HomeMy WebLinkAboutBldg Permit 04-0729
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
0/-/2& 0
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and silm at bottom)
ADDRESS
/#~Z 8~J/0-7~ Ct--VO A/tJ
LEGAL DESCRIPTION (office use only)
LOT56BLOCK
I ADDITION
/"'7C/IPOWV? ~
8 txdJ~'1 /I -:s ~~
I LfL1 2 L E,'( ()e:Lt m~ \2,[ vel
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~ower Level Finish
o Misc.
Date Rec' d
7. 'UJ,O~
PERMIT NO. O/--. ()1~9
ZONING (office use)
E7
PID ?c: -.384- . ()5Jp ." 0
(Phone) 9SJ. 820. ~17:J. <-
nw ~_' L~ / /'nn S\3'TL.,
(Phone)
(Phone)
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereby certify that I have fumished 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" entioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pia . I am aware the buildi g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upo e operty to p fi nel i pections.""",,- ~W 0 ~ .
S~atUre 1/ Contractor's License No. ' Date
(,
~OOO.~ 0
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$ 74 7.J
$ -
$ /.s()
$
$ 40. (rt)
$
$
$
i!C:J'7f;:i;.-;/:;;:
Building Official ., Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other 1
I TOTAL DUE
I Paid
I Date
//(,.zs
7. Z-d.IJ4-
#
#
#
#
$
$
$
$
$
$
$
$
$//(P.ZS-
.
. Rec~iP ~e. z..,
By
, ~
. This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Che~klist
Basement Finish or Interior ..;JtenDon to Single Family Homes
7 'Z-o, 0 f1.-'
BY:
Date:
Building Permit;;' () '1, 0707 Pill: Z5.S'f"f: Orz,~ () Zoning: /C""Z-
Site Addre:ss /~~~z.., d~~b~ ~C---V~
Legal: 1 ~ B I Subdivision: .h6>17JcW'//~
E.risting StTucGo
CONFORL'rIS TO ZONING
ORDINA1'{CE
Is t!l1s ~"l ex:pansion of me exisnng footprinc or
buildL."lg heigb:c?
Is (b.e propert"j locaeed W1tbin (he nood piain?
Does (.'J.e altention include any additional kitchens?
Does u'1e proposed alteration include any outside
e;J.t:n."lces othe: than patio doors?
Is tL1e proposed use of the Bnished space or
alte:ation for anything oehe:- than a nOTI:lal single
f2.I:1ily home (office, g:rou~ hOwe, day c::!.re, ~~C.)"7
)~S
YES
Rerer to PlaIJI'.J1lg
ReIer to Planning
Refer to Planning
Refer to PlaI1..ning
Refe, (0 Planning
NO
NO
'I
'-P
'f
~
f
Tms CRECKlIST ~[UST BE COMPLETED A.l.'fD !J:'1CUTDED IN THE BU1LD[NG PERi'i[lT FIlE TO
0'L-Ui'lTA.E'f A RECORD OF THE REV1E'iv.
.,. .'--::~"!-:;-;" j, ---:' ..:.~-=- ~,~:-:,'-=;:...:>=I=
,'_...~~,,-..',,-.~.-~ ~,~..':"....' ........ -"""",,,)"4'~:_"
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I ~4ZZ. 8/lAf7)K,n~ t$t..-v'O.
NATURE OF WORK L/;we:>t- /.<;-V~
USE OF BUILDING /Zt;.J A/It--
PERMIT NO. 0 ~, () 72-C} , DATE ISSUED 7. ZO. 0 ~
CONTRACTOR JoA..lJeV PHONE J'z"D. YI 7 2.-
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
PLUMBING
HEATING (if required)
W'L
r~
rz'/~-;)
/
I
I
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
"'11
1717 t
I
\7
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
\)L
17./~~
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
SCHEDULED
ADDRESS ~ ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
LL
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC1fINAL
~~
~ -
DATE
{ ~05"'
TIME
(I ~ 1;2., '1
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1, Re. j 'Acs.\-.J.Q.
~ ill\. h'1A..A
- ~
'^~ .TYA;.\ S 1-1? ~ ~
.A /'
t ).'-.
-
t, ~ -"<;L ~ ~\ ~
o WORK SATISFACTORY, PROCEED
J< CORRECT ACTION AND PROCEED
o CORRECfiffRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( h Owner/Contr:
CAL~ Msso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl