HomeMy WebLinkAboutBldg Permit 05-0494
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or llrint and silm at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER /J d
(Name) /'i fa
~r~eq'j,., eM qV?~
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
S. 27. oS-
I. White File I PERMIT NO
2, Pink City . 05. 0 ""!-04-.
3 Yellow Applicant I'
, I /C...-.
ZONING (office use)
PID Z6. 4-0 z, . () 84-. C
(Phone)
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fL/ / ;;- - ~ 00 -- Jk:?O j1
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
ORe-Siding ~ower Level Finish
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CODE: DI.R.C. DI.B.c. o Misc.
Type of Construction: I II m IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
ion 0 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
on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
FU~~.I reby agree that thc,.ctty official or a designee may enter upon the property to perform ::?l;';'/o ..)
Contractor's License No. / Date
x
Permit Valuation
2-, 000_ 0 0
fpZ.z..)"
Permit Fee $
Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit FeeUAA' IJ e//f/t:;. ~
I Mechanical Permit Fee" $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
1.00
-1'0. 0 ()
This Application Becomes Your Building Pennit When Approved
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Building Olliclal ' Date
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
I Other b~/~
I TOTAL DUE
J()4-. Z S-
S. 2 ZOr
Paid
Date
$
$
$
$
$
$
$
$ I ~()
$ //J~. Z~
ReceiP~~9..?'ZJ
By r- -
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 constltutes 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Residential Building Pel ~t Che~klist
Basement Tuh or Interior Alter.auon to Single Family Homes
BY:
@-
Date: 5'. z.., 1. Q S~
Building Permit # 6 r' /0 tff ~ PID: ts-. -11"2. (J 81--;. 0 Zoning:
Site Addr~ .ef q Z s-' L1 t..- v# rr IS ~
Lep.l: L B Subdivision:
EDsting Structnre: YES or NO
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CONFOR1\'IS TO ZONING
ORDIN'AJ.'i CE
Is tbis m ..."ZO'-..sion of the e:tisting fO"'''io'..~t or
bm1ding height?
YES
Re:"e:' to P~g
Is the jJ4"'~e:t'f Ic......IoOeJ within the flood plain?
Refer to P~g
Does the al~..rion include anyadditional1citchC1S?
Rete:' to P~g
Does the l"..",~osed alte::uion inc!ucie any outside'
entrmc:s other than patio doors?
Refer to PI"'....:. ..g
Is the :;" \J~osed use of the finished spac: or
alte:-ation for mytbing other than a nor:nal single
fann1y home (ace:. g:ro~ hoce. 6y care. etc.)?
Re::"e:' to PI~g
NO
NO
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Tms Cli.i:.CK!.lST )lUST BE COMl'LETED A.:.'fD ll'fCLUDED IN THI BtlLDC'iG p~R.ynT FT~E TO
)(.-\L'fTA1N A RECORD OFrrlE REVt!W.
.
.
.
.
PRIOR LAKE DEPARTMENT OF
BUILDIN~ AND INSPECTION
~
INSPECTION RECORD
SITE ADDRESS 4925 {Jt-U;:::'= I~ 7/L.
NATURE OF WORK L"P Wb/L t..€'Vt;-z..-,
USE OF BUILDING IZbJ Pr/-A:-
PERMIT NO. os-. ()~q~ DATE ISSUED S. Z. 7,0 S-
CONTRACTOR ~~n/JA/ PHONE (,IZ.~OO. 3'(,5'8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I l
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULA nON
ELECTRICAL
PLUMBING
HEAnNG (If required)
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Co ?7/70/6S--
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7/ ~/05
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDlttG
ELE" I "ICAL
PLUMBING
HEAnNG
DO NOT
/I4f
M
/IPI-
OCCUpy UNTIL ABOVE HAS
NOTICE
this card must be posted near an electrlc8l urvice cabinet prior to rough-In Inspections
end maintained until an Inapectlons heve been approved. On buildings and additions
where no service cabinet Is available, card shell be placed neer meln entrance.
. ,
'I//t(/Ub
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t/ltrf/ tJC:,
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nME
jlJI~
ADDRESS
~9.2S' 4'/t #- ~ ;7r/
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
.....iPPINAL
[] SITE INSPECTION
CONTR.
PERMIT NO.
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
~LUMBING FINAL
)2r1iECH FINAL
COMM~NT~ ~
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[] EXIGRADlFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
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~WORK~~~O~.PROC&fn
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . ~ ~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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