HomeMy WebLinkAboutBuilding Permit 04-1121
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
While
Pink
Yellow
File
City
Applicant
I PERMIT NOI7t/ -I lOLl I
(Please ttPe or print and sip at bottom)
ADDRESS
/7'f 13 {)t't'rf:eid /Jr.
ZONING (office use)
72C}-
LEGAL DESCRIPTION (office use only)
LOT ,~LOCK / ADDITION
OWNER
(Name)
Cp /I sfe: /I ~ ~~
/p~~ qa
q- V
.J. Jc,{ns-e"J
PID ,;2..S"'- ,/00 - rJJ..b-o
(Phone) 9<2 -5"1/ 7-63.?LJ
(Address)
BUILDER
(Company Name)
(Con'act Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK. 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: l}Q1.R.C. D1.B.c,
Type of ,construction:
Occupancy Group: A B
Division:
I
E
II
F
I
1I11VVA
HIM R
2 3 4 S
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hrreby 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 aU existing state and local laws and will proceed in accordance with submitted plans I am aware [hat the buildmg
:TI""/"O.~:" ;~=:CQ. FUO~" th" th, "ty offi",l UI' d'''gn" may ,m" upon th, ptop,rty to p,,'olm "ecd'/;;;:::;1/zti {I If
~r("~---. ~ Contractor's LIcense No Datl-
t' Park Support Fee $
Permit Valuation ~ Zoe;;o,CJO #
Permit Fee $ ~Z.z..S SAC # $
Plan Check Fee $ ~ Water Meter Size 5/8"; 1"; $
State Surcharge $ /00 Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other aa I $ /, Cl L1
Gas Fireplace Permit Fee $ I TOTAL DUE $ h8:J.S
,/ . , ~
This Application Becomes Your Building Pennit When Approved Paid ~ '7/"/.:? Receipt No. 'f-K()/O
~~ /o/z 9 joy Date II? - d'1-4 By C
~
BuildinuOfticial ' Date
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City loning Ordinance and may proceed as requcstcd ThIS document
when signed by the City Planner constitutes a temporary Cel1ificate of Zoning compliance and allows construction to commcnce. Before occupancy, a Ccwficatc of Occupancy must be
iSSlled
Planning Director
Date
24 hour notice for all inspections (9:'02) 447~98:'OO. fax (9:'02) 447-424:'0
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
BY:
Residential Building Permit Checklist
13~t Fm;:5" ~~::"ti";:sm;;';~m~
Building Permi, ;i
Site Address
Pill:
Legal: L B
/7 L(/3
Subdivision:
Zoning:
jk,,6~cSJ
Existing strucrure~ NO
CONFORlyIS TO ZONING
ORDIN'A..!.'fCE
'r"ES
NO
YES
NO
Is this a.."l expansion of the exis-'Wlg footpr'Ult or
buildir.g height?
Rere: to Pl2.ThJ.!.L""'1g
I Is the propert'J located within the flood plain?
I Does llJ.e alteration include any additional kiecher-s?
Does che proposed alte:arion include any outside
entrmces othe: than patio doors?
Refer to Planning
NCl
Nfl
(J'f!J
Refer m Planning
Refer to Planning
NO
Is the pro1Josed use or the wjshed space or
alte::lrion for ~""1ytbng ot.he: than 1 normal single
family home (office, grau? home. day care, e~c.)?
Refe: co Pla.nmr.lg
116
THIS CHECG..lST M1.'ST BE COMPLETED .~'!D ['ieLUDED IN THE BLlLD[NG PERJ'dlT FILE TO
i'fL-\.INTAIN A RECORD OF THE REVIEW.
i .,-;-:'7F:JT j, --::', j,' 7,~~..:(-r -::(~C
----'_...~---"--,.._-_._--,-"._-.----"_._,,---_.._.._---.__."-._---,_.,~----_.,----_.-
PRIOR LAKE
INSPECTION" RECORD
.
SITE ADDRESS 1'11.//..J ./)Erlt A
NATURE OF WORK
USE OF BUILDING .
PERMIT NO. DATE ISSUED ~"
CONTRACTOR . PHdNEts".a ."""1-t.I!I'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
AMING
INSULATION
ECTRICAL
j/~,
j/I??-
. /
//2//a.s~
)/2/,(<>5/
//p/OS 1
)lV1
,
//.2//<;S"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
LECTRICAL
/p/
. /
z/ A:f/.d
.,2-/ I~;t S-
,
,
"z/./d/oS
BEEN SIGNED
HEATING /0/
DO NOT OCCUpy UNTIL ABOVE HAS
. NOTICE
This card must be posted near 'ari electrical service cabinet prior to rough-in inspections
and maintained until ell 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 nilE
SCHEDULED ..2/Z~S-
&C',jJ~/cf d-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7Y/3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.....a-fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
CJ ~ -//2/
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~Et-US:
c/ I~fn~~/ ~''f I d.....
L)~d L L >>~h ~ ;1;...- s
#,/-.p,L.
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( /' /()J~--" /-/ /P
\ '---' ~ /
~ORY.PROCEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WO~#R REINSPECTION BEFORE COVERING
Inspector: /" jYC/ L Owner/Contr:
CALL 447-9SS0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Y<SNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI