Loading...
HomeMy WebLinkAboutBuilding Permit 03-0346 (Please tvD~ or orint and si2ll at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 5'10).. fN.1./J:.... J j t:J..,)" LEGAL DESCRIPTION (office use only) ~ / he-~'e/J LOT BLOCK ADDITION OWNER (Name) (Address) BUILDER I (Name)_ b.ll.. d.,,-M-. (Contact Name) ~'H"u. (Address) 91'4. ~..Ia I. While File 2. Pink City 3. Yellow Applicant (Phone) Date Rec' d 3 -~-o"3 I PERMIT NO. (J] -034& I ZONING (office use) 1(,'j-/ PID;:JCj'- '-IOO-OOd.:-6 (Phone) (Phone) 9S;J- 9L}-7:!tJl ~/) Ib 0 VL.... JlYI~ (1.1-. ub.v///", 111/1/ <.:w'/V TYPE OF WORK o Misc. o New Construction }i!1...ower Level Finish oDeck oPorch oAddition oRe.Roofing oRe.Siding PROJECT COST IV ALUE (excluding land) $ /1/ Wb DUtility Connection o Fireplace DAlteration 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 upo~ ~ro~~ P:f"JI' needed inspecti~ns, X /~~4-/~)LJ.d.. - .:lor.Jo.st.s-7 3-.:z.~-~"1 Signature Contractor's License No. Date I Permit Valuation 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 $ $ $ $ $ $ $ $ .5/100 f!!! 74 ?.. J 5.2 +-0.00 , jJf1ati7lE~ourBuildingp;~~7-~;d Building Official Date I Park Support Fee I SAC I Water Meter Size 5/8"; 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid I Date / I tv . -z.:::, .j-. '7-() 7 # $ # $ $ $ # $ # $ $ $ $ I/f.,. z5' / I ReceifjJ:o. -I-..:? 'I'f"L Bv /. . tJ 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 '~"'I"~''''/ 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 Ill' 1 BOmL-. Finish or Interior Alteration to Single Family Homes 1M ,~ Date: 3-;)0-03 BY: Building Petmit ;: Site Address S-4o 2. Pill: D-e,('(;A2 Zonin"; - $L/~~~,!~cR ~ SubdlV1slOn. r/", / Cl ffI~ Oee({tterd -{ '{ - \. Legal: L 2. B ( Existing Structure: ~ or NO CONFORlvIS TO ZONJNG ORDINANCE @ NO Is this an expansion of the existing footprint or building height? YES Refer to Planning NO ~ Is the property located within the flood plain? Refer to Planning v-- !./' Does the alteration include any additional kitchens'? 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 space or alteration for anything other than a normal single family home (office, group home, day care, etc.)? Refer to Planning ~ THIS CHECJa.IST MUST BE: COMPLETED AND INCLUDED IN THE BUlLDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVlEW. T ,\TP,fPT "TF\ALTCFrCZ.DOC ~RIOR LAKE INSPECTION RECORD SITE ADDRESS .-3 +'~ ~. [)e~" F' ,. e. I J d i " NATURE OF WORK "L ,Fi"J.J It USE OF BUILDING ~ F . PERMIT NO. ~ - 034-(P DATE ISSUED 3. 25 -03 CONTRACTOR 1ll' N.~-t:.OA; PHONE-"'~ .."or NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT - . DEPARTMENT OF l\A o;~ FeI BUILDING AND IN~ I e INSPECTOR DATE ~ I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~ #// /a? 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 ADDRESS 51"'0..2 DATE .2bds" . . . d"'t!!~/'/ 0;r T1III! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER PHONE NO. CONTR. PERMIT NO. a?-...?j/6 o FOOTING o FOUNDATION o FRAMING o INSULATION ..a.-AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~e /#;;k ~I h/p .--- - ----- /./"""l/ ~.'7d. r e ----------- ~ / / I", H/I: ../ ~~ --- - ;(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK';~;/7 REI~PECTlON BEFORE COVERING Inspector. /~ Owner/Contr. CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY! """""