HomeMy WebLinkAboutBldg Permit 05-0053
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND 1J lu.ITY CONNECTION PERMIT
Date Rec'd
/_ /9: oS-
I. Whit. Fil. PERMIT NO
2 Pink City . 05. 005.-:>
) Yellow Applicont ~
(Please tT1Ie or print uad sip at bottom)
Ju. '.....oiJ:ss
5388 CAtV DY CoVE. TRPr,1
LOT
BLOCK
LEGAL DESCRu uON (office use only)
PR.loR- ~ I t-f,.J
ZONING (ollice \lie)
,e/S .D
ADDITION c!/fN oV ~ VC: ~/'11U<-
PID25. 0 Z 7. 667. z...
OWNER
(Name)
1~€:;\IiN 1 t1/~
SPA7va:.
(Address) '5388 CAw 0'( LiNP.. 12.*' I
Bun.vGA
(Company Name'
(Contact Name)
(Address)
(Phone) q~J - '1'17- .;J13.3~
(pI::" - (,1& - 7800
(phone)
(Phone)
TYPE OF WORK 0 New Construction ODedc OPorch ORe-Rooting ORe-Siding ~ower Level Finish }lfFireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: M.R.C. DI.B.C. PROJECTCOST/VALUE $
Type of ~~ctiOD: I n m IV V A B (excluclinlland)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
mis information on this application which is to the best of my knowledge uue and c:orm:t. ) also c:ertify that ) am the OWftl'f 'IT authorizl'd agent ror the
t t all consuuction will conform to all exlstilll stale and local laws and will proceed in accordance with submitted plans. 1 am aware that the buildin8
just cause. Furth re,) hereby agree that the city official or a designee may enter upon the r"r"'" to perform needed 1M oCCtiG'S.
Permit Valuation
Pcnnit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Pennit Fee
I Gas Fireplace Permit Fee
3.00D.OO
$ ??~S:-
$
$ /. S"V
$
$ W.W
$
$
$ +0. dO
This Application r:, . . .'., . ,es Your Buildq Permit When Apprond
~~
Buildinll. Official
///?;&.>
Oate
1<<1 M
Contractor's License No. Die
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1 "; $
I Pressure Reducer $
I SewerlWater Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
Other $
TOTAL DUE S /sz,.25
I Paid /~. 20- Recei1?J No. ~
I Date k/P-ur- B~ .:
nll5 is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin8 Ordinance and may r"' ...J as requl'Sted. This document
when signl'd by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows consuuClion to commence. Before oceupancy, a Cl'flilicate of Occupancy must be
issued
PlaJming DiJector
Date Special CoacIitiOllJ, if any
24 hour notice for an inspections (~2) 447-9850, fax (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
..
BY:
Residential Building Pel wit Che~klist
Basement Finish or Interior Alteration to Single Family Homes
~~
..
Date: 1/19ft;S
Building Permit # A. ~~L /J _ 7i /I, Zoning:
Site Address 53' g If' <-v-"~ t7 ~ ,</-(
Legal: L
Subdivision:
B
E:xisting Structure: YES @
CONFORL"IS TO ZO~G
ORDINAJ.'{CE
YES
Is this an e.."tpansion of the e."Cisting fOv'TI~~t or
building height?
YES
Refer to Pl'.'lTlTlTT:1g
Is the ~~v1-'erty located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
Does the ~~ viJoscd 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 normal single
family home (office, group home, day care, etc.)?
Refer to Pl~g
NO
NO
;)0
PCJ
/JIJ
#0
;J~
THIS I....nLCKLlST :VIUST BE COMPLETED AND INCLUDED IN ii1..!!. BlTILDING PERl"IIT mE TO
MAINTAIN A RECORD OF ii1.!!. REVlIW.
.
L:\TE?vCPL~ TE\..\~ TCHCK..DOC
P R 10 R LA KE DEPARTMENT OF
. .. · BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .5-.5BB (!/97V'Ol/ ~llf..5 77V1/ v
NATURE OF WORK IAJ W 6),- t'~8"l--
USE OF BUILDING ~J> /t//t:-
PERMIT NO. {Jr_ fJO$J ' DATE ISSUED I- /9, oS-
CONTRACTOR S~,q/vC3j . PHONE n7_ zR]3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
· THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
=----+
I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I . !
FRAMING fit//- . p2/ L/ /as-'
INSULATION #tf o:z./ ~ lo.,s-'
~~~;:~~AL // J~;:
/IH , ~/~!,
HEATING (If required) ~.::2/ ///6'
I
FIREPLACE v11Jf' ~ -q - 9S-
GAS LINE AIR TEST ~ ~/+"ftS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
II j
FINALS
fuf
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~I-'~(}('
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspectlohs have been approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
qr7ra
ADDRESS
D~~4~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s---~3
[] FOOTING
o FOUNDATION
[] FRAMING
[] INSULATION
~L
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
[] EXIGRADIFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
COMMENTS:
LL,
F~L-,
--- ----
r~\
I(~ )
- ./
~
---
~ r
/ /' I -
\. ( ~t~
"-----
~~TORy.PROCEED
o CORRECT ACTION AND PROCEED
[] CORRECT W07>r'LL F~SPECTION BEFORE COVERING
Inspector: f/ ~ . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$NO"