HomeMy WebLinkAboutBuilding Permit 01-0378
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q'lease ~ or orint and sim at bottom)
ADDRESS
1. White File
2. Pink City
3, Yellow Applicant
S""2")..1 ('va.r-r R.,'.,-r- C....
LEGAL DESCRIPTION (ofllce use only)
LOT
BLOCK
ADDITION TI2AC;r L el-s :#2.q
OWNER
(Name)
~ -c.-Y"
-?'v..) 't
""alii
p <I ~"..It
'[)(1 ~
5"~ ':l'1
(Address)
BUILDER
(Namp\
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~wer Level Finish
ODeck
Cv
5'
f
(Phone)
Pri'd"'"
Date Rec' d
1- 3lP> I
ZONING (olliceuse)
glSD
PID Z5-CI{,O-OI2-0
q s')- 4L./7- 6~'"l7
L co I<~ yhJ 55'31)
ORe.Siding
o Fireplace OAddition OAlteration OUti1ity Connection
00
PROJECTCOSTIVALUE (exdudingland) sl::> 000'-
,
o Misc.
(Phone)
(Phone)
OPorch
ORe.Roofing
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
;teruPo1)~o~nee~~ 'IJ<lOJe 4- ').1-0 J
Signature Contractor's License No. Date
I..{ bOO. O(!)
fi).2s I
~ I
2.t!)() I
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Pennit Fee ~ $ 40 . 0 0
I Mechanical Permit Fee $
I Sewer & Water Pennit Fee $
I Gas Fireplace Pennit Fee V" $ 4-0.00
./I /1. .,~
~APP ~ your Building PermitWben Approved
V ~ ~m. ?ou!;j
uildinjl6f1lcial Date
,
I Park Support Fee
I SAC
WaterMeter Size 5/8"; l"j
Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
#
#
#
#
Other
I TOTAL DUE
,/f,n'
I Paid
I Date
'. "'"
U2'-1. ;.p
Pf - ::J -i"J I
'$
$
$
$
$
$
$
$
$
!~q.2S
_ _..J'
I Rece\ptNo. O'1j ~
Bv flP./
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This is to certify that the request in the above application and a~~~....t''''',/':''.g 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
14 hour notice for all inspections (951) 447-9850. fax (951) 447-4145
~~
White . Building
Canary - Engineering
Pink - Planning
Th~ ('"nIProf the' L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'()tJ
4- - 2-7 -() J
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5227 Fe.oS I 'POI tJT c"1R...
Date: f-?'. ~/
Comments:
~~ ~f\ !-eo-J~~~ ~Q
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
.
BY:
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: 4'17d/
Building Permit # PID: Z5-()(,C. C/-z,. ,() Zoning: kU.sO
Site Address 5ZZ7 r.,e(~er PI
Legal: L B
Existing structure:~r NO
Subdivision: )Zt-S <11~ 1
. CONFORlVIS TO ZONING
ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
)I
I Is the ,,'v,,", ~/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
Refer to Planning
"
Refer to Planning
>{
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
1
Tms CHEClG.IST MUST BE COMPLETED ,.1,;'11) INCLUDED IN THE BUlLDING PERl'tIlT mE TO
MA1NTAlN A RECORD OF THE REVIEW,
.
L:\ThVlPLA TEIAL TCHCK.DOC
i
PRIOR LAKE'
INSPECTION RECORD
SITE ADDRESS \'5;;1,:;:).11 ~~ Q,jlA *- 0,."
NATURE OF WORK L...C!><..o.J.er {nft........L .b.~ .~Q,t -
USE OF BUILDING ~ ~ )J
PERMIT NO, 01 -"3,p' - DATE ISSUED t{-.RlJ-"2oo'
CONTRACTOR ~~"A ~ ._ tN'l- S'~^ '1
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I I
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 ~...tl ...( f.I.,.,~. ~-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ _\lClvrt
~~,
.s-1/il.1,) ()f
.57~~z, .
-g, ~~ . t; 1;l~OI ~I (p/4 ~z-
\ ~ fiI~~'l- .\
~..J'~ vJ(c... ~ - S/~O~ # ~ y-,,-
"
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
I
I
\j
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
{{IS
I~
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,
Call between 8:00 and 9:OQ..A.M. for all inspections
FOR ALL INSPEC'i""J~S (612) 447-9850
~...E
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS c,?- 27
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED {;. -( (q~O ~
h~~ C?~
T1IIE
CONTR,
PERMIT NO.
I - ~7~
o PLUMBING RI
o MEcH RI
[J WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE ANAL
o GASUNE AIR TST
o
./
~RK SATISFACTORY, PROCEED
o CORRE CTION AND PROCEED
o CORR CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspeete ,/) Owner/Contr.
CA .I ... -f;JOR THE NEXT INSPECTION 24 HOl!RS IN ADVANCE.
codJ iE~REMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETYI
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