HomeMy WebLinkAboutBuilding Permit 03-0518
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5 - 2 - oJ
I, White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO'OJ _ oS-If)
]
(Please tvp~ or orint and silU! at bottom)
ADDRESS 32~\ 'l3ALS/'VV\ ST '5i-J
[12.10((. U\K€:', !',AN 5S3/&
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BillLDER ~ '1-, .
(Name) L~ur L)"I;\)\ S
( OL-JI\Jl'-'I<..\
(Phonetl: q S2 t..t40 YLfc;4
(Phone}0',"1S2. Q'f'4 "1<;1'
(Contact Name)
'3 Z. S I 15t\L.<:,tVV\ S-r Sw
(Address) FRlod<- LAvE MN SS"57L
TYPE OF WORK
o New Construction
)'403~nish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (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 or
authorized agent for the above.mentioned property and that all construction will conform to all existing state and loca11aws 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
;ter upoO[It:J:m :eded inspections. s-- J zJ 0 ~
Signature Contractor's License No. Date
I Permit Valuation 3,000.00 Park Support Fee # $
I Permit Fee $ 7~. 7S- SAC # $
I Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ /.51) Pressure Reducer $
Penalty $ I City SAC and WAC # $
Plumbing Pennit Fee $ ~n.OO Water Tower Fee # $
) Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ I Other ez G'U7e4~& $ ./.00 I
I Gas Fireplace Permit Fee $ I TOTAL DUE $ //7 Z5 I
This Application Becomes Your Building Permit When Approved I Paid //'7 b? l'ff" "ft?2-:r /
~ :JJ.p S/~A3 Date ~ -2-D"? By/ ,
./
Building Official 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
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 Fmish or Il1terior Alteration to Single Family Homes
BY: ~ :;~f-
Date: o?/~
Building Permit"#
Site Address 3 Z- 5" (
PID:
~ 4:1-, S::w,
Zoning:
L~ai:L
B
Subdivision:
Emting Structnm(~~r NO
CONFORl\'IS TO ZONING
ORDINAJ.~CE
YES
NO
YES
NO
Is this an e."qlllJlSion of the e:tisting footprint or
building height'?
Rete:- to Planning
I Is the property located within the flood plain?
r Does the alteration include any additional lcitch=?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Plamring
tJo
NO
tJo
Rder to Plamring
Rder :0 P!amring
Is the proposed 'JSe of the finished space or
alteration for anytiring other than a no=al single
fan:iiy home (acce, group home. day c:!re. etc.)ry
Rete:- to Plar.n:ing
~~~(~.
~O
THIS CRECKLIST :'!lUST BE COMPLETED A:'i1J INCLUDED IN THE B1:1LD[CiG PER..,lIT mE TO
:'!IAlNTAIN A RECORD OF THE REVITW.
.
.
.
... ,-- -... . - . ... -.-......,-.., ':""Icr
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 325/ ISA L..J IJ fo/1 sT
NATURE OF WORK , /~owtJG U:;V6!-'
USE OF BUILDING /Uf /l/~
PERMIT NO. 03 - () ~/~ DATE ISSUED S, Z -OJ
CONTRACTOR /J/1 f/ If /?/ftG PHONE ~ - -I-"'~ 4-
NOTE: THIS IS NOT A PER~IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING l/iiY ) q-)..~-03
INSULATION Yl$ q-t; -0'\
ELECTRICAL
PLUMBING tL{/ q,tJ-~
HEATING (if required) f11P q-), )-r,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
J
J/f7/t
,
h
)1/1 ~~
i'JIs-/6.J
-2////05
f~/ /as-
BEEN SIGNED
IYJ<-L.
~
OCCUPY UNTIL ABOVE HAS
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
DATE TIMe
CITY OF PRIOR LAKE . /
INSPECTION NOTICE SCHEDULED /# // tr~-
ADDRESS ~~ ,)'/ .4 Ix --- j/-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.wt'IRAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(~e~ .(i~c7<-r
~
rP7~
/
/
or(
\
O?-,0r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/"
0;/((.
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----
--------
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\(~/?~se
~
hRKSATISFA~
o CORRECT ACTION AND PROCEED
o CORRECT WO}5-~~ REINSPECTION BEFORE COVERING
Inspector: ~ Qwner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/'lSNOTI