HomeMy WebLinkAboutBldg Permit 05-0763
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
Date Rec' d
I White File I PERM 31
i ~~~I~w ~~~Iicanl IT NO. 05"-tlo
PAyU<.WOOD
D ~ . S'. € ·
LIfo 0 5"
LEGAL D~CRIPTION (~e use only)
LOT BLOCK ~ ADDITION
OWNER
(Name) ~ M
i C6CELJ A. ~Yl.STYV\A1J
b05 ~ ~1)~
(Address)
BUILDER .IL L,-..~.
(CompanyName)~\J~6)V ~~
"-,IbV6 'f:h\ tJS eN
~al- 'BLVQ
(Contact Name)
(Address) 9,1..0
ZONING (office use)
(L.
s.
c,
(Phone) C, 52 l..7..b J..'2'"Lq
(Pha", lDl'l.: J~
(Phone) ~ 1- b ()
~f'J Ss ~/
~~~r
o Misc.
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
2 3 4
Lower Level Finish 0 Fireplace
A
R
5
B
S U
PROJECT COST /V ALUE S
(excluding land)
460~
I hereby certify that I have li.1rnished 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.menl1oned p pel and that all construction will~ onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can is p it for Just e. Fu , I hereby agree that the City official or a designee may enter upon the property to perform necded Inspections.
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
0,-
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee Ir
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee /J 0 .
.06
es Your Building Pennit When Approved
y-r,~
Date
_t)....b ,
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the CIty Planner constitutes a temporary Certtficate of Zoning compliance and allows consltUCl1on to commence. Before occupancy, a CertIficate of Occupancy must be
Issued tt(J. t-.~ I~.,.{ l~dNT...,
Planning Director Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
{)5-7103
Residential Building Permit Checklist
Basemen.t Finish or Interior _<uteration to Single FamiJ.:y Homes .
BY: (frJ~ Dare: (?- 8- os-
Building Permit # .' Pill: Zoning:'
SIte Address 400C p~ ~ ~
Legal: L
B
Subdivision:
E.:risting Structure: @jor NO
~
I CONFORl"VIS TO ZONING
ORDlliAL'{CE .
NO
YES NO
Is this au expansion of the existing footprint or Refe: to Plamring ~
building height?
---
Is the prO-pert"f located wi:chin the flood plain? I Refer to Planning V.
Does the alteration inciude any additional kitchens? Refer to Planning I .~
Does the proposed alteration include any outside' Refe: to Planning ~
entranc~ other than patio doors?
Is the pro-posed use or the finished. 5'flac~ or Refer to Planning 7
a.lteration far anyching othe: than a normal single
family home (offic::, grau'9 home, day cue, ~'::c.)'7
THIS CHECKLlST MUST BE COMJLETID ...\J.'fD INCLUDED IN THE BU1LDING PERJ.vIlT FILE TO
MAINTA1N A RECORD OF THE REVTEW.
PRIOR LAKE
INSPECTIO
DEF,>>ARTMENT OF
,- SOILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
RECORDr'\
ad UV'
~,
INSPECTOR
DATE
~
I r I
I
-.. - n n -. .IU). I I
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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
INSPEcnON NonCE
ADDRESS ~~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~LATION
~I~L
o SITE INSPECTION
DATE TIllE
SCHEDULED .~~
I4h~dt //r
CONTR.
PERMIT NO.
S--7h',J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D SEWER HOOKUP
~UMBING FINAL
~H FINAL
o EXIGRADlFILLING
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~ J /) 2 #'
~/'e&' 7c~1 hh" / // /.2?~s-'
.a~ ~7 .n/-/ C7d
P#ech-~ u~~/~ ~ ~
,
~/
,;A-q'L
,
/
c:::'cC
WORK SATISFACTORY. PROCEED
o RRECT ACTION AND PROCEED
o CORRECT WOR. LL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
/JIISIfOrl