HomeMy WebLinkAboutBuilding Permit 01-0147
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3.~/- 0 /
I. White File
2 Pink City
3. Yellow Applicant
(Please ~~ or urint and si2ll at bottom)
ADDRESS
/5037 13L/JC-K- ())1K- ;eo
I Z;;~~ffi"U")
LOT , BLOCK Z
LEGAL DESCRIPTION (office use only)
ADDITION
~ER
~ame)
SfeOhiJ ()
ISO .3 7
(Address)
BUILDER
(Namp)
(Address)
.emP(J~ t€3IOdiG
:S, Yf.-fz-e(
13 Ia.c /( ()a /( F?-d
z,NO
PID 25-304--- OIO-()
(Phone)
(q5d.l ddb'd7/ff/
((;,r:J'j .3~~ - '6S-~(
'fi._"1.C:
')(~ ~'rV~
(Phone)
ODeck
ORe-Roofing
ORe-Siding
OPorch
TYPE OF WORK
o New Construction
OAlteration
~o;r ~~inish 0 Fireplace
r>WI"'/t3/Ne; ay tlWA/6K:-
o Misc.
OAddition
OUtility Connection
PROJECT COST /V 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. 1 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 a are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter ~e ~roperty yo needed inspections.
X ~~ '3-7-~1
- '/ Contractor's License No. ."
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
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other ef-.6cne.fML.--
l TOTAL DUE
# $
# $
$
$
# $
# $
$
$ /,00
$ /57. Z5"
14.75"
/.5"0
Size 5/8"; I";
,f-o.OO
40.00
~eLJ
3-S3-0 I
ThiS Apphcabon Becomes Your Buildmg PermIt When Approved
C20&;:ob S?%-~:
I Paid /57. z...5"
I Date -3-'1~tJl
I Receip)1!939'07(,
Bv r------
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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:((,i?, .
Date: .3 - 7 - " /
Building Permit # PID: ZS.3oq... 010.0
Site Address /5037 Bt.-rItU::... t:JrtK- ,eo.
Zoning: IC/5.D
Legal: L "
B
2-
Subdivision: k!/iS;O.daeet/ ,le;066 2NQ
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
./
Is the property located within the flood plain?
Refer to Planning
.,/'
V
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside.
entrances other than patio doors?
Refer to Planning
,../
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
/"
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PER."vIlT FILE TO
MAlNTA1N A RECORD OF THE REVIEW.
.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .J.5()~1'] hk\.-. thk RJ
NATURE OF WORK ~Qr l~ ~\^~cJ....
USE OF BUILDING SF[\
PERMIT NO. n r -0 /21=-7 DATE ISSUED 3 -8 - '2.co {
CONTRACTOR Yd?'_Pl I PHONE t"olZ_ '~2-2E~<I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ -~Q-w
'?, . rt,;
- I
':?U~
"hOa.u.
IOt/,~
,~),~
,
1~111
1;;t1/3
,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
.
DO NOT 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 additions
where no service cabinet is available, card shall be placed near main entrance.
~
I
/
cl~
rD
g- j 2 ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I c:, 0 ,-:'~
--I
rJ",C 0> if?
OWNER
CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
(2~
() 1- <'-)</j
Q/ 1'/7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
lYe'K
.\r- \D~'~ 10jL~ (_, .0" t
uI WORK SAfl5FACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRE~;,'!!f?Jr:L FOR REINSPECTION BEFORE COVERING
Inspector:, I J / 1 Owner!Contr:
CALJ ~~JDP6~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'.J ..;
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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