HomeMy WebLinkAboutBuilding Permit 01-0341
(Please tvP~ or Drint and sUm at bottom)
ADDRESS
/1-050
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- -/q-o /
"?~~35
8t,(Jt:-8/;eo
I.White File
2 Pink City
3_ Yellow Applicant
J}::/'j / '---'
LEGAL DESCRIPTION (office use only)
LOT1 BLOCK 2- ADDITION n/tP~ ifiLL 2-~
OWNER
(Name)
'[) A-v I ,')
(Address)
BUILDER
(Namp)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(/ILl tJ H
o New Construction
~ower Level Finish
/'2. /C.t1"5.
I PERMIT NO. 01-034/
ZONING (office use)
RI
PID Z5 -343 -{)I8-()
(Phone) C 1':> 2.) ({\OJ 6") (:71.
(Phone)
(Phone)
DDeck
DRe-Rooling
DAlteration
PROJECfCOST/VALUE (excIudingland) $
o Fireplace
DPorch
DAddition
ORe-Siding
DUtility Connection
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 confom to all existing state and 10ca1laws 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
enter~. e property to perform ~d insp~ons.
X \. !)IALIM' --- ~L--- 'f _ I <tr. 0 1_
- Signature Contractor's License No. Date
Permit Valuation
Permit Fee
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
2000.00
$ 1P2... 2S
$
$ /.00
$
$
$
$
$
c roes Your Building Permit When Approved
tr-25-~/
Date
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE ~O
I Paid
I Date
y3. z.. c:-
d.l-r~f) I
# $
# $
$
$
# $
# $
$
$
4.'Z3.01 $ &3. 2.5
VI'.
I ~;11J1,~:;:qS7J /
,/'
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
Byt?f?
Date: Cf ~ 2 S" --- 2age
Building Permit #
Site Address /<(050
Legal: L tj B
PID:
75( ~ \P<,r---J 1)--
--;;> Subdivision:
Zoning:
~ftcl( Z~
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
~
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
X"
;X
Refer to Planning
Refer to Planning
x
-y
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
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIAL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1<'/6t::;() bfu-€.J.oI'K;Q' /,'
NATURE OF WORK 1Jw' i L t::,,^,...~f--,__'
USE OF BUILDING as .q / e
PERMIT NO. 01- TJ-:s4-1 'DATE ISSUED 4- '25' ,20:::l,
CONTRACTOR f'jrr'lA.k ' 10'5-(,\CJ "-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
, BUILDING AND INSPECTION
2~
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
A
Jb..
,~~/
?~101
-
/2>r
9/~f))
.... ...... . 7 __
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
~
DO NOT
~~
'7/1 lIT?
1C1VL.
"-
4L
~
1{.
u
-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical :l:e~vice' 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE nIlE
CITY OF PRIOR LAKE . I
INSPECTION NOTICE SCHEDULED 2r LI e3
ADDRESS _l ~rJ y1->tUJ2.~) WuJ)
OWNER CONTR.
PHONE NO.
PERMIT NO.
1-3t.f1
o FOOTING
o FOUNDATION
f 0 FRAMING
o INSU~TION, J n
FINAL~
{ SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::O:ECT wo~ REINS:::/::~:FORE COVERING
CALL 447-9850 FOR TH': N':fl(T I'!SPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
ININOn