HomeMy WebLinkAboutBldg Permit 01-1058
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERMIT NO.
2. Pink City
3. Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
/ (,7.3 / {$ (,.-/ Ai D L-,4 K.6 ~ / l..--
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK I ADDITION WI WEl2AJGSf PtJAJDS '2 @
OWNER IZ...
(Name) _Jf r a~rl,n a.-.
(Address) /6 7 3 I
js '/ /. r~./ o..f e (/,'c j
Bit n cI A'2~ 7>L
(Phone)
f:,.) ,
(7t Or
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
PID 2S-'~! - (}07-()
,
c;~;) - 4LfD-;l1'O 1
i/:) J.-~ s:s. -.s 7 2
TYPE OF WORK o New Construction DDeck OPorch ORe-Roofing ORe-Siding
~ower Level Finish o Fireplace OAddition OAlteration OUtility Connection
o Misc. 3 RM5. PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished 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-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 building O~ffiial, ,,' n, revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter~ the property to perf or? ,n;dej inspections.
X ~6J,-jl"~{ /-tf:>h..../a l..oq,J4 ,0/
- Signature 17 Contractor's License No. Date
,
$
$
$
$
$
$
$
$ /. 0 0
t;-~-Ol $ //7.25
J; . J I""l
Receipt No. ~Uoa-1
Bv cp/
o
3,000.00
'/4-.75
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
r~a~ecomes Your Building Permit When Approved
~!J Q#2L;-OI
~lding Official Date
/.50
4-0. 00
Builder's Deposit
Other
e..,evl K../(!A L-
TOTAL DUE ~
Paid
Date
ILr//d)
a -.';J/J-/
#
#
#
#
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, fax (952) 447-4245
By:f~
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: 9-Z~'O/
Building Permit # Pill: 2S~338 . D()7. 0 Zoning: K-/S D
Site Address 1(,73/ BUND LA~ I.cAIL-
Legal: L 7
B
/
Subdivision: W/f...;oEJe.N65S PONDS 2ND
Existing StTucture@or NO
CONFORlVIS TO ZONING
ORDINA1.~CE
"YES
NO
Is this an expansion of the existing fOO~tlL~t or
bui1ding height?
YES
Refer to Planning
NO
f-
Is the property located within the flood plain?
Refer to Planning
)(
X-
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside'
entrances other than patio doors?
Refer to Planning
x
Is the proposed use of the finished space or
alteration for anything other than a normal single
. family home (office, group home, day care, etc.)?
Refer to Planning
;<
THlS CHECJG..IST MUST BE COMPLETED A..ND INCLUDED IN THE BUlLDING PEfu'YIIT FIlE TO
MAlNTA1N A RECORD OF THE REVIEW.
.
L\TEvfPLA.. TE\.-U TCHCZ.DOC
P R I 0 R LA KE ,OEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /~73/ 8~/NO L-//e& Jh:11f-.,
NATURE OF WORK I_()W!;I<. ~6V6 L-
USE OF BUILDING 12b5 /f/ R.- , I
PERMIT NO. ()j- /058 'DATE ISSUED C{iz,4-/0 /
CONTRACTOR LI Jd-/NV A J:Ct; 1I/(IjH PHON@' #tJ- Zf/()'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEtow
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
....- 1 I
. ) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ik
&+-
.
~
~
1/;; Yk I
'f/~tP)
I
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
(/~r/~ I
1/iTJ>/(f I
. I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. )
~
3/"" /d~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
~
-th.,
,
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.
3/;;J.'/O'l..
. 31;;)-,/,;~
I
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/10 '7 ~ I
DATE TIME
SCHEDULED 3j z.. <j /0 'Z.. J I " ~ 0
~ cA Til-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DI.... I()SF
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (g) 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP ~
. FINAL PLUMBING FINA~CJ
. J SITE INSPEC ON @ MECH FINAL
COMMENTS: L. L . ~,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
('fbVL ~~
)(1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447.985~ F~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
I/'iS/'iOTI
White - Building
Canary - Engineering
Pink - Planning
The ("rnftr of Ihe I.akt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L;KHAiVAI<::.6 V/CAi; T6D/<- ~
q /24-/0/ '.5HIiNN/t
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&73/ 81-1 ND LA/CE IRA 1/
Accepted ,x.. Accepted With Corrections
Reviewed
Date:
7' - 25'-(J1o(
Denied
Comments:
~ ~ L,wer ~ DV\I~l ~
'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."