HomeMy WebLinkAboutBldg Permit 05-0235
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.$1.05
1_ White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 05.0235
(Please type or print and silUl at bottom)
ADDRESS
44-20
/.:/()jv' 0 V 16W 77ZA--
-
...sc,
ZONING (office use)
tC-j
LEGAL DESCRIPTION (office use only)
LOTS BLOCK 1 ADDITION
Iv I /V OJ .!Yt72..-
PID ZS-.3:?(P. 003.0
OWNER
(N ame)
e:;; l-.i// ;OJ s.,
//'7 t/ (.....-'
(Phone)
4-+-0 . 3'lJ]
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
CODE: ISt'li.R.C. DI.B.C.
Type of ~nstmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
ORe-Siding '!lLower Level Finish
'3 IO~.
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection 0 Misc.
( hereby certifY that I have filrnished mformatiDn on this application which is to the best of my knowledge trlle and correct. I also certifY that I am the owner or authOrized agent for the
above-mentlOne~pro "j ~...i . t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revok is permit ~P.? Fl?rm~1 hereby agree that the City official or a designee may enter upon the property to perform neede,d mspe.:":ns. . /__
X ,_ ;Ac;.,~~ 3-~/-O.:>
Signature Contractor's License No. Date
Permit Valuation ..3, 000. () l> Park Support Fee # $
Permit Fee $ --;tf-. i~ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ /. !:J() Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other ez.t:;"'?/77i?4 t>>q '- $ /. 00
Gas Fireplace Permit Fee $ 4-0.00 TOTAL DUE $ //7 zs-
This Application Becomes Your Building Pennit When Approved Paid //7. ?~ Receipt No. ~87l--
~ ~ 1. ~/311()r Date 3J/.oCS- BY~
y
Building Ollicinl I Dafe
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 Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
,j' ~. .
. .
..,.. .. .
'M
..
..
,t
Residential Building Pel wit Chei:klist
Basement Fmish or Interior Alteration to Single Family Homes
BY: ~,: ~~
Date: :list /tS
Building Permit #
Site Address <7f '7'" d (P
PID:
~~UuJ
Zoning:
Lq~: L
B
Subdivision:
E.Iisting Structnre:r@rNO;
CONFORlyIS TO ZONING
ORDlNAJ.'fCE
YES
r.ro
YES
NO
J
Is this an ......ticw.Sion of the e:-"...sting fOv"rl~~t or
building height'?
Refc:' to Plamring
Is the ~"\j~e:t'f located within the flood plain?
Re:e:- to P~g
~CJ
t.JO
~O
Does the alte::ltion include any additional kitchens?
ReIe:- to Planning
Does the ~~ v~ose:i alteration indude any outside'
entr:mc::s othe:- than patio doors?
Refc:' to PJ,., ".: ,..g
tJo
Is the :-~ v~osed use of the finished spac: or
alteration for anything other than a nor.na1 ~.ngle
family hon:.e (0 Ec:. group hOnle. day car:. e~c,)?
R::"e: to Pl~g
rJo
Tms I..r~CXI.1ST :'vmST BE COMPLETED .~'fD fi"(CUJDED fi"( Tb~ BlllDC'fG P~Ry!IT rT.l.,E TO
:'vL..IJNT..lJl'f A RECORD OF TID: REYlIW.
.
..
.
..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 44Z~ PO/vDVI&W j/V1lL- sC
NATURE OF WORK /-oW6rc... ~VE L--
USE OF BUILDING ;2e:.s /I//L
PERMIT NO. 0.5. () 23.5 DATE ISSUED 4-" I~ oS-
CONTRACTOR ~~~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I J
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
--
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST
~
/ /
Lj / ?/4J
(/ r/6
'1//'#5/
/4ttt-
LIfZ;;
'~r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.t' I
flj/c>~-
l)/lr fr
i;ll /o~
BUII..,DING
ELECTRICAL
.. / ,.
e !cCY/,o,r
~/ .2-1' /tl.,5"
~ ~/ ZJ/o.)
L ~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
#/
HEATING
DO NOT
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
~9~;E
/f!Jvtekf' ~/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
7'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
D~TION
~FI~~.
0' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
>&~h/c-. hkl/ ~i~ ~
r-- ') /
/-C /l. ~ I
~/
ClI'-
65--A~S-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~/'. /
6/..2U <tr
~ .-
)
~/ /
//:-t/lr~ ([Ie/./'
~RKSA'IS;ACTORY~
o CORRECT ~N AND PROCEED
o CORRECT WORK CAL 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 cl SAFETY!
INSNOTI