HomeMy WebLinkAboutBldg Permit 06-0147
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
I PERMIT NO. 0 ft; . 014-7 J
(Please type or print and si~ at bottom)
ADDRESS
/lfllL' Cj,~rl'('/ t? 4-. AlE
LEGAL DESCRIPTION (office use only)
Date Rec' d
3 _ ~. 0'
ZONING (off1ce use)
1</50
LOT BLOCK ADDITION
PID26. 284-. 012., 0
OWNER
(Name) _ J~f"" ~IJVI
(Address)
(Phone)
BUILDER I J . 1-1
(Company NameL..J:WVl:S"h t:>me5. -J::;.l..
(Contact Name) Ma++ j..Jal1l.sh
(Address) 1(,~70 F'lar.*f~ Irad 51! 5-k 12D c..
(Phone) ('Isz) 2'fl-7B9S
(Phone)
p,.)or L IJk~. M A/ 5:)372
TYPE OF WORK 0 New Constr~on ODeck o Porch ORe-Roofing
OAddition ys.'\lteration DUtility Connection
CODE: 'i'iiI.R.C. DI.B.C. 0 Misc.
Type of &nstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish D Fireplace
t,L. ~
PROJECT COST /~../m
(excluding land)
~~
$ C(;fOO 6~
I hcreby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorlzcd agent for the
above-mentioned propcrty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awarc that thc buildmg
:cial can revo . ~;;;;;7-=rmore, I hereby agree that the CIty ;~; ~9; may enter upon the property to perform n~de::,;:~;~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE tI'I~.o.3 r t!f, 0(,
_ (J
Paid '/ y. t/U . Re~t No.
Date r.3 IJ, c/(P FJJff--.'
()
;i~oo. 00
$ 71./...., S
$ ..
$ ISD
$
$
$
$
$
Park Support Fee
SAC
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Pennit When Approved
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#
#
#
#
$
$
$
$
$
$
$
$
$ 7t,.o()
:\ /IJ 7
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ThIS IS to certify that thc rcqucst in thc above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd. ThiS documcnt
whcn signed by thc City Planner constltutcs a temporary Cettificate of Zoning compliance and allows construction to commence. Before occupancy, a CCrtlficatc of Occupancy must bc
issucd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CYVhite . Buildh;j::>
l.;anary . Engineering
Pink . Planning
BUilDING PEBJYIIT APPLICATION DEPARTMENT CijECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
/ .'/ -.. I. I.--'f'./ //--1 r;<' ~,..--
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,i ~- 7 (. ,:-.:- /1-/ -- A /, / C /. /..C
/
Accepted
Accepted With Corrections
~.
Denied
Reviewed By:
..'-,
[;j~C.L t '-U
~/{-f/-
Date:
3/0/C G
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Comments:
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W~
J..I...Y L.i )./~p .
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
I .
-
..
Residential Building Pel.wit Che~klist
Basement Ymish or Interlor Alteration to Single Family Homes
BY:
~
~ Date:
PIn:
~ lj. p, g-I
Subdivision:
3/?;6~
BuiIdinO" Permit #
"
Site Addres3 1'-/ 7 ~ 5"
Zoning:
Lepl:L
B
EDrting structnr~or NO
crYE~
NO
CONFORiVIS TO ZONlN"G
ORDm.Al~CE
Is this an ......~-..sion of the e:"..sting fov~..~t or
bm1ding height?
YES
Refe: to PL~
NO
......t:r
:I
Is the Z'.."'':'..../locate::i within the flood plain?
Refe: to P~g
~6
0<5
~(j
Does the al~..tion Include my additional kitchens?
Refer to Plamring
Does the Z''''''l'osed alte:':1rion indude my outside'
e::I.1:ranc:s othe: than patio doors?
Refe: to P~g
~()
Is thc :-4...~osed use of thc finishcd space or
alte=:ltion for anything othe:- than a nor:nal single
famiiy home (ace:. grotl!' ho!::e. day C3I'e. e!c.)?
Refe: to Plar..Iring
tJo
Tms Chl:.CKL1ST :'vlUST BE COi'lll'LETED .-\.;,'f!) li'fClUDED li'f TiiE BCIlD[:'fG p~R.ynT FTJ.E TO
:'YL-VNTAll'l A RECORD OF TID: REVIT\V.
..
..
..
..
PRIOR LAKE
I
INSPECTION RECORD
SITE ADDRESS /1/7"~ (!H~~/, edUf2T ";'C,
NATURE OF WORK ~ r ~ltl,t,r IiIC... l,.L. ~i/Jir",
USE OF BUILDING Sl F;'p, .
PERMIT NO. _ ~. 0/47 DAT~ ISSUED :5 {q {de, .
CONTRACTOR ~'VJ ~ ,dAle, PHONE~.z~ 29Z. "~r
NOTE: THIS IS NOT A PERMIT FOR ANY OF lHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
*
DEPARTMEN1, OF
BUILDING AND INSPECTION
INSPECTOR
DATE
: .
.. I
I I
UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
! FRAMING
INSULATION
ELECTRICAL
(,)f J
-tJ.
f~;tf
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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BUILDING
ELECTRICAL
IlIA
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /~/~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
COMM_~NT~
~ (.,1; I ~C'f I
DATE TIME
SCHEDULED 7~~'
CkLrr- ~ C+-
CONTR. /
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-- "
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A - /s/7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORKSATISF~V PRQCEFf' ~
,,/" ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOTI