HomeMy WebLinkAboutBuilding Permit 03-0090
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
cr1ease ~ or mint and sim at bottom)
ADDRESS
/46D4 1SlUEld.lttiJ IfU
Date Rec' d
/-13-03
L White File I PERMIT NO
2. P;,k c;" . /1'2 ~OO aO
3_ Yellow AppliCllnl u-:' 7
ZONING (office use)
. LEGAL DESCRIPTION (ollice use only)
LOT (/J BLOCK 3 ADDITION KAJo b 1./-// I
I
OWNER
(Name)
ftL HlIlXEY
/4604 f!.tuEi1?rl?D r--tL.L
(Address)
BUlLDEltr _ _ _ 0
(NameLJJ.l!J{$PO.IIY'-1I:F b.JtW~ <:.--
(Contact Name) mtltE LAI>>nA-IVAJ
(Address) 1'9> 71 Il(U06-€1.JA--7C11- ~
TYPE OF WORK
o Misc.
I Permit Valualion
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
~ower Level Finish
PID;;25-, ?/o-o;;ro-b
(Phone) 9SZ-.;733-$s '7S
(Phone) 9SZ-~"O' 3.3/5
(Phone)
~1tV~
ODeck
ORe-Roofing
ORe-Siding
OPorch
~ireplace DAddition OAlteration
PROJECT COST/VALUE (exc1uding1and) S bl.C,Cl':'O
OUtility Connection
,
4:/ aOO. IJO
$ ~2.)
$ ...
$ )."tJO
$
$ UJ.U7J
$
$
$ 40.00
, Thi:JliatJ.~rs Your Building Pemut When Approved
-/ffM1. I~ 1-1-3-01
BuUdin!! Ollicial Date
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
enter upon the r~~r--~~. to perform needed inspections.
X ~d-r"L---..
,.,. -. ~gnature
~"C').<634ol
/I01Io~
Contractor's License No.
Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I WaterTowerFee # $
I BuUder's Deposit $
I Other $
I TOTAL DUE t'AI.4.eP 1- Z3 -Il? $ / t, q ~ _
i/~l/d-::' I ReceiJ)t}lo.~.,I7~
'':'}-7- ::>., Bv (f.-/ I
I Paid
I Date
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
=:d~iU;;(~ 1lIf:.-'es. temporIDY Crnrncate 0; :~::~liM~ Md ~ows c~::l'O _=:ef~::M;" ;:::;~ must~
Planfting 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 Alteration to Single Family Homes
BY: /hIll.. ~ Date: (- /3- ~ D3
Building Permit #
Site Address
Legal: L
~
B
'3
PID: JtjfoOtj ~ c;J~
Subdivision: ;:"1-106 Hi 'II
Existing structure:~or NO
- -,--....
CONFORJ.\'IS TO ZONmG
ORDINANCE
~
NO
Is this an e;cpansion of the existing footprint or
building height?
YES
Refer to Planning
NO 1
~
~,
~I
~
~
, Is the property located within the flood plain?
Does the alteration include any additional kitchens?
Refer to Planning
Refer to Planning
Does the proposed alteration include any outside.
entrances other than patio doors?
Refer to Planning
Is the proposed use of the finished spac e or
alteration for anything other than a nmmal single
family home (office, grou!, home, day care, etc.)?
Refer to Planning
Tms CHECKLIST MUST BE COMPLETED .~'fD INCLUDED IN THE BUILDING PERI.,UT FILE TO
MAlNT.-\.lN A RECORD OF THE REVIEW.
T '\~rPT"T-;:\ALTrrtC<.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14'64. fJ/u~ htY.2 7'rl
NATURE OF WORK L..t, P; "1 'S '"
USE OF BUILDING ~. 1=. O.
PERMIT NO. ()3 -()oqo DATE ISSUED 1-.11 .0')
CONTRACTOR ~be~~c.. fk.Ik!.,rS PHONE_QS"..2- '1l{~ - 'lJ1.2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'rlnllL I
I . ...............""'. v- ..... ... 1)...&I.nlll- I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I!..!R J1.1:~f:f\. ~... '"9
FRAMING IV t ~~
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
~
5fk
~\,b-
~
~
'J-/~,-ta3
"2-/ /ft-M
'2.--1&'2..-~
Z-/l'2--te?
y/~'Z...11Yb
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
gp. ....'~I~ (".'-r 1~ iLd:II..~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
#?I
#Pj
OCCUPY UNTIL ABOVE HAS
NOTICE
c:2/-Z/Ps-
d/2!/~
//';!7~5 ~
/ /27/'.5
BEEN SIGNED
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 TIllE
//dr
/~()~ 8ke~j,./7//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o IN-'lJLA TION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CE-PO
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
.,...e-F1REPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
dlv~ ~-i1r ~~~~_
@ i-:?-e/h'JAc -eo O'e,.
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,/-7 I'r'
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)
--
~RK SATISFACTORY ~ROCEED
a ~~RRECT ACTION AND PROCEED
o CORRECT WO~;2~7R REINSPECTION BEFORE COVERING
Inspector. ~~.---- OwnerlContr.
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH & SAFETY!