HomeMy WebLinkAboutBldg Permit 05-1027
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
IO.f4.-. ()~
I. White File I PERM} NO I
i ~~~I~w ;:~t;licant T. /)5'- / ()J- /!
Esqq
F()x+a; I
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ZONING (office use)
R~
LEGAL DESCRIPTION (office use only)
LOT? BLOCK I ADDITIONLtJ,~czA/4/
OWNER
(N ame)
~d
PID~5 -' 1.5 ~5- {)(Y7-D
J I """'- ....J 4. (; eo- lz 4. r \I-e "..s
3S4 ~ F~ ~~( \r-e>t~ (
(Phone) 'l S""L '+ '-t I -I ~ 'f... 0
(Address)
BUILDER L f) I/'.. I 11
(Company Name) 1U"("ot,....> t...oc.. dI ~ ~ S (Phone) (, ('- 1 SZ;.....q "L '3 '3
(Contact Name) . }-\.~ ~ ~ )Ot-( ~ ~ r (Phone) (,1 '- .,<)~ -tt L-" ~
(Address) 510Y ~r-Be(tl ~v-e. k~~fC)lis S-C;--"T\,
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding .klLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection r~
I hereby certify that I have filrnished mformation on this application which is to the best of my knowlcdge true and correct. I also certify that I am the owncr or authonzcd agcnt for thc
abovc.mentlOned propcrty and that all construction will conform to all cxisting statc and !ocallaws and will proceed in accordance with submittcd plans. I am aware thatthc buildmg
atticia! can revoke this permit for Just cause Furthermore, I hereby agree that the Ctty official or a dcsignee may enter upon the property to perform necded mspcction;.
()A-~ C3.c.. 2-0 (Of B"""L'6 lO{,<-f -'OS-
Signature ~ Contractor's License No. Dat\
3 ~ .- I Park Support Fee # $
$ ~Lf?S' I SAC # $ ""
$ I Water Meter Size 5/8"; I"; $
$ i' .5"0 1 Pressure Reducer $
$ Sewer/Water Connection Fee # $
$. ~O, ---" Water Tower Fee # $
$ Builder's Deposit $
$ Oilicr $
$ TOTAL DUE $
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee NtJ
o Misc.
I
E
II
F
1
III IV
H I
2 3
PROJECT COST /V ALUE
(excluding land)
$ 1'21 "00
V
M
4
A
R
5
B
S U
.-L
l / ~ I (;}S
ppIication Becomes Your Building Pennit When Approved
Paid
Date
//~. zr
/(J. /1'/ ~r
. ,
~;t~o. 5"Pl.J9J
if-
~
Buildlllg Ofticial
1<1 ~~/o s
Thts tS to certify that thc requcst in the above applicatton and accompanying documents is in accordance with the City Zoning Ordinance and may procecd as requcstcd. Thts document
whcn signed by the City Planner conSl1tutcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Ccrtlficatc 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 Permit Checklist
Ba.sement Fini.sh or Interior A.ltGration to Single Family Homes
(jfJ- Date: /6 - //7-~
Building Permit #- s: /4'2-1 Pill: Zoning:
Site Address 3SCf 9 rtJyfa ,'j Ir!-
Legal: L B Subdivision:
Bv.
.l..
Emting Scrucrure: y~S or NO
CON'"FOR!.'rIS TO ZONlNG
o RD lli AJ.'{ CE
y-:[ s
YES
Is thls an expansion or" me e;,J~..ng footprint or
building height?
Rete:- to Pl,oTmm g
Is me properrjlocatd 7I1thi:n che flood plain?
Rete:- to Plar.ning
Does t.h.e alteration iI:c!ude any additional kitche:1S'?
Refe:- to Planning
Does the oro-cosec. alte:arion iI:clude any outSide.
. . .
entrances othe:- than patio doors?
Rere: to Planning
Is the proposed l.lSe or che fu:ished spac~ or
alteration for anychIDg adle:- man a nor-nal single
~., ( ~- .. )'/
!3.J."'TIll~1 n.on:e oc:c~, grcU"9 Game, c.ay C:!r~., e~c. .
Rete:- :0 Plarr!"1~""g
NO
NO
'rC
~
.~
f
(J
THIS Cm:Ca.1ST:dUST BE CO~[PLETED .-\.:.'fD INCUrDED IN THE BtnLDING PERJ.'IIIT mE TO
lYL-ill'ITA1N A RECORD OF THE REVIEW.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3 5 9 f:j- ,&:t:) r -&eti/ rr t
NATURE OF WORK 1",. l.. .
USE OF BUILDiN!' ~ F
PERMIT NO. (;) ~ l/lA.'1_ ~ATEISSUED /~.'I/.~, 9 :a~
CONTRACTOR /Jrr/J/ALIlJoiflO, PHONE" ''''!/S_. ~~
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 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
{iI fJ /
/
I
J
I o/?p
,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
... HEATING (if required)
__E
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FIN A L S -...:,
BUILDING
ELECTRICAL
PLUMBING
HEATING
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED , t (~2fd)
, I
ADDRESS '5~ ~ Jail -r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -lo~1J
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
1It.f;lNAL
'0 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 GASLINE AIR TST
o
COMMENTS:
6l
-\.c;>
C'~ 4 ((~
~ WORK SATISFACTORY. PROCEED
/ 0 ~ORRECT ACTION AND PROCEED
o CORRECT~R~ FOR REINSPECTION BEFORE COVERING
Inspector: I) Owner/Contr:
CALL 447 8~O FoJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSliOTl