HomeMy WebLinkAboutBldg Permit 01-1307
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1-15-0 I
t. White File
2. Pink City
3. Ye\low Applicant
PERMIT NO. 0/-/307
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
'ft(20
~L1ctwrn"- LN .
(
Pr/'o r- Ln f( ~_
m;J 5.'"53 72.
;el
LEGAL DESCRIPTION (office use only)
LOT eBLOCK.3 ADDITION ~//tGE HlLL-S 4-:7lf
PID Z5 -3/4--- 0 'lr7- ()
OWNER
(Name)
c;~'(
l{ '-t .2...r.
Rp,p _k
(Phone)
(?~-2) Z2 c... t..;2 0 l.{
(Address)
r 6(" p c, ,..,,-..a ~
( 1\ J
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
>>ower Level Finish
2- ,€oOMS
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr, to perform needed inspections.
X ~-/f'~~ /a(~Da/'...L/
/" - Signature Contractor's License No. if
Permit Valuation 2,000.00 I Park Support Fee # $
Permit Fee $ ~ 2.. z..s I SAC # $
Plan Check Fee $ - I Water Meter Size 5/8"; 1"; $
State Surcharge $ /.()() I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ TOTAL DUE $ t, 3 . z.s-
carg;i='YomB_7r:t:~;;7 Paid l,3. z.~ P=~ 4n "';>-'$
Date /~)-tLj By
, f
Buildin~fficial Date
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 JJJ.it Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY~
Date: //_/5"-0 /
Building Permit # 0 I -
Site Address ~42-0
Legal: L 0 B
Pill: Z5 -.J'/c,.I-l?'Z-7- 0 Zoning: /2- /
e,/)/ftJH ~,q A/ L.Al .
.3 Subdivision: M~/AG,6 1.{-IUl/.J 47]!
-
Existing StTUctu~r NO
CONFORJ.vIS TO ZONING
ORDINAL'fCE
YES
NO
Is this an expansion of the existing footpfillt or
building height?
YES
Refer to Planning
NO
x
Is the property located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
^
'X"
Does the proposed alteration include any outside
entrances othe:- 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
y
Tms CHECKL1ST MUST BE COMPLETED Al'ffi INCL1JDED IN THE BUlLDING PERl'\IIT FILE TO
MAlNT.-\JN A RECORD OF THE REVTEW.
L\TEvIJ'Lil... TE\A.L TCHCZ.DOC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~4Z0 COt7(!j-/HI1N LANE:
NATURE OF WORK /--()W612. 1/f;V61__
USE OF BUILDING S;P 0 /2GC:; /-il JL..,
PERMIT NO. 0/.... / 3(J 7 DATE ISffiJED L/ - / \C; - () /
CONTRACTOR ~r;-/CA.Y 13E6JC- PHONE .
NOTE: THIS IS NOT KPERMfT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ I
: I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
'b~M I
,d ""\
,j
I
I
I
1~J~\Ol
t~ \:t\ \" \
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
In}
J
~l
C::;J)
I
cr-~ .. C'V
.-/
BUILDING
ELECTRICAL
~ I
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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS --Y..!/.ln
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
0" TE TIME
SCHEDULED
7" >7J
Cadu--
'-
CONTR.
PERMIT NO.
J... /.30 7
-----, ,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~ ~.! lJ..t CIMdl<;#l ~r
o WORK SATISFACTORY, PROCEED
)KgORRECT ACTION AND PROCEED
o CORRElJK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CAL~ gwfO FOR-'fHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI