IN THE BUILDING PERMIT FTLE TO
i'dAlNTAlN A RE CO RD 0, THE REVIEW.
,-=:'"r~r ..l. -;-='..1, ~ -'.-"'...";"r-( "'"":()c
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~'" 6Un:- ~E'4It1:j 7b/~
NATURE OF WORK ,~. ~'" f:1j.J,SW
USE OF BUILDING S~A. '-
PERMIT NO. fJI/- "S" DATE ISSUED '/?/tI~
CONTRACTOR ~"'U~~~ PHONE If'l ,- ,JZ:r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IlSPECTOR
DATE
I
I I
TE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
FRAMING /H./f_ 9'.00/01"
INSULATION Jk/{ q~/6if
ELECTRICAL
PLUMBING ~ 9'00/~
HEATING If r ~ 9'~;Oy
~ ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~I ~I~
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
,
/./PP
I
//zr/p5-
// /16/0</
1/..24/0:5-
-/;0 /~<'"
BEEN SIGNED
,
fW1-
~
OCCUpy UNTIL ABOVE HAS
.
NOTfcE
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 nilE
M-
S~ &}f/~ ?;-/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
[] FOUNDATION
o FRAMING
[] INSULATION
.A!'1'IAAL
o SITE INSPECTION
o PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
..,.a1l[.UMBING FINAL
,...&1IECH FINAL
CO~NTl:i;- .~ J J
~<<~n'c., / ri~/ ~
/))' / .
/-/(.../#1 b I ~c.,
(/
.~ /
,rH'l/
d~-n-c
[] EXIGRADlFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASUNE AIR TST
o
/ /
? -;//4/c?,"'/
_/
UI'C
4.4)' / /
///-(>1' h, /-;/-ocql'
.-/' / /'
.r:-~ O/C
/ .-------
..----. "\
/' /"'?/ ~/ " )
( (' //OS-e /-z /L.. ./
. \..... ~
" WORK SATISFA~Y. PROCEED
/ ~RECT ACTION AND PROCEED
[] CORRECT WO~K~L~EINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
'"
CALL 447.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
_/
(,//c
-,
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI