HomeMy WebLinkAboutBldg Permit 01-1399
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Iz..'-13-01
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. O/-/39QI
, ,
ZONING (office use)
(Please type or print and sign at bottom)
ADDRESS
3 Y r~ - 7bY .ta.; l tV' r-\ Il
R-/
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK J
ADDITION We "h S fY) r:I n 7\ I st
PIDZ5-37fp-DDz-O
OWNER
(Name)
We'1'l S (VI Ann
1815- fJ Lftz A
Ho )'t1 e S
Pr'llJc
/
c: flc; A h
U'
(Phone) '5/- 40 b -44 00
nJ h .7i..5 J ~
(Address)
BUILDER
(Name)
Sf' yH e
(Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
~Lower Level Finish
3 R..M5 .
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
~teru~erf~n~ 14S-g ~-Jd.-D I
, ~atUre' Contractor's License No. Date
Permit Fee $ 3K I Park Support Fee # $
Plan Check Fee $ 14-.75 I SAC # $
State Surcharge $ I Water Meter Size 5/8"; 1 ". $
,
I Penalty $ l.~O I Pressure Reducer $
I Plumbing Permit Fee $ 40.00 I Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ I Water Tower Fee # $
I Sewer & Water Permit Fee $ I Builder's Deposit $
I Gas~ace Permit Fee $ I Other $
/ /J III,. zs-
(This p don Be omes Your Building Permit When Approved TOTAL DUE $
)2- {3-0/ / I
I Paid j'L-"lJrlol Receipt No. 4-1 \O~
Date , I Date " (." .. 2--<\ rz.1)f.k
By
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.w.it Checklist
Basement Finish or Interior Alteration to Single Family Homes
By:~b
Date: 12-13-0 I
Building Permit #
Site Address 3~/3
Legal: L 2- B
PID: 25-$7~ -{)c)z~ 0 Zoning: IC---I
f9J>I miL- I~/L.-
( Subdivision: W6NJMn/l//L/ ISI
Existing Structure: ~ NO
CONFORJ."IS TO ZONING
ORDIN.Ai~CE
~
~V
NO
---
Is this an expansion of the existing foo~r'l';""t or
building height?
YES
Refer to Planning
NO
y
Is the property located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
y
~
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 nonnal single
family home (office, group home, day care, etc.)?
Refer to Planning
"f
THIS CHECKl..IST MUST BE COMPLETED AND INCLUDED IN THE BUlLDING PERlvlIT FILE TO
~WNTAIN A RECORD OF THE REVIEW.
L:\TE~l1'LA. TE\AL rCHCK.DOC
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 34-13 1="0>< ( AI L--- (eA I ~
NATURE OF WORK ~l)wEe.. Gf.;Vf:.;L,..-
USE OF BUILDING t.2.eS AI Ie- .
PERMIT NO. ()/-/3qq; DATE ISSUED IZ-/?-Ol
CONTRACTOR WEf\!sVJA NN PHONE-..&S/- 4-C>~ :"4A-o:J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1-- I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r,Ox:i
~~,
~.~~
~\~~ I
. ,
I
FRAMING /,..L
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
1 J4 \ 01
,'} 4 hI
I !I~\or
l.j~ O(
I r.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~J~
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I i-7 }~-;L
\ \
~~I~
OCCUpy UNTIL ABOVE H~EN 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