HomeMy WebLinkAboutBuilding Permit 04-1129
Date Rec' d
Ill. D4-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
rPERMITNO. 1J~.//Z9 I
I. White
2. Pink
3. Yellow
File
City
Applicant
(Please .!VP~ or print and sign at bottom)
ADDRESS
;< ~{13, ~ &:-A--T iaL.-
ZONING (office use)
.e./
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK '=' ADDITION
mE WIU).S .socnH
PIDZS. 3fiZ.. 6(. I. cl
OWNER
(Name)
S!EvG
:2 ~1'J3
95Z-:133 -?f-IIS
8.1 GVEfL
~&A1I(l.L
(Phone)
(Address)
~~~~~)ER 1\ M&~ ~t.t.belL '"
(Contact Name) MIlO;" I 1'hJMAN,v
(Address) .p.D 8,.)'{ 'II y f(LL~ lJHU~
9Q-4'-to - 3313
(Phone)
(Phone)
55 39-J-.
oRe.Siding
ORe-Roofing
DPorch
DDeck
TYPE OF WORK
D New ConsbUction
ker Level Finish
DUtility Connection
o Fireplace oAddition oAlteration
PROJECTCOST/VALUE (excluding land) $ 'ZO,OD;;:>
o Misc.
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
~~/2~mneededinSpeCtions. 203<3413 B ~ / I II) 1/0'-/
".- - Signature Contractor's License No. Date
z, 000.00 I
$ ~Z.z5 I
$ I
$ /.00
$
$
$
$
$
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
1 Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE t!I:IvAJI/ /I./.-.O+- $ ~:3. ZS
I Paid t.. 3. z..~ I~;c~,
I Date /f./tJ'.{) l!-
I
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
This Application Becomes Your Building Permit When Approved
~~
~/t-~ if
Date
Building Official
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.
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
Planning Director
.
~
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
,f. " -i 'ri r
BY:~~
Date: 11/2/0 (
Building Permit #
Site Address cJ.f73
Legal: L 7 B:]
Pill:
~ (!J- '1lu-,
Zoning:
Subdivision:
~~
Existing Structure: YES or NO
CONFORLvIS TO ZONING
ORDINANCE
YES
NO
Is this all expansion of the e.'tisring footprint or
building height?
YES
Refer to Planning
NO
Is the property located within the flood plain?
Refer to Planning
NO
1\)0
tJ~
Does the alteration include aIlY additional kitchens?
Refer to Planning
Does the proposed alteration include aIlY outside
entr:mces other than patio doors?
Refer to Planning
Do
Is the proposed use of the finished space or
alteration for aIlything other than a normal single
family home (office, group home, day C:ll'e. etc.)?
Refer to Planning
~o
THIS CBECKl.1ST MUST BE COMPLETED Ai'1D INCLUDED IN THE BUILDING PER;"VlIT mE TO
MAlNTA1N A RECORD OF THE REVIEW.
.
L:ITEyIl'LA. TE\AL TeReZ.DOC
PRIOR LAKE
INSPECTION 'RECORD
f
SITE ADDRESS ? 8 '73 -&S~ 1'2AI L.
NATURE OF WORK (AwevL I.EJlE,L 1=1", s ~
USE OF BUILDING S.1.E1> ~
PERMIT NO. 0 'I. 111..9 DATE ISSUED .llJ.Ll.A."
CONTRACTOR - u.;a.QQI.S PHdN~-Cfc(O. ~ fJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I I
CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
'],
,f/j7 ,
DEPARTMENT OF
BUILDING AND INSPECTION
11..................
DATE
/
11/21
,
I
, {
\Y
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
UILDING
ELECTRICAL
NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Th!s card must be posted near an electrlca,1 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ /.r;:l~ nile
2~
ADDRESS '2Stz3 '&b.J--r;:.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
I? )NSULA TIOt!
)lkFINAL L..I.-.
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
Q-1I2'l
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Q~~_lliL.
----
~RK SATISF
/~ORRECr A T'
o CORRE< T I
Inspector:
~
pv DD~
AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447 - 1lI5~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlalMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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