HomeMy WebLinkAboutBldg Permit 01-0582
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
~ r /2-- 0 I
PERMIT NO. OI-05B2-1
43B 0 RJ,(
/-fU NT C1
LEGAL DESCRIPTION (office use only)
LOT 4BLOCK 1ADDITION ~~ IItUS .31f!:.9
-
~()l0,,",~
(Address) 41s ? 0
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ZONING (office use)
~/
PID 7~~~O() - (}fr:/'-O
~o(1-e C~-P ( \..<.
Fa Y !fvl/t I (1/
(Phone) 9Q - 4'1h --/d 5~
./f/C,. :;::..~ Lc. ~ ~~~ S\~~.J
$
$
$
$
$
$
$
$ /.00
$3f4.ZS-
J1C/J
3~. Z~ Receip' 3&f...l!JCXD
/1.7 . / z,. 0 I By .
MAIL-Our
(Phone)
(Phone)
o Deck
o Porch
ORe-Roofing
o New Construction
/;' biow,r L~~
o Misc. WG.\\S L..J~
(}
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 pr ".~j and that all construction will conform to all existing state and local laws and will you~".::d in accordance with
submitted plans. I am aware ~t the bull' official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up e 0 erty t/('?;eded . ctions. G 1t.2. /0 I
/ // ~~re Contractor's License No. ' Date
( U
o Fireplace
OAddition
OAlteration
PROJECTCOSTIVALUE (excluding land) $
/, ()OO.OO
$ .3~. is;-
$
$ <<nJ
$
$
$
$
$
I Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other EZ.E~~
I TOTAL DUE
#
#
es Your Building Permit When Approved
fR-tUen'
Date
I Paid
I Date
ORe-Siding
OUtility Connection
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
Residential Building Pel LU.it Checklist
Basement Finish or Interior Alteration to Single Family Homes
Byf6
Date: (p. I Z- r 0 /
BuildingPermit# Ol.osez..... PID:z,S'30D-OI8-Q Zoning~ 4
Site Address 4380 FOX ffvtJT ~
Legal: L 4-
B
4-
Subdivision: ~/ R-6J,t" /-//us 3"eo
E~tingSttucmr~o
CONFORl\'IS TO ZONING
ORDINAL'iCE
sHbt::-1 tZ-tJ~1 AlCj W~I/S
ON6 ~OH
YES . 'No
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Is the property located within the flood plain?
Refer to Planning
~
~
>L
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
v
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
';L
THIS CHECKLIST MUST BE COMPLETED A.l'fD INCLUDED IN THE BU1LDING PERl,nT mE TO
~WNT..ijN .-\. RECORD OF THE REVIEW.
L:\TErrfPU TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUlrDlNG AND INSPECTION
SITE ADDRESS 4 ~ .r;;~ 1-lf.J~ Ct-
NATURE OF WORK' 1S:t"' P". '.4- J:::'"""'--</x
USE OF BUILDING Sf=' 0 -
PERMIT NO. 01.05B2- DATE ISSUED C6 -/4-Ca:::J(
CONTRACTOR MoJ~ HaJj..e_h~~ PHONE rr('-/~)~
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
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.-
~~e ~ '! -t";:
9(~ 1'_.1 ~
0(" ..- (90 3lf." I ~
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.
Call between 8:00 and 9:06 A.M: for all inspections
r::I"\D ^ I I 1~1C:~nr::I"TII"\~I~ Inc:'" .It.lt.,. noc:n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS c..( ~() ~~ Uu....k C+
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~LATION
,grINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: LL.fi~
L::{~ -tL':A-J ~~ \
S+'\~t,S -
~
('~~_ .~ f; t~
,-~~ k.,-. \ t..I '1> V \ \ -
DATE TIME
, In,,1&-
Ol- ~e2..
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
olo-o ~ 'f
-,( WORK SATISFACTORY, PROCEED
o CORRECT CTI AND PROCEED
o CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CALL 44;-9~OR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!