HomeMy WebLinkAboutBldg Permit 06-0491
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJlll at bottom)
ADDRESS
37SL/ _f11~-r, C
LEGAL DESCRIPTION (office use only)
LOT g..BLOC~ I
L).l
Date Rec' d
I White File
2. Pink City
3 Yellow Applican.
PERMITNO~~ '1611
,
ZONING (office use)
(<lSb
ADDITION
Ex~ p~
PID q5- '/1 tf~ ClLQ- ()
OWNER r: . . IF.j. V) A
(Name)_r-A~"'.~ g.v y<:vdOPM~V"r Go
(Address) ~2 0 qe (AkJ +-c""", (;-
:r.~{..
~ftJ
(Phone) ~S-' - c.r~3- 1.(8;)..S-
BUILDER
(Company Name)_f~~M ~ ~ tkv..(.l,,~ )l.,.......A...
(Contact Name) Pftf:?'" E 'v~<) f.Q~
(Address) 2:1 0 W { A-,./ +ttv (+-
~ 1: kJ",,----
(Phone) tsJ- L(e. J- ~'W
(Phone)~'-7SS--1.J994
r~v
,
Mill
(~
TYPE OF WORK. 0 New Construction ODeck o Porch DRe-Roofing ORe-Siding
DAddition DAlteration OUtility Connection
~ower Level Finish 0 Fireplace
CODE: lXi.R.C. OI.B.C.
Type of &~struction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
DMisc.
PROJECT COST/VALUE '$ -#';). ~ 006
(excluding land) - I
B
S U
I hereby certify that I have nlrnished information on this application which is to the best of my knowledge true and correct. I also celtify that I
above-mentIOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submit
:cial can p;hlei~ause Furthermore, I hereby agree that the City official or ?~~~ ~;~~on the property to perform
Signature Contractor's License No.
...-----/
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ -
74]F
,.ro
'-10' --
I
This APJlcatnlfe es Your Building Permit When Approved
1M f..-f\-rlt,
. BlIlldll1~ Otlicml Date
the owner or authonzed agent for the
d plans. I am aware that the building
eded mspecl1ons.
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
I
~
I(~'~
... "t, Er
,
r-. L,A p~
Recewt No. 01 0 -
By Co,(
~
#
TOTAL DUE
,J "r'
Paid 11l.tJ/ d""' J
Date · I, -~-(o
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 consl1lutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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 Che\:k.list
BY tf<< 7!lt F~h or Interior ~~::nti: t~ ;~~amllY Hom~ .
Building Permit ## . Pill: <' Zoning:
Site Address 31}5'1 M W~LV
SUbd~vision:
Legal: L
B
Existing S tructure@ NO
CONFORl\IS TO ZO~1NG
o RD lli.AJ.'f CE
c?D
NO
YES
NO
Is this an expansion of me existing fOO~i".':"'t or
building height?
Refer to Pl?-n-n"""g
.......--
Is the property located within me flood plain?
Refer to Pl<l-n-ni-TJg
~
Does the alteration include any additional kitchens?
Refer to Planning
~
Does the proposed. alteration include any outside.
entranc:s othe:- than patio doors?
Refer to Pl<l-n-ni-TJg
Is the proposed l.lSe of me finished space or
alteration for anything other than a n01"!Ilal single
family home (office, g!'au"9 home, day c:lI'e,:tc.)'?
Refer to Planning
~
~
THIS CRECJa.lST MUST BE COMJLETED AJ.'fD INCLUDED IN nIT BU1LDlNG PERl'llIT FILE TO
L'llAlNTAlN A RECORD OF THE REvTEW.
PRIOR LAKE DI;PARTMENTOF
- 'BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS 3~S"J Atale,~fl"c.,
NATURE OF WORK L t..-r
USE OF BUILDING of _
PERMIT NO. · I.('Y ~ DATE ISSUED -b" ~.. O~ r . 11
CONTRACTOR ~ ~U PHONE~S-J'7S"~ 'q1r7,
NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l..-r I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
fl./; J
I
I
\1
9
I I
I ~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
qtJ/
I I
~
'<
fl
}-. l6~
..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 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
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7--d)u'b
OWNER
M~t'c
CONTR.
ADDRESS ) 1~l(
PHONE NO.
PERMIT NO.
L -l{!L/
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.p .JNSULA TION 0 SEWER HOOKUP
~NAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH ~NAL ~
COMMENTS: l5t~ hl'\,..(_'
J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
^ ( . I \) \". I
l_! t~~ 1-~ \f
;1... WORK SATISFACTORY. PROCEED
D CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: I- Owner!Contr:
CALL. 7 98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
U. 'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
COD
INSNOTl