HomeMy WebLinkAboutBldg Permit 01-1286
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND 1.JTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yenow Applicant
Date Rec' d
PERMIT NO. 6>{ -/2..8"
(Please type or orint and sign at b~~~u~)
ADDRESS 'fO/g Etf-Vt CL/I-/I<~ fY<JJ-/L
LEGAL DESCRl.t'uON (office use only)
LOT I BLOCK I ADDITION G, /J~
I -
OWNER tJ I _ _ L -
(Name)---f<.., t> ~ /::::; /
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
.~
. ZONING (office use)
7?J 61)
PID ,;J5 -Dfq- (Jol-6
h-I La~, I
(PhOne)Cj5Z-- tY7 ""h:5 '/7
(Phone)
(Phone)
TYPE OF WORK 0 New Construction o Deck o Porch ORe-Roofing ORe-Siding
~ower Level Finish 0 Fireplace OAddition OAlteration OUtility Connection
o Misc. PROJEcrCOST/VALUE (excluding land) $ 7/ f) () 0
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 thet];uil . . 07 revoke lb. pmDit (0, ju" "'.... Futtbmnore, I horeby "'" that tho city oIllciM '" . "'_ mo,
~teruponr/LZ_;e d. sp:ons II_~ r() J
t <-- ~ Contractor's License No. -I-{ Date
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 Fiireplace Pe~it F,e .. $
I ~! ' ,
ThUA}i ~ :'i(~mniP7:7;;k
Bui1ltng Official ~ mate '
$
$
$
$
$
$
$
4oQQ~ ~
S 1. -z.<
2 .()O
I Park Support Fee #
I SAC #
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
Other t;f.,6CA ~~ L-
TOTAL DUE
I Paid
I Date
/30. z-r
.'l=It -tLJ
$
$
$
$
$
$
$
$ I. 00
$ 1~."2-S
R.ec'fAip , V ~. 9/.3
By A _,
. -
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
~..oo
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(iJ
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: I/J((- Date: 11/:3/01 Ol~ /<2-86
Building Permit # .r w: Zoning:
Site Address
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~0
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 Plann;ng
.r-
V
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 fmished 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 AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
...
-
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 40l ~ E.AU CLAI (2.G- I (2Al-L-
NATURE OF WORK ~(~ l5~ ~ lrve-L. . -
USE OF BUILDING ~ A-I~ , /
PERMIT NO. 0(,.. (2$~ DATE Is'SUED 1\ //3/0l
CONTRACTOR ROB 6P-'- E . b\ l,. a6tt-r I' I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~
- ,
J
I
.~lfMlenra~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~.I~
~~
vu/
J/W'/
G-~~--oJ
G "t 3 -(3:>
fIZIY'/
vvyO
G <v~ -0>
(" /L..." -0'3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~ I I
,
FINALS
.~i~
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 beera ~pproved. On buildings and ~dditions
where no service cabinet is available, card shall be placed near main entrance.
-
P(~ ~
J
lo-)S- 1
4
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'-lor ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~
~~~I
'j,'0 (J
CONTR.
PERMIT NO.
()/- I Z~to
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLtNE AIR TST
o
CO~~MENTS: L, L I u{L
1(:) ~.J / (?~ , -~L
~ ~./~--c-, VI
~ f~I':>/.L_~~ ~Ol(.
~, ~ J.-.&.v- ~I _f/
~ f@~~ I U'(..,
--- --- - J tYI
vt~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)(lCORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl