HomeMy WebLinkAboutBldg Permit 04-1189
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or rint and si n at bottom)
ADDRESS
Date Rec" d
White
Pink
Yellow
I PERMIT NO. 04-- . / / e r
File
City
Applicant
DR..
NW
ZONING (office use)
304-/
K/t/()tA-1U 0 e,e
R./SD
LEGAL DE CRIPTION (office use only)
IS;;-
LOT Z BOCK / ADDITION N'OOJlf'VOClO OItK.S
TYPE OF ORK. 0 New Construction DDeck DPorch ORe-Roofing
DAddition OAlteration OUtiIity Connection 0 Misc.
CODE: ~r. OLB.C.
Type of ~n ction:
Occupancy G oup: A B
Division:
OWNER
(Name)
(Address)
BUILDER
(Company
(Contact Na
(Address)
I
E
PID 25'. 3(,0 0 oz.. 0
~ Q5J-'1L/7 ,~I
(Phone)
(Phone)
II
F
1
ORe-Siding ~ower Level Finish 0 Fireplace
+- ~5. -a::t:>
PROJECT COSTlV ALUE S /l, Ory). ()<) -
(excluding land) II 'J..J-f, OOa. vOW Va./;..<
mrVVA
H r M R
2 3 4 5
B
S U
I hereby certify th I I have furnished mformation lm this application which is to the best of my knowledge true and correct. I also certify that I am the owner O( authoflZt'd agent for the
ropercy and that aU construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans_ I am aware that the building
this ermit for Just cause Furthermore, I he .eby agree that the city official or a designee may enter upon the propelty to perform needed Inspections
- ....-
x
Permit Valuat on
Permit Fee
Plan Check F e
State Surchar e
Penalty
Plumbing Pe it Fee
Mechanical P rmit Fee
Sewer & Wat r Permit Fee
Gas Fireplace Permit Fee
This Applicat'
Contractor's License No.
.tf;
$
$
$
$
$
$
$
$
(I()O.cO
S 7. z..s
$
$
$
$
$
$
$
$ /. 00
$ /7(). ZS
Park Support Fee
SAC
#
#
-
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
.00
40.00
Water Tower Fee
Builder's Deposit
40.00
Other 6(,,6 t::1lU ~ L-
TOTAL DUE
n ~~uildmg ;;//;oae,;;;ed
inn Otlicial 't
Paid
Date
/'l tl. 25
/I.;;<? O<t--
,1
Buil
1~H33'1J
ThiS IS to certify t at the request in the above application and accompanying documents is in accordance with the City ning Ordinance and may pract'ed as requested, This document
when signed by t City Planner constltll!es a temporary Certificate of Zoning compliance and allows construction to co ence, Before occupancy, a Certificate of Occupancy musl be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
EY: ~~~ Date: /1/2'7/0 'I
E uilding Permit # o';.tte1 PID: Zoning:
S'te Address 30 '-f ( ~~~ ~,
legal: L B Subdivision:
:E mting Stl'ucture@r NO
( ONFORlv!S TO ZO~1NG YES NO
(~RDINA1~CE
YES NO
Is this an e.."ql:msion of the e.."tisting footprint or Refer to Planning
b PJding height? ~O
Is the property located within the flood plain? Refer to Planning I tlD
Dbes the alteration include any additional kitchens? I Refer to Planning
~()
D ~es the proposed alteration include any outside Refer to Planning
er trances other than patio doors? No
Is the proposed use of the finished space or Refe:- to Planning
al eration for anything othe:- than a normal s"mgle rJO
fa tniiy home (office, group home, day care. etc.)?
T Ins cm:ClO..IST MUST BE COMPLETED Ai'ID INCLUDED IN THE BL'lLD[NG PERl'rIIT FILE TO
IvI iuNTAIN A RECORD OF THE REVIEW.
.
.
,
,
L:\ irEvCPLA. TE\AL TCHC:<:.DOC
._--~-_.__.__..."--"-"..._.,_." ---.--',---..--.---------,-.------, -,
PRIOR LAKE
I SPECTION RECORD
SITE ADDRESS 3~ " I 1<1JtJu.- RiQjfe "It, /J,W.
NAT RE OF WORK I'=; . ,. ,.,
USE F BUILDING
PER IT NO. t!JJ ~,~f;~SSUED
CON RACTOR I' L~ PH N I
NOT : THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPEC1'OA
DATE
(.l
1 "Z;y'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electl'lcal' _rvlce cabinet prior to rough-In Inspections
and maintained until ail Inspections have been approved. On bulldlnga and additions
where no service cabinet Is available, card shail be placad near main entrance,
FOR ALL INSPECTIONS (952) 447-9850
CATE nME
tLZar
:fa r'/ ~-ro //;,~~ ,i!/
CONTR.
7"'- // r??
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
SCHEDULED
PHONE NO.
PERMIT NO.
COM~ENT~: .
gy< 1/,('7/
.h:'-'"'7L ~
~;ck.' /-~/;"C,/
. ,
,h,~'lL?hcrD
o FOOTING
o FOUNDATION
o FRAMING
[] ~LATION
~!~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
pLUMBING FINAL
"..a'-MECH FINAL
.--~ 4
;L;u",,/
~),q/
h;../
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-6/
c '7 /
/
-;---
00" h~.::v
~RK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT ~OR REINSPECTION BEFORE COVERING
Inspector: V Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
0/<:-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl