HomeMy WebLinkAboutBuilding Permit 03-1596
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /J..-/l~
I PERMIT NO. t?3-159bl
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(Please'!vpe or print and sign at bottom)
ADDRESS
d)[-7,E jJ
~
1/
,~
I. White File
2. Pink City
,. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCKI~ ADDITION !/ h/Jlt4-11f~!.sr
OWNER
(Name)
/t//~ / 12 A
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
DMiSC.\5~,
B_
f(F:r"'J
Date Rec'd
ZONING (office u>oJ
k..t
PIDd5-~1?~ O/~-O
(Phone) 9.;....)
(Phone)
(Phone)
DPorch
DRe.Roofing
,~.1(, ;) "(7/~
DRe.Siding
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 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 property to perform needed inspections.
~~~_/f,,~~;t;
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o New Construction
DDeck
~r Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
DAlteration
Signature
$
$
$
$
$
$
$
$
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7'1,7S
I . 5>0
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This Application Becomes Your Building Permit When Approved
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$
$
$
$
$
$
$
$
$
17
I Receipt/p4o.
Bv f /.
{f
Contractor's License No.
Park Support Fee
#
/-<- Ir-d'::,
Date
//fc.zS- I
-?-(p OfJf--'
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
SAC
#
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-424S
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter
Size 5/8"; 1";
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE CAue\? 1"Z-./b03
#
#
Paid
Date
/1t,,25
/2.. /9 03
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~ ~.f.-;
Date: 1;:< - /1, -() ~
Building Permit if.
Site Address
PID: Zoning:
35~ /- 9v-z d~ d./L-"
Legal: L
B
Subdivision:
Existing Structure:~or NO
CONFORivIS TO ZONJNG
ORDJNAJ.'fCE
TIS
NO
Is this an expansion of the existing footprillt or
building height?
YES
Refer to Plarming
NO
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 other than patio doors?
Refer to Plarming
tJo
tJo
Nt)
Refer to Planning
Refer to Plarming
rJ()
Is the proposed use of the finished space or
alteration for anytlring other than a normal single
family home (office, groun home, day care, e:c,)?
Refer to Plannmg
tJo
THIS CHECKLIST MUST BE COMPLETED Ai'fD INCLUDED IN THE BUlLDrNG PERiHIT FILE TO
MAINTAIN A RECORD OF THE REVIEW,
T .\T!=:'vrPT.I. TI\A LTC":HCZ.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 35 e. \ ~o ~ ,Ai L ~; ~
NATURE OF WORK l..~o. &..e:reL F'i~ls'"
USE OF BUILDING 'S.F:t>,
PERMIT NO. (J3./59". DATE ISSUED ~iO'1
CONTRACTOR NE'rR.A ~. t'EO PHONE9sZ .Z%~.. t..J.,,,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I l
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH M INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
('1
/
I
/
I
.4
Ff/ ~/J' /-:; ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
t5vZJ
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
ill,
11#)
Vt/
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 adaitions
where no service c~binet is available, card shall be placed near main entrance. :
I. J ~~
fJ,/ 1/ tp
0/ "/
FOR ALL INSPECTIONS (952) 447-9850
DATE
2/1/6
/
TIMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ]62./ '{;\( W
OWNER
CONTR.
7- /J1t
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JO(FINAL L. L.-'
o SITE INSPECTION
COMMENTS: L:L.
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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10
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~~RK SATISFACTORY, PROCEED
}J'fORRECT ACTION AND PROCEED
o CORRE 0 CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CA
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl