HomeMy WebLinkAboutBldg Permit 05-1074
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
(Please type or print and sip at bottom)
1 ADDRESS ,
. ~/I~ WY,Jd~ Ct-
Date Rec' d
/O..2(Q.OS
I. Whitt FiI.
2 Pi.. City
l YoIlow ""'ice..
I PERMIT NO. 0.6". /0741-
I
ZONING (oIfice UK)
RISD
LEGAL DESCRIPTION (offICe use only)
LOT
ADDITION
BLOCK
OWNEll
(Name)
~
5'11
~ C hQfi.-1 ',J SG~A'
W,Jd~~ C+.
(Address)
SunDER.
(Company Name)
(Contact Name)
(Address) J
PID Zb. 33JY tJ4r:J. ()
.n...
qs~ - ~if{) - ~~6b
(Phone)
1~1.. - gCtJ - S'lbO
'I
TYPE OF WORK 0 New cons~~n DDeck' OPorch ORe.Roofina ORe-5idina
OAddition rteration OUtility Connection 0 Misc.
CODE: ISZII.R.C. OJ.B.C. PR.OJECT COST /V ALUE
Type of Coastnu:tion: I n m IV V A B (exdudinlland)
Occupancy Group: A B E F HIM R. S U
DiTisioo: 1 2 3 4 5
o Fireplace
s It), 000
f
tioo on this application which is 10 lhe best or my Icnowledit lrut and correcl. I also certify lhal I l1li lilt owner or authonud aeent for lhe
c:tion will conform to aU txislilllStAtt and local ~WI and will procetd In &CtOrd&noe with submintd plans. 1 am awart th&t lhe buildlnS
. ,_.I_-"""""?;QDW;21-"-~--~~
ture Conttactor's License No. 0
x
Permit Valuation ~~ao.oo
PemUt Fee S to z . z..S
Plan Check Fee S --
State Surcharge S /.00
Penalty S
Plumbing Permit Fee S -
Mechanical Permit Fee S --
Sewer & Water Pennit Fee S
Gas Fireplace Permit Fee S .
This Application Becomes Your Buildlna Permit When Approyecl
~~
/,,/J-r/ds
, Dite
Buildina Officiol
Park Support Fee ## S
SAC ## $
Water Meter SizeS/S"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee ## S
Water Tower Pee ## S
Builder's Deposit S
Other S
TOTAL DUE ~ 16 . ",.'" A .r- s t,3. ZS
I Paid
Date
frL)lt5
I. . /J~-
I9fNO
c51X3&~
ThIS IS to certify Ihal tht rtqutSI in lilt above application and 1CC0mpanyinS documtnts is In accordance with tht City Zoninl Ordinance and may procetd ;as rtquL'ltcd. This ducumenl
wIltn sisned by tht City Planna constitutes a ttmporary Ctrtillcatt of Zoninl compliance and allows conStrUCtiolllo COlllllltnce. Iltfort occupancy, a CertiflCale o(Occupancy musI lit
issUtd
PIatuIina I>ircc:tof
Date SpocIal CoadIlions., if my
24 hour notlct for all inlptctlons (~2) 447-98!tO. fn (~2) 447-4U!l
16200 Eqlc Creek Avenue Prior Lake. MN 55372 ~
~ "~~._--_...-----_............"->.-......._.........""'~.~-..-------~--.~_.~-".,.._~-~-~-_._--_....
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
-
BY:~~
Date: I~ I~ v-,.h, 5'
Building Permit #
Site Address 5 I I 3
Pill:
uJ ~ (lj-.
Zoning:
Legal: L
B
Subdivision:
E~ting Structure: @or NO
@
I CONFORi\'fS TO ZONlliG
ORD IN".AJ.~ CE
NO
YES NO
Is this an e."'Cpansion of the e."C:isring footprint or Refer to Planning
building height? .:In
Is the property located within the flood plain? I Refer to Planning I NO
Does the alte:ation include any additional kitchens? I Refer to Planning I
tJo
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? t-Jo
Is the proposed use of the finished spac: or Refer to Planning
alte:"arion for anything other than a nonnal single tJO
family home (offic:, groll1' home, day care, c!c.)?
THIS CRECKL1ST :YHJST BE COMPLETED Al'ffi INCLUDED IN THE BLlLDING PER;v[lT FILE TO
~L-\.lNT...uN A RECORD OF THE REVlIW.
."
T .\"T"'::'':\ .mr ~ "I""t:". , T i".~r-r Tinr
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 51 /3 WYIlI o/l7ilv7 C!...-I-:
NATU RE OF WORK L-tJ1;1Je;e LEVe7.--
USE OF BUILDING /ZI5I /1/~
PERMIT NO. () 5.1074-- DATE ISSUED /0 - 2(P .()~
CONTRACTOR qlEb7rT t.A~ PHONE 8et/. 3-+-00
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
n'.- -----
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.'
-- .---...
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S7 /..J
OWNER
DATE TIME
SCHEDULED 1/;dv~5-
Gdy,,/h~ C~
/
CONTR.
PHONE NO.
PERMIT NO.
$- - /0 "?y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMM~~ '
et~. / C-e./
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
..Ji'HIIECH FINAL
....--
r:h~ /
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1/_
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6(c
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. Vi;/ ~~~ , . k / ('r
~ORKSA ACTORY,PROCEED
/ 0 ~RECT ACTION
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
lNSNon