HomeMy WebLinkAboutBuilding Permit 03-0214
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~_;;l7-o3
(Please ~ or mint and sien at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. O3-oz/4- I
I (J:~5D'U") I
k~303- l/t'rJ-or/ev {JlAYue--
LEGAL DESCRIPTION (office use only) \
LOT 9 BLOCK f ADDITION ~-? /'lJai2
.Q.WNB~ .<
~) 1112...K....
Let J..I P-.
,1?td1~ _,5lf- PIu?l5-33S-0aq-~
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(Address) 1 b ~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
XLower Level Finish
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
DAlteration
DUtility Connection
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 local laws and will proceed in accordance with
submitted plans. I am aw; that the ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter on pro elty ~~o7 n ed inspections.
rJ/// 2 - 2-7- 03
Contractor's License No. ""~r..'
I Permit Valuation 4.~.oO I Park Support Fee # $ I
I Permit Fee $ f?7,l.r I SAC # $ I
I Plan Check Fee $ I Water Meter Size 5/8"; I"; $ I
I State Surcharge $ J,..OO I Pressure Reducer $ I
I Penalty $ I City SAC and WAC # $ 1
I Plumbing Permit Fee $ LlO,OO I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other E/e[. f+i!rm /7- $ /, 00
I Gas Fireplace Permit Fee $ '-/0. <'0 I TOTAL DUE ittft~.( /.//-c? $ /7/J. 25
tl
This Application Becomes Your Building Permit When Approved Paid /7tJ.v5 I Receipf)No. ~~ Q'2 7
& ~f;;;~ )-27-01 Date 2'-z,~'O 7 Bv /1.0
()
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
~hen ifligne by e C7Z' ZEr constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSsued.
')..-) 7'03 et"o) ~{.(rC~ l-rv~ ( !-f-cv,~/1"j
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Easement Finish or Interior Alteration to Single Family Homes
BY: ~ ~ Date:~-c27-03
BuildingPetmit# 03-07-14-
Site Address
Pill:
/6353
Zoning: , /J
0c-rurtc-0;( rUe...
Legal: L~ B LJ
Subdivision: CCi/Jr"" I R.~J,c ,jT"'-
Existing StTucture@ or NO
CONFORJ.vIS TO ZONING
ORDINAJ.~CE
(~
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
v
Is the property located within the flood plain?
Refer to Planning
V
t./"
I Does the alteration include any additional k:tchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Refer to Planrllng
~
Is the proposed use of the finished space or
alteration for anything other than a nonnal single
family home (office, group home, day care, etc.)?
Refer to Planning
V'"
Tms CHECKLIST ~mST BE COMPLETED A.ND INCLUDED IN THE BU1LDING PERMIT FUE TO
i'tWNTA1N A RECORD OF THE REVIEW.
r "1""'-1'1'1 "T:=\Al.TG-lCZ.DOC
PRIOR LAKE
INSPECTION RECORD
3 1/ ;(~rltJ..
NATURE OF WORK '-
USE OF BUILDING ~
PERMIT NO. 0 ~ 02/4- ATE ISSUED
CONTRACTOR - po PHONE~O ~ " l/J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-
/I)#,
t4(/
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YJ.t1?
vi17
t1Jf/
/I')f'/
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
M
]/...1/6)'
6';1~ /c; r
~:>>4'~
~/<v-
BEEN SIGNED
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I/t'~
/$/r
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical se,vice cabinet p,io, to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
whe,e no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIllE
SCHEDULED . f 14s~
L/'ek'cc r2/ve.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/h. i)S:J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
ft"MECH FINAL
COM",ENTp: , ~ ,
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,
h.Jo-1"/
b?;/
./
Ofe
r'JJ - .2/,y
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/ /'
~I /q/03
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kORKSATI~ED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . ~ ~ Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI