HomeMy WebLinkAboutBldg Permit 05-0188
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
!;;:~w ~:~h"" I PERMIT NO. tJ$'- /Rf!
(Please type or ,rint and siltIl at bottom)
ADDRESS.
ZONING (office use)
AlA ~I.,,:;' Irfl C+ JUr
u
LEGAL DESCRIPTION (office use only)
47kO
,
LOT/3BLOCK
I ADDITION
J:::' A/rJ h fJ // )
PID,;7S -3IO-c)f'3-.:J
OWNER /"
(Name) (.-,A,r'1 M.
(Address)
0..'.....'" )
(Phone) 9 \".J- <-I d2r { 7 S;S
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding r9f'.ower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc. 7'-
CODE: 0I.ll..c. OJ.B.C.
Type of Consttuction:
Occupancy Group: A B
Division:
r
E
II
F
I
nrrVVA
II I M R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excludiug land)
I hereby cenify thai I have hlrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authonzcd agent for the
,lbove.menuoned ~"Operty. at all construction will conform to all existing state and local laws ,and will proceed in accordance with submitccd plans_ I am aware that the building
ollicial can revoke ihl rmll for st cause Furt ore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlOns
X ~rure Contractor's License No. 5-f~a~
Permit Valuatiltm 2~."- I Park Support Fee # $ I
Permit Fee $~ r .....:;.-1 SAC # $ I
~ .-z.:.... ;>
Plan Check Fee $ I Water Meter Size 5/8"; 1"; $ I
State Surcharge $ I. - I Pressure Reducer $ I
Penalty $ I Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ ijO.- I Water Tower Fee # $ I
Mechanical Petmit Fee $ I Builder's Deposit $ I
Sewer & Water Permit Fee $ I Other el e.c lilt C!fJ/lJfJ-- $ ~I
Gas Fireplace Pelmit Fee t1!e) $ I TOTAL DUE $ /,J3. d--7 I
.1 - d-S ___ ,
1/JIi'-" "-~,..-; Paid I/J~' Receipt lio. i/fiofl
Date .~ - F'7f--O? Bv l-J
"'~~ {7)
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proclTd as requested. ThiS document
when signed by the City Planner constJtutes 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 (9S2) 447~98S0. fax (9S2) 447-424S
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
B;;/iit Finish or Interior Alterari~n to Single Family Homes
BY: ~H Date: Z5~ /rF'OS-
~i~~~~~r~:;mit #~. /~~'7:;~ 4d~~al
Legal: L B Subdivision:
E.:dsring StTUcrure@r NO
CONFORl,,!S TO ZOi.'H1'1-G
ORDINAJ.~CE
// 'I
, '{ES1
NO
YES
NO
Is this an ex:~ansion of me e;ci~....ng footpi..nt aT
~uilding height?
Refe: to Pl2I'.J1-2..-:g
-'
lIs the properrjlocated within the flood plain?
I Does the alteration include any additional kitche:rs?
Does tb.e pTo1=osed alte:arion include any outSide'
~tr<.J.I:C~S othe:- thar: patio doors?
Refer to Planning
Refer co Planning
/
Refer CO Pla.."ll"'ring
/
ts t"e proposed use of tb.e wished s-pace or
alte:-acon for a.-'lyth.i.."'"J.g orb.er than 3. normal single
thmily home (of:fic~, grouD home, dzy C3.r~, e~c.)?
Refe:- to Planning
....-
lEIS CHECKLIST :VlUST BE COMPLETED ..\.ND Ii'lCLUDED Ii'I THE BUlLDIT'lG PERMIT FILE TO
:-IL.lJi'IT..\lN A RECORD OF THE REVIEW.
~ "---=7,,,'---sr ..;. --:;-'..l. - ~,~~-=-(-r.~ -:((~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ,-,-""0 BtL.fl-eyEJ"elt:L G-+
NATURE OF WORK . ~ L . .
USE pF BUILDING 5F ~
PER~IT NO. .0 ~ .. /8' r DATE ISSUED :::s -, ~. v::il
CONTRACTOR ~A"'V (!:)it!.1wI PHONE /.103" 1,,$3
NOTE: THIS IS NOT A JlERMIT 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
#bf-
A'~
.
bets
j~~~
t?/z~~
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, ,
FRA ING
INSULATION
ELE(fTRICAL
PLU,"BING
HEA ING (if required)
.
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . I I
FINALS
BUILllUNG
ELEClrRICAL
PLUMBING
HEATlNG
DO NOT
;?;6 1
/
/
~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
I )
/ c/ zC /11"
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE
/w
qlJeo ~()~%e.kQ Q +- .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o j/llSULA TION
,r:r FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
LL. t:~A
COMMENTS:
I
0\("
-b Q ~~ ~
TIME
S-ofM
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
() ,
1..<- l ~
f
,
hRK SATISFACTORY. PROCEED
o CORRECT AC ON A ROCEED
o CORRECT ORK, C L OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL i,.,lsskOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
''''''''n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/