HomeMy WebLinkAboutBldg Permit 06-0067
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I~ 30.0&
I White
2. Pink
3 Yellow
File
City
Applicant
PERMIT NO. 0(,. () Of, 7
(Please type or print and sign at bottom)
ADDRESS
+7~()
O,//KAV cf?J 0
c!4 /f- .
ZONING (office use)
a
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS. 2-80. ()/9. 0
~r;~f~" I ~ Le(Jalr
~j'
CJ52- t-J'-/LJ -/ti.) .6
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing
DAddition o Alteration OUtility Connection
ORe-Siding JfJ20wer Level Finish 0 Fireplace
4- ~"hJS.
CODE: ~.C. DI.B.c. o Misc,
Type of onstrnction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST/VALUE $
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authonzed 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 buildmg
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.A ,~'.' C'ntr""MA=re No. ~
~~
Buildlllg Ofticial
1/:30/0 16
Dale
Paid /.3 o. Z...r
Date J .70. O~
# $
# $
$
$
# $
# $
$
$ I. () ()
$ /:30.25
ReJpt No, 50Bf?1P
BYL
0'
Permit Valuation
~I ~ tJO .0 0
87.ZS
Park Support Fee
SAC
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
z,. 0 0
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
+tJ.() ()
Water Tower Fee
Builder's Deposit
-
Other IS (.,6(!:?7'UeJ!1 L--
TOTAL DUE
This Application Becomes Your Building Permit When Approved
ThIS IS to certify that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerllficate of Occupancy mllst be
isslled
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
Residential Building Pel.wit Checklist
Basement Finish or Interior Alteration to Single Family Homes
..f:---
BY:~
~
Date:
I/j~f,
Buildino Permit #
~
Site Address L-f 7 "( 0
Pill: Zoning:
.,
~~
Legal: L
B
Subdivision:
E.risting strucmre@r NO
CONFOR1"!S TO ZO~ThG
ORDmA1~CE
~
NO
Is this an e.'"tpansion of the e..tisring fOv'1J~':"t or
bUIlding height?
YES
Refer to Planning
NO
NO
Is the li~vt'erty located within the flood plain?
Refer to Planning
foJO
f-Jo
Does the alteration include any additional kitchens?
Refer to Planning
Does the li~ vt'osed alteration include any outside
e:ltI3D.c:s other than patio doors?
Refer to Pl~g
N~
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day C:lTC, e!c.)?
Re:fer to Pl~g
fJ1J
Tms cm::CXl.lST :'vIUST BE COMPLETED A;'fD INCLUDED IN THE BlrILDING PER'YUT mE TO
MAINTAIN A RECORD OF THE REvrrw.
.
_ T .\~...,~, 'T -r",--r::r'?' 1"'\{Jr
PRIOR LAKE DEPARTMEt+jTOF
BUILDING -AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J{74-/{) I/A~woaJ:J
NATURE OF WORK L/Jl!JGIt '-EVe'I.-
USE OF BUILDING ~.F:' I> ,
PERMIT NO. M- ot:)~ 7 DATE ISSUED '/3C/tJ'" :
CONTRACTOR SA/lAH lGt!.LA//t. . PHONE95Z" "I~d" 41fJ?S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
CI6.clE
. ..
~i ,.:; I r /'fI
INSPECTOR
DATE
I j
I I J
o CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMIN
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
i
~
#0/
.
#~
~
~ .
JatICt:,
J/~'i~"
3/,2J ft"
3/ ..,z9~6
6b-9~'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.. I
BUILDING ~
ELECTRICAL /1 ,4 r
PLUMBING till fA tikI. @ ~IS -.frk ~
HEATING ~.
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricar 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.
I I
7/,,2:1 /JJb
7',b7/d'
..
7M~
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED
(:~
CONTR.
PERMIT NO. ~-~7
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1""7 <y'tJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~LA TION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
C~M~N~~. ,
~//~~ /
----
~ Jz~ /
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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VW~ATISFACTORY. PROCEED _ ~
/~ CORn:c...'1"",CT'Q~ A~O PRee~cu
o CORRECT ~~}7!:rFOR. REINSPECTION BEFORE COVERING
Inspector: . HC/' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl