HomeMy WebLinkAboutBldg Permit 01-0110
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2,.,1,0..0/
(Please type or print and sign at bottom)
ADDRESS
592 z..
9~- /82-
~~ S/1/V 0/2/1
I White File
2. Pink City
3 Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT2-BLOCK 2- ADDITION ~/IIIRt- /<ZI06;6 3PO
PID ZS -3/(P-O/7-()
,
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(Name)
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(Phone) \.J;)~()(.
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(Address)
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BUILDER
(Name)
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
p(Lower Level Finish
I R.M
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X G~ ya~
_ ~ l.
Contractor's License No.
~ 1~C)J () I
.
I Permit Fee $ 34.75 I Park Support Fee # 1$
I Plan Check Fee $ I SAC # $
I State Surcharge $ .6V I Water Meter Size 5/8"; 1 ". $
,
I Penalty $ I Pressure Reducer $
I Plumbing Permit Fee $ I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas Fireplace Permit Fee $ I Other $ 1.00
{:der:e~
~;{YOU'B~:;:~~:~O~d .3{p~ 25
TOTAL DUE 2-22.-01 $
I Paid g" . '::tee:; Receipt No. ~1 t::) 10
BuildingjJfiicial Date I Date Uz...-a. 0( By 1lO*
I - , ,
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
6\-0\\0
The Cenll"r of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C1rlS9Cl 5CJ-\ M It) ,
2-20-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5QZZ- t-Q.OSSANDRA ~ ( S e:
,
Accepted
Accepted With Corrections
x
Denied /~ I~ (/
Reviewed~~~~
Comments:
W ~ bse~ +\,^J~ +J.o-vt-
Date: :2 -2{-~1
"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."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~
Building Permit # Pill: 25-31le>'" on-o Zoning: 'Pu SD
Site Address 5112.2_ Q.R1)SSA N DM 5T.
Date: 2.-20 - 0'
Legal: L 2-
B
2..
Subdivision: Cf\1<.[)(NI'<\L.- f<-t O~6 3f2.-.D
Existing Structure: @?r NO
CONFORlVIS TO ZONING
ORDINANCE
(/~
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
V'
Is the property located within the flood plain?
Refer to Planning
V'
vi'
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
/
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
v"
THIS CHECKLIST MUST BE COMPLETED At"{D INCLUDED IN THE BUILDING PERJ."IIT FILE TO
MAlNT AlN A RECORD OF THE REVIEW.
L:\TEJ\1PLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5Cf~ Ql'OS~~
NATURE OF WORK t.J~' ~ f"...'v..'~
USE OF BUILDING S 8)
PERMIT NO. 0 I - 0 110 DATE ISSUED :2 - 21 - 2~ol
CONTRACTOR ~r~""'~cl~ PHONE ~~o-s~cr
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) flu-I.
~
IA.
h.
.5/.;.<?jtJl
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#1'
;2 /" ?h I
vt {.r I VI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
\ I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
ywJ
L-f ],0 0 l,
w/
I~
OCCUpy UNTIL ABOVE HAS
NOTICE
o rlN'~
G~'I/fMJ
BEEN SIGNED
This card must be posted near an electrical servlc-a 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
4-/7r~
ADDRESS
,(q~1- CVZi5SGV1~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- (10
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL Vt t-.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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,
~WORK SATISFACTORY, PROCEED
o CORRECT A~TION AND P CEED
o CORRECT WO K A OR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&: SAFETY!
INSNOTl