HomeMy WebLinkAboutBuilding Permit 04-0015
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. IZ. Of-
O~,.,""z.
(Please ~ or Drint and sim at bottom)
ADDRESS
I. While File
2. Pink City
3. Yellow Applicant
I PERMITNO.~. OO/S I
3/37
SH/lOY
~ov~
PT NN
ZONING (office use)
I</SO
LEGAL DESCRIPTION (office use only)
LOT I9'BLOCK I ADDITION ,if'tJAU1IWDDD OItI'S 2"0
PID z5. 37/. olq.O
OWNER
(Name)
(Address)
?€~Je /.s~86l-/~
(Phone)
2Z{,. "3/7
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc. I
J
o New Construction
~ower Level Finish
3 VI$".
DDeck
DPorch
o Fireplace
DAddition
ORe-Roofing
DAlteration
ORe-Siding
DUtility Connection
PROJECTCOST/YALUE (excluding land) $
x
ished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
e ab ve-mentioned r~-r';"'-J. and that all construction will confonn to all existing state and local laws and will proceed in accordance with
a that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official Of;;Signee may
perform needed inspections.
j-rz-'{)
SiKnanu'e Contractor's License No. Date '
/
I Permit Yaluation 3',000.00 I Park Support Fee # $
I Permit Fee $ 14-,7S I SAC # $
/'
I Plan Check Fee $ I Water Meter SizeS/8"; 1";/ $
I State Surcharge $ I. SO I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Pemtit Fee $ ~O.ol) I Water Tower Fee # $
I Mechanical Pemtit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other 6l-e c.T~ <!.-..- $ /.00
I Gas Fireplace Permit Fee $ +0.00 I TOTAL DUE $ /~7.2S
This Application Becomes Your Building Permit When Approved
g;,~:-oici?~ -400L
I Paid /..5? %;0
I Date 1 12.., 0 <I--
I Rece;pt)Q"o.
By ;::t. .
U
-HI~q
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY;~~
Date:
1// Zit) 'I
Building Permit #
Site Addres3
PID:
Zoning:
Legal: L /'7
B
/
Subdivision: ~~. fl
EJirting Structure: YES or NO
CONFOR1VIS TO ZONlNG
ORDINAi'1CE
YES
NO
Is this m e:tpanSion of the e:cisting fo~'I";'" or
building height?
YXS
Refer to P1a.mIing
NO
Is the property located within the flood plain?
Refer to P1a.mIing
tJo
~D
~6
I Does the alt=lion include my additional kitchens? I
Does the proposed alteration include my outside
entrmc::s other than patio doors?
Refu to P1amring
Refer to PlamJ:ing
~C)
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office. grOll!l home. day o:1l'e. etc.)?
Refer to PlamJ:ing
NO
Tms cm:CXLIST ~IUST BE COMPLETED _.\..c'ID INCLUDED IN THE BL'llDC'iG PER;'HIT mE TO
)(AlNTAIN A RECORD 01' THE REVITW,
.
.
.
- ----~ -........
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3/37 SHl1ol/ (!.;OV6 PT;\IN
NATURE OF WORK LOW6Je LE'(/P-L-
USE OF BUILDING /26..5 rli/G
PERMIT NO. 04-. 00/5 DATE ISSUED /. /2.04-
CONTRACTOR PE:T5"" -e... Isrtt$6LA,...- PHONE zzc"'.~..3 /9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~L - -
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
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
rrJl
l.. -.2~
I
I
17
,;i;
S - 2.-\
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
....,
\1
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S.'LI<It.
ADDRESS 3'~~ ~Wu (\""'.L
OWNER CONTR.
PHONE NO. PERMIT NO. C{ -00(6"
D FOOTING D PLUMBING RI D EXIGRAD/FILLING
D FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
~SULATION o SEWER HOOKUP ~IREPLACE FINAL
FINAL o PLUMBING FINAL GASLINE AIR TST
o SITE INSPECTION o MECH FINAL D
COMMENTS:
~RK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
o CORRECT RK ALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
.....n
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t;;.. l \ -~ r
ADDRESS ~31 S~ ~ /
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
SITE INSPECTION
COMMENTS:
PERMIT NO.
LI-Q::l(~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;::8.,GASLlNE AIR TST
o
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