HomeMy WebLinkAboutBldg Permit 05-0502
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
(Please type or print and si2l1 at bottom)
ADDRESS
I '7L/-g'iS 'U-ec-.-+\' <::J uL l::)v\V~
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LEGAL DESCRIPTION (office use only)
LOTd'?SBLOCKd-- ADDITION ~ <::'"y--r~ -< \.:.-9- , ,1J-.
OWNER
(N ame)
(Address)
(Phone)
~C~~~~ Name) p, ~. r\ 0--+'-' ~
(Contact Name) Nc~ VItA { ~;'~~ v-
(Address) dO <tS~c I~ '" \::n \ (C ~-<- C f .
Date Rec' d
r'"
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RV(;/ /V OJ.-: 0 z.-e6
PERMIT NO.;J t;; -5 ();)....
ZONING (office use)
f-:A
PID If () ''2- () 51
(Phone)
(Phone) (clS':A ') ? fj S- 7 cC) 3~)
./
l4..~L' ~ l\.~ A..,!\J sso~y
c:# ~[;0
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding i\i(Lower Level Finish 0 Fireplace
DAddition OAlteration OUtility Connection 0 Mise. .?""<\.
CODE: MLR.C. OLB.C.
Type of d;"nstmction:
Occnpancy Group: A B
Division:
10, ~Od-
I
E
B
S U
PROJECT COST IV ALUE $
(excluding land)
II
F
I
mIVVA
HIM R
2 3 4 5
I hereby certify that I have htmished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above.menl1oned property and that all construction will confo~m to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official ~;;~~.J:yo~e this permiQD, JU"' o~:~more, I hereby a~ee that the city official or a designee may enter upon ~~e :roperty to perform needed t,nspecl1ons. _
X ~~y,~_"".-i:-/ ;2000S~':::'1 S-::7'7-oS
'--" Signature Contractor's License No. Date
I.JSooo,m>
I $ 74. 7~
I $
1 $
Penalty 1 $
Plumbing Permit Fe~dr I $
Mechanical Permit Fee 1 $
1 $
Gas Fireplace Permit Fee NO 1 $
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Sewer & Water Permit Fee
Park Support Fee
SAC
-
Water Meter Size 5/8"; 1 ";
Pressure Reducer
I, 5()
4c1,oa
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid
Date
i/?-7/
. 'It.-I() _(/J
~~
l3uilding OfIicial
s-b/ ~r
, Date'
# $
# $
$
$
# $
# $
$
$
$ //& 25"1
ReceipyNo, ~ ?.J' /
Btf
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 constttutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certtficate 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
Baseme::n Finish or Interior Alter:J.tion to Single Family Homes'
BY 23~ ~ Date: 5-3/-5-
Building Permit ;:# .
Site Address
f(;;--0"Od-. Pill: Zoning:
I/} tlRf?/ 1)~c5~c{J ~
Subdivision:
Leg'll: L B
E.Iisting scruc:urGUr NO
CONFOR!."YIS TO ZONlliG
o RD lli.Al'{ CR
YK S
NO
YES
NO
Is tb.1s an expansion of d:e exi.r.....ng footprint or
building heig.ht?
Rete:- ~o Pl""''''''''g
Is the property located w1rhin the flood 9lair.?
Refe:- to Pl ~,.,."i'M g
tJo
r00
Wo
· Does me alteration include any additional kitche:!S?
Rere:- ~o Pl~'T"mi,., g
Does the pro-posed alteration include any outSide
emranc~s other than patio doors?
Rere:- to Planning
~o
. Is the proposed l.lSe of the B:n:ished. space or
alteration for anytbng other t.l:an a normal single
.... ..., ( ,-- ,. \...,
ramWI non:e or-lee, grouu GOr.le, day c::rre,er:c.).
Rete: ~o Pla.r:rrm g
tJd
THIS CmCXl.lST:VnIST BE COM:PLETED ...\.J.'fD INCLUDED IN TH:E BlJ1LDING ?~RJ.y[IT mE TO
l'f L-Ul'IT _-\.IN A R.E CORD 0 F THE R.E vIEw.
PRIOR LAKE DE.PARTMENTOF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 1'7'188 J)S'Je.F~~fr. /)ItJV6 S:E'
NATURE OF WORK ~aJE:1I... ~ w
USE OF BUILDING ~ ~ .
PERMIT NO. 05, 05V2- DATE ISSUED
CONTRACTOR J). 12... ~~ TC)tJ PHON - mL
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
//PJ-.
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ftPJ---
J1I{/
~
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 b~n "approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FOR ALL INSPECTIONS (952) 447-9850
. '1
//~Loy
(flir~(r
~;'l7/o5-
'7~~r
.
BEEN SIGNED
DATE TIME
SCHEDULED ~~~
LJ~e,I3~/d /}r
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ ?t/'crtf'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
o FRAMING
[] INSULATION
..P"fIF4AL
o SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /" . __
~h--c/r.,b.? I /~hv/
/k~C"h:
---.
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~
phct /
/'
CZlk
~
6 r_ ?1<l
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[] EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ ,.-
~~~~~
"
~/'--
~m
( .- /;/r~
\. ~/o.se /:; /e ~
AoRKSA~ED .-/
o CORRECT ACTION AND PROCEED
o CORRECT WO~~~~ECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!