HomeMy WebLinkAboutBuilding Permit 01-0538
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5- ;;2.Cj-() /
I,White File
2. Pink City
J. Yellow Applicant
I PERMITNO'nl_053~ l
(Please tYPe or print and sign at bottom)
ADDRESS
\ 43~ J S Ut1r'a.\/ (1,1' Vc)e
I
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK? ADDITION
ZONING (office use)
'R.().SD
Gs-Ja-J.e5 PID;1,:J3tJ-/)d.f)-D
(Phone) 015;)- -Sq~-77-;;)~
Lar:e VIII~ 1
(Imn.vi-eu J
OWNER J J I , /., . ) 1.-. ....... ""-
(Name) /~ . L( r I...LJ,..",).l"> h
(Address) Ii teA c:..,
7,QYYlt'
....
BUILDER
(Name)
(Address)
-:Tl HI i Q-P y
TYPE OF WORK 0 New Construction ODeck
~ower Level Finish 0 Fireplace
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 cooConn 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
enter upon the .l"- -r-- -J' to perform needed inspections.
X 7o./'M/VYI l/\/'L"..cLAQ LA/
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5(YY> .. t') I
'7C(.?'i I
I.~c) 1
I
1
. o Misc.
IL...:,F,e V~ $
I.K.. 51...ulee ~~ $
1 State Surcharge $
1 Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
r9fr(ia.co1' YourBUildin~~;;:;(ed
~~ Date
40.00
l/o...+h
(Phone)
OPorch
ORe-Roofing
ORe-Siding
OAddition OAlteration OUtility Connection l>O
PROJECT COST /V ALUE (excluding land) $ ~ OC)(!) .
;:;..-)..])/
5-:>-~-() J
Contractor's License No.
Date
1 Park Support Fee
1 SAC
1 Water Meter
1 Pressure Reducer
I Sewer/Water Connection Fee
1 Water Tower Fee
1 Builder's Deposit
1 Other
I TOTAL DUE
1$
1$
1$
$
$
$
$
$
#
#
Size 5/8"; 1";
#
#
$ //f/.Z=>
,
I Rec7f$' o. 1rr, f 7
By. /
II
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and NY proceeci as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before oca.4{ancy, a Certificate of Occupancy must be
issued.
I Paid
I Date
/((,. z,.~
4...:...1('" I
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BY:~ fJ
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: ,s- ;;;Zq-O/
Building Permit #
Site Address
/73;/ ~ a:g;
Subdivision:
Legal: L B
Existing Structure: YES or NO
CONFORl"IS TO ZONING
ORDINAJ.~ CE
YES
Is this an eApansion of the existing footprint or
building height?
YES
Refer to Planning
Is the property located within the flood plain?
Refer to Planning
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
NO
NO
>C.
y
y
I.-
;Z.
THlS CHECJG..IST MUST BE COMPLETED AND INCLUDED IN THE BUlLDING PER."'llT FILE TO
i'fWNTAlN A RECORD OF THE REVIEW.
T \~, I'T''\T ~ 'T'"'C'\ .\ T .,..,...urv T"\,....r
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 177f1( S()~n::..../ Cy-
NATURE OF WORK ~.I.: g-"-,,,,.~
USE OF BUILDING SFA
PERMIT NO. n(.05;50 DATE ISSUED S'-'jf-'2.t:M/
CONTRACTOR ItA U) J~~GI\-. PHONE B'12 - ") 7?.d
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,--... I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
ifh. 70%1-
Ih, i?5/o, .
""
~. 10/19/41
Jh. '7b3/f/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
tar.
I/I.J.f/dJ
.
tA-,
t9-.
OCCUpy UNTIL ABOVE HAS
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.
1!t11or
1/;<//0/
, "
BEEN SIGNED
Call between 8:00 and 9:00A.M: for all inspections
FOR ALL INSPECTIONS (952) 447-9850