HomeMy WebLinkAboutBldg Permit 04-0812
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Zu.... IG COMPLIANCE. .
AND UTILITY CONNECfION PERMIT
qoIeuel'!POor_.....limat_l
ADDRESS
I~Sd'b TiY\1~"" C~-St Df'iv't..
I LIlGAL DESCRIPTION (offioe use 0llIy)
WT BLOCK ADDmON
. OWNEll
(Name)
CSrarv\ en
SiCAe. k
. (Address) 'hS}It, Ti "" h~... C.rt?~ t r\r'
BUILDER
(Company Name'
(Contact Name)
(Address)
Date Rec'd
: =- ~ I PERMIT NO. 011- /7/,'
1 YIllow AppIIaIII ~/--"'--
I ZONING (........J
PID,;J5" , q();),- ()ql- 'J
P,",,,,,.. L.d;:(. MN
(Phone) _q.c;~ 4Lf'7-1 'tS~,
(Phone)
_ (Phone)
r-r.-Z"J"'I
u.... ,\ rl
TYPE OF won 0 New Construction ODeck 0_ ORe.RooIiq [JRe.Sidiaa 'lIi.ower Level fin.oh 0 fi...,I.",
OAddition OAlteralion OUlilily~.,_._.;". o Misc.
CODE: ~.R.C. DI.B.c.
1'ypeof.r_OIl: I
Occa_ Group: A B E
. Di'rilioa:
nmIVVAB
PHIMRSU
I Z 3 .. 5
PROJECT COST/VALUE $
(exdudinc land)
5' DOt)
I henilym1ify that I haft fumishercliabmation on this appllcadon which iI to the best of my . ,," '."1,. trurll'ldtOll't'Ct. 1 alsomtil'y tbat I 1m lheuwaeroraudUWiUda,cntfmthr .
. .". ,. propa1y and that aU COIIItNCtion will eooform to all exlstina stlte and JocaJ laws aDd will pI'OCftd in aecordancr with submitted .lIns. I am llW~ that the buildq:
ofIkWcan.........."""'" ""JUSl':i{::,-~ ... ...I__IIU...."ly_.. .""~mayen...upon"'_IO__"""""'.
X ih.J,I"" ~ ~ . 'id:v0't
SiIDaIuIe' ConInclo(, !..ioeIlIe No. Dooe '
Pennit Valuation
.;1000,170
h?zc::;-
Permit Pee
Plan Check Pee
$
S
State SurcIwge S
Penalty S
Plumbing Permit Pee D/lI,ue. y $
Mechanical Permit Pee $
$
S
/,00
~t1 ,cfo
Sewer "" Water Pennit Pee
Gu PiJeplaoe Permit Pee
/Uo
. ~~;;2;
Boildln_ OfflCi.1 V ~
I Park Support Pee
I SAC
i WaterMeter SizeS/So; )";
P........ RecIucer
Sewer/Water Connection Pee
I Water Tower Pee
I Builder's Deposit
I Other
I TOTALDUE
I Paid H1&-f ",,Pc'J
IDate . ~
0-----
#
#
#
#
$
$
S
$
S
S
S
S
S
-
10 L{.;}6
- ,
I ReceiDt No. l1'1 'f Erd
Bv &......
nus is toccrtily lhat the request in me abl:m appliratiDn and, ,...,.".,., .'" ".' docummb: is in acr:ordmcc witb 1bc City Zonin. Ordinanct aad may proceed IS requeaed. This ducummt
when siped by the City Planner ..,~. ".'.'._ It ,. .'. '''. CertiIkate ofZoniq CODIp1iaDce and allows COIlStnlCtioo to .. ., Befort . . ",,' ", '. a ....".4'1 ~"". IlfOccupeN:y mllStbe
istued
......... DiIoolor
Date Soectal r.-titinB.. if lilY
14 ho.r .DIkr for IUIDlpectlonl (952:) 447-91... fax em) +f7..a.4!1
16200 Eagle Croek A_ Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
~
BY:
~f-
Date:
Building Permit #
Site Address
if 3 -CJcj
Pill: Zoning:
IG5d.$-- !//nf Ao-
Legal: L
B
Existing structur@~NO
CONFORlvlS TO ZONING
ORDIN'Al'{CE
Is this an expansion of the existing footprint or
building height?
is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances othe:- than patio doors?
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.)~
Subdivision:
YES
YES
Refer to Planning
Refer to Planning
Refer to Planning
Refer to Planning
Refer to Planning
~-tA
NO
NO
;Jo
fJ(j
,00
~{J
rJO
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BU1LDING PERMIT FILE TO
i'lWNTA1N A RECORD OF THE REVIEW.
r .\-r;:~,~T ;.\ TF\ALTr.FCK.DCC
PRIOR LAKE
".
INSPECTION RECORD
.
SITE ADDRESS /i,5Z8' 7/M~ aif=;a" l)t!/dc
NATURE OF WORK - L.l. 1=i~'~H
USE OF BUILDING .,s:J1f::"A, - -
PERMIT NO. DATE ISSUED 6'/:lAJI/
CONTRACTOR ~OIJl.J is 1~ PH'oN~" .,..,- /~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ~ ? // ffi 5"
INSULATION ~ 7 ft-L~S-
ELECTRICAL t/.?/~f
PLUMBING #4- .?//~S-
HEATING i ~ 7p..-z-ft>.j'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
[M'1/
X)hj/~~~
r /0''/1)..5''-
p'11 '//4<'
Kit)' joY
BEEN SIGNED
ttW
liLtp
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must lle 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
r}j{)
/?"~2Y 1'J1u{p/ eel (' 7'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TillE
~/-?/2-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMPt'lEN'JiS: / ___
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----- -----
~ SATISFACTORY, I'KOCEEU
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~
~
UWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn