HomeMy WebLinkAboutBldg Permit 05-0223
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sign at bottom)
ADDRESS '1 ~1V (J Iv ..+.t
White File I PERMI 31
Pink City T NO. If 5- '")'7)
Yellow Applicant U d' (J'
l..f"f ( -I J
'-f'l L
ZONING (office use)
LEGAL DESCRIPTION (office use only)
ADDITION J~ h.12A-
LOT5~LOCK I
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PIod~ -1/ ()J.- IJ(J' J-C I
OWNER
(Name)
&:Le.; f,J! //.
(Phone)
"iZ - {,oo -tvc",
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction oDeck OPorch ORe-Roofing ORe-Siding
OAddition oAlteration OUtility Connection 0 Misc,
CODE: ~.R.C. OLB.C.
Type o~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 S
~Lower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have filrmshed information on this application which is to the best of my knowledge true and correct, I also certify that I am the owner or authoflzed agent for the
above-menl1oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans, I am aware that the building
:'ficial can reZ~Zit for ?p\lt:her~ I hereby agree that the city official or a designee may enter upon the property to perform needeJZ;A J-
Signature Contractor's License No, Date
Permit Valuation "3(J()~ ,t!)Q Park Support Fee # $
Permit Fee $ 7417~ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1 "; $
State Surcharge $ I ' '5?:> Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Ferft; JVf r $ L/() , I)fJ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
./
Gas Fireplace Permit Fee /v(.J $ TOTAL DUE $ 1/5.;15
/ ~YV':; 0-
Application Becomes Yo,., Building Pennit When Approved Paid 1/&' d-/ Receipt No,
~ ~ 3;[9h5 Date ~- ;;7L/- ~ By :J .--
Buildll1g Otli'l:ial I lJafe
ThIS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd, This documcnt
when signcd by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Ccrtificate of Occupancy must be
issued
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
BY: /f? '
~,n
Residential Building Permit Checklist
Ba.semem Finish Of Interior Altcntion to Single Family Homes
Date: 3 '-dq~
~
Building Permit #
Site Address
Pill: ZoninG:
!j t 70 ~';UJ0;;k. ,
Subdivision:
Legal: L B
E.:dsting strucrure:~r NO
CON~ORLyIS TO ZONThG
o RD Il'{ AJ.'f CE
Y-"E S
NO
YES
I
NO
Is chis an expansion of dle exi~...ng fOOrprillt or
building height?
Refe:- to PIanru...J.g
Is the proPeITf locarid within the flood plain?
Refe:- co PI".,.,."i-ng
NO
fVD
tJo
Does the alteration include any additional ki'tchens?
Refe: co PIa.,.,.,.,i.,., g
Does the proposed. altenrion include any outside
entra:nc~ othe:- than patio doors?
Refe: to Planning
t;Jo
Is che proposed. l..lSe of che f:i:6,Shed. space or
alte:"3.rlon for anyLhmg othe:- than a nor:nal sir:.gie
ra.-mly home (oBce, g:ou'9 howe, day C2Ie, e'::c.)'I
R~fe: ~o Plarmmg
fJD
THIS CHEC-a.1ST:VlUST BE COl'iLPLETED .1..J.'fD INCUJDED Il'! -r:-IT BU1L.D[i."lG ?ERivGT mE TO
l'tL.lJNT .-\IN A RE CORD 0 F' Tm: REVn;W.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS "t'P~ dUt 1'1- ' H~ 16: IITS T/t..L,
NATURE OF WORK (..I)U)~ ~ '-4'V'c~ F/~,Irlf
USE OF BUILDING t)F: A ' Ii
PERMIT NO. 05-- ~ ATE ISSUED 3/z.C'f IdS
CONTRACTOR ~ taLErs PHONE~.~ ...~3(.
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
,
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
, HEATING
DO NOT
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ff/~
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/' !c;Jt2, ,It,S-
t//z6/~(~
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t/ /2r/aS-
BEEN SIGNED
.
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 At,t INSPECTIO~'~ 'o!:?, .1117-9950
~DATE ,TIME
Lid oS ---
7/ '
I/f? () /l/u IP /4- // /
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
~CH FINAL
/
tJs- -.. -:; ? <
---
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMlJlJ:NTS;- ,,-; / /" / / /
F/~~r///cc;- / h/#., / d?h.<:,.,_ 4/2b/o.~-
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...J P-1t!) ~e O-e T-e c/r::-y s
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( ~/ Ov r:.e,
~~CTORy,PROCEE~
/0 tORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR SPECTION BEFORE COVERING
A / / ~J" #
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Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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GA
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI