HomeMy WebLinkAboutBuilding Permit 03-1503
_ (Please type or print and sim at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I/, 7. 03
;~;~:' ~:;y IPERMITNO'Oi>_/.c-,,-:;I
3_ Yellow Applicant .J I V(....'-J
/f'Zql tJL-t/6LJIF?O 77V1IL Ne:
LEGAL DESCRIPTION (office use only)
LOT/OBLOCK 2 ADDITION /CN08 HIL..-t..- 4-71f
OWNER
(Name)
K./ /ZK..
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
x
,
Permit Valuation
I Permit Fee
I Plan Check Fee
\ State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
(3 USe-HeR..
o New Construction
)B€,ower Level Finish
2- fUYlJ'
ZONING (office use)
1'<./
PID z..5 3'-2... oZS 0
(P~~ (,/2. 237. fJJ94-0
(Phone)
(Phone)
DDeck
DPorch
DAddition
DAlteration
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
I z,
I $
$
$
$
$
$
$
$
000.00
(,Z.ZS
/.00
40.06
4-0.00
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 th uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr e to perform ded inspections.
/~
This Application Becomes Your Building Permit When Approved
~ ~ I~/~Io~
Building Official Date
Contractor's License No.
I Park Support Fee
I SAC
\ 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
/~.zo
//. 7. o'?
ORe-Siding
DUtility Connection
//.- /"-c9 '5
Date
# J$ I
# $ I
$ I
$ I
# $ I
# $ I
$ I
$ 1.00 I
$/~.ZS I
I Receinf~- ~z... 7 I
BY~ . I
I
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 Finish or Interior Alteration to Single Family Homes
Date: II/?/vs
Buildin<> Permit # Pro:
..
Site Address /L./.} '7 I 8~
Legal: L h B 2-
BY:
~
~< 11
~/-J
E:dsting structure~or NO
CONFORl"V!S TO ZO~1NG
ORDlNAJ.'{CE
I
Is this an e;tpansion of the e:tisting footprint or
building height?
, Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration mclude any outside
entrances othe:- than patio doors?
Is the proposed use of the finished space or
alt=tion for anything other than a 0=1 single
famiiy home (oEce, group hot:le, day C3l'e, e!c.)ry
Zoning:
11&-,
Subdivision:K..--I ~ ~tt.
YES
NO
YES
Refer to Plamring
NO
Refer to Plamring
}-.3u
~CJ
t-Jd
Refer to Planning
Refer to Planning
Po
Refer to Plar.ning
tJ()
THIS CRECKL1ST :VIUST BE COMPUTED AND INCLUDED IN THE BllLDC'iG ?ER'flT mE TO
:VL.\.lNTAli'l A RECORD OF THE REVTEW.
.
.
.
PRIOR LAKE
INSPECTION RECORD
DePARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / ./-ze; I {ft-{/t;,"d/,.eo ffVJl L- IlIC
NATURE OF WORK &OWe;te. /.EVE:Z-
USE OF BUILDING ~S r:r/ te.,
PERMIT NO. ()3 -/503 ' DATE ISSUED II. 7.03
CONTRACTOR BUs~ PHONE "(2.2..3 7, tJ~fi:)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I l
I I I
TIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
~
J. ~/{f1~
~ L j\;Cj,LI")j
eM.
~
~
~
LA J I/{, f 03
IA , / lA. /e3
);~/t4/e3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I' I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
JIll?
;).. - <4 -a\
.
UNTIL ABOVE
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.
I
-W
HAS BEEN
SIGNED
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Iln~l
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
INAL
SITE INSPECTION
COMMENTS:
/
/WORK SA
o CORRE AC
o CORR T
"1/,7:/
SCHEDULED ~
~foL~~ TF
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
('j , \ \).
l'/t7~ ~ \
TIME
'< -/~Or
..-"'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
)i..FIREPLACE FINAL
o GASLlNE AIR TST
o
\, ()
~ ("-&--\
CTORY, PROCEED
o NO PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNO"