HomeMy WebLinkAboutBldg Permit 05-0156
LI.I i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERlulCATE OF ZONING COMPLIANCE. .
AND L l ~ITY CO~.I .ION PERMIT
Date Rec'd
2 I. O~
I. WIIiIe File
2. _ City
] V_ A,,'.
PERMIT NO. g-lsSj
me- tnc 01' lIriDt .... sip at '"*-)
ADDRESS
~/Z 7 Brou~h~~ i{I~~{ Nt=-
ZONING (oftice IIR)
LEGAL D:ESCl.W .....ON (offic:e use only) _ / / /}
r.ar:) BLOCK ~ A1JV..l0~~ W~ ~)JcI
'. I
PID ;;;S -:~~- 025".. 0
~
OWNER~ II r v/,/
(Name) / o~ ~ ^ a-; c-a..,..f&.c../r-.' C;h f-
(M.:a......) 4/ Z 7- S, t:Jr./Y~ ~A"? 8/v- / #" E
(phone)
z- Z-b, S- 50/ 3
~~Name) C./'~kf Avu- C-~./kh7e'7 , LLL
(Contact Name) _6 ha.. r I €---..; ~ /,' rh___
(AdJ.......) 71/a D,enf/1't;" C';'r,. /f~ Uc-, /)?/l/
(phone) 9s-z. z Z~ . 'I'f'~ 9
(Phone)
-
... .iPE OF WORK 0 New C, ".,., . ction oDec:k oPon:h ORe-Roofing ORe-SidiDa ~ LneI Finish l:31'"ireplac:e
oAddition OA1taation OUtiIity Connectioa 0 Misc.
. CODE: ~.R..C. OI.B.C. PR.OJECTCOST/VALUE S
Typeof~OD: I n m IV V A B (n.......i..,land)
Oc:aapanc:y Group~ A B E F HIM R. S U
DiYisioa: I 2 3 4 5
/ ~
, I bcRby certify that I haft flIraisbcd information on this applicalion whic:b is co the bat 01 my kncnrIccIF InIe and ., ,...." I also certify !bat iam ~ autboria'd qent for the
~" .", .1.. 'r" '. and !bat II., ...., JCtioII wiD c.'OIIform to II eJlisIiaI stale and JocaIlaws and wiD ,. " ...J in ",..." '" II<< with submitted plans. I am awltt dlat the buildina
~CID;G'$-7~~"JRe!batthe~oftkW;;~/~;~the.. ,.". co...;, needed ~~..~~ S-
- - .... , sipa\we / CoatrldDr's L:,.... . No. Daile
Permit Valuati. ."
Permit Fee
Plan Check Fee
StateSurcbarge
Penalty
Plumbing Permit Fee V OIVe,
Mechanical Permit Fee
Sewer &. Water Permit Fee
Gas Fireplace P ~..,.jt Fee
.c:.
. JYo/eN!) o. f) a
S hd.d~
s
s
s
s
s
s
S ijl'Jl-
ParltSt,U"'" Fee
SAC
#
#
.$
S
S
S
S
S
$
S
s /()3. zs-
Water Meter Size S/8"; 1";
/.00
Press1ft Rot. o~'
SewerlWater C..., O~:"'; Fee
Water Tower Fee
Builder's Do.. . ....,t
Other
TOTAL DUE
#
#
This AppIic:adcm B . ., . _ YOIII' Bail'" PaBIit WIIaI II.: I" I . . I
~~ J'L,/~S
Paid !(),J 25
Date 3- ;. OS"
R.._-:"~No., ~rYz,O
Bv#t#f.r-.--
/
nus is to ..,' ,I thatdlr request in the abaft app:.. ,: ". andl...", ".'", documenls is in aa:onIance wiIb the City Zonin8 ~ and may. ., ...J as .., ,..."J. This dllcumcnt
wbrn slped by the City Planner .,.,:, Itc:s a ,.,,, ,. ", CertilIc:a&e 01 Zoaina c:ompIiance and aIJows ...." ICtioa to ..'..' .' ... Bem,. . ,.. '" "." a Cc:nific:atI: of C .."" cy must be
issued.
......... D:, . . . "
DIIe SpecW~ if~
24 IIcMIr ROCift for .0 lnpectlo.. (952) 467-91S8. fax (952) 447-4245
16200 Eule Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
/'/? "-/' I'r> A
BY:~~
Lj/J";
3 -1- ()5"
Zoning: .
bwWf~
Subdivilion: ~ ~
d- ~-
Date:
Building Permit ;:#
Site Address
Pill:
Legal: L d...
B ~
Existing Strucrure~or NO
CONFORlvIS TO ZONING
ORDlliA.l'{CE
Y'"E S
NO
YES
NO
Is this an expansion of the exi~..w.g footprillt or
building height?
Refer to Plaw-hJ.g
t-Jo
Is me property located within tJ."le flood plain?
Refer to Planning
Does the alteration include my additional kitchens?
Refer m Planning
yJo
NB
Does the proposed alteration include any outside
emranc~s other t.1an patio doors?
Refer to PlaMing
NO
Is the proposed. use of the finished 5pac~ ar
alteration for anytru..'T'J.g at.1e7 man 1 aOffilal single
family home (office, gTOU? home, day C2.re, e~c.)'7
Refer to Planning
NO
Tms OITCKL1ST ,:'!mST BE COMPLETED A..'fD INCUmED IN THE BtrILD[NG PER:.';[lT Fll.E TO
l'tL-ill'iT..lJN A RECORD OF THE REVIEW.
,r--:'":"il:=r .:. --:=. j.; --'---:--:r~~--(~c
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '1/Z-7 ~"t!J1.4JM. ~, p.&,
NATURE OF WORK /,..~. /'I"i~N
USE OF BUILDING s: I": /). -
PERMIT NO. DATE ISSUED ~I lcO G
CONTRACTOR ~ ONt:f!!r~...~ -W'l'l
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
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
;fA} I
I
I
/
"I
{,Jc filS 51/s
I '
I ;f
4 /1 !~
, J' /
EATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
, A
1/ I/Y/
t,r I /J- rX
HEATING t/VV.J (, -'o( Ojfh
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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
~
/' / /.~-
( C --,l V.>e-
\ --
"'-
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4(27
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION I 'L-
...er- FINAL """" t
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDULED
(J~tt~ f]f ~
CONTR.
PERMIT NO.
~-Ia
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
---
~
"
)
./
~
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r / ~:"
,llfWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~K'~~OR REINSPECTION BEFORE COVERING
Inspector: _ fJ.1 r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIWTJ