HomeMy WebLinkAboutBldg Permit 05-0946
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
ll33'L Of.U.FlELlJ
LEGAL DESCRIPTION (office use only)
LOT 3S"BLOCK \
ADDITION
Date Rec' d
tf. 2-1.05"
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05.09 "tp
ZONING (office use)
wfZ... S E-
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PID z.5. 37 Z . 035'. 0
II
OWNER
(N ame)
AL~
l133'L
iA-nt...J Se ~ I ( 5N"[)~
OC8-RELD ~
(Phone)
'is L - LLb~ bD f'L
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding '~wer Level Finish ~FirePlace
OAddition DAlteration DUtility Connection
"r-L t=-
(Phone)
(Phone)
CODE: ~I.R.C. DI.B.C. o Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
1 hereby certity that 1 have furnished mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorized agent for the
above-mentIOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:fiClal c~e; _thiS pel mlt fost;ause Flllthermore, I hereby agree that the City offiCial or a deSignee may enter upon the propelty to perform needed ~Pl~7' 10 S-
~ Slgn~ Contractor's License No Date
Application Becomes Your Building Permit When Approved
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee ~,
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee ~
~
Building Ofticial
1i:....~,1J e
$ 74/, 75
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ /!!i' (P. Z-5'
-
Water Meter Size 5/8"; I";
/, 5"0
Pressure Reducer
SewerlWater Connection Fee #
#4.0 lJ
Water Tower Fee #
Builder's Deposit
Other
40 r{) fJ
TOTAL DUE tJHt.tt:;z::J '1. z 7- O~
1/1,7/oS
Paid /5(,.z~
Date , ~7or-
//
RecJi'pt No.
B;/J,. t
d
9-9q8f~
Date
ThiS IS to cerlity Ihat 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 conSl1lutes a temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerl1ficate 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
Residential Building Pel wit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~ ~ Date: 9(.;1 7 is-
Pill: Zoning:
~~~ ~EI
Subdivision: ~ c:9-;-fJ
Building Permit #
Site Address
17332-
,
B
Legal: L "3 r:;
EAisting Structure~or NO
CONFOR1VIS TO ZO~1NG
ORDlliAJ.'{CE
YES
NO
Is this an expansion or the e."tisring fOCI.!J~~t or
building height?
YES
Refer to PJ ~T1T1i1:1g
NO
Is the property located within the flood plain?
Refer to P~g
~o
tJa
Does the alte:-ation include any additional kitchens?
Refer to Planning
~o
Does the }'~ v!-'osed alte:-arion include any outside
entI'3Jlc:s other than patio doors?
Refer to Planning
Is the proposed use or the fTn;<:~.ed space or
alte:ation for anything other than a normal single
familY home (office, group home, day c:J.re, e!c.)?
Refer to Pl~g
\'JQ
NCJ
Tms cm:CKL1ST :'vIUST BE COMPLETED .~'ID INCLUDED IN THE BL"1LDING PER1\-fIT mE TO
~L-VNTAIN A RECORD OF THE REVIEW.
..
t~T ."T"t:", , r..:r:-t.:'r"".t" T""l/ir
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS _-'332. 'J)EP.Fi'c:LO ~1&l6 ~,~.
NATURE OF WORK -L-L. F i Nir ,.,
USE OF BUILDING S .r. ",. .
PERMIT NO. 605094-0 DATE ISSUED q fz...,/6J~
CONTRACTOR Al ~ ~Tt\" ~& PHONE1n:-2~-'CI'"Z.
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 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. A ~.
FRAMING ~ //"//6/0S
INSULATION ~ // /li-.~ . o~
ELECTRICAL /1/1~/oS"'
PLUMBING ~ 1;~616J
HEATING (if required) ~ // //~/~
FIREPLACE M-_~ /,2-/ 6/oJ~
GAS LINE AIR TEST ~ /~/2JAr
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
LDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
ftt/f
,
I ~!I ?/qr-
/ ;;,/;6'/06-
/2!19/aJ
I :J!19/OS""
BEEN SIGNED
II'
P%-
~
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
INSPECTION NOTICE
SCHEDULED
DATE TIME
/~~J
I'
a ~/' ,4~ cf H~
ADDRESS
/ 7 JJ .2
OWNER
PHONE NO.
CONTR.
PERMIT NO. ~ -:.. ? ~c;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
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~SATISF~EED ~
o CORRECT ACTION AND PROCEED .
EINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOTl