HomeMy WebLinkAboutBldg Permit 06-0471
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Ofo-O'f71
(Please type or print and sil!:n at bottom)
ADDRESS
542J, ~~L'J Q.)v- .~E..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
?<-i~
PID
OWNER .) I L
(Name) ~,^-o..\J. O. ..(. .)o'lce A. V I' 1'T e..V-C-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) '1 S t. - "-l4o - "-S"G.) r
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding )(']Lower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectlOn t,
CODE: ~.R.C. DI.B.c. o Misc.
Type of onstnIction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
I hereby c~' itY that I, have h,lrnished mformati,on on this application which is to the best of my know, ledge true and correct. I also certitY that I am the owner or authonzed agent for the
above-me 10 ed property and that all constrllctlOn WIll conform to all cXlsl1ng statc and local laws and will proceed in accordance with submItted plans, I am aware that the buildmg
oHieial can e oke thIS perm I "S" Furthermore, I hereby agree that the City official or a deslgnce may entcr upon the property to perform needed mspectlOns,
X 1.
Si~ature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee/'JfIJAI~ $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
Date
/),000.. -
~
., 1.1~
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
II ~.2.~
Water Meter Size 5/8"; 1 ";
I..~
Pressure Reducer
Sewer/Water Connection Fee
#
#
4-0. -
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
I { -
~
Receipt No. 51 C:;~ 4
By ~J-
~~
Bllildl11g Onicial
Co (<:;"'( (r fa
Date
ThIS IS to certitY that the request m the above application and accompanymg 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 CertIficate OfOccLlpancy 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 PelJ.uit Che~klist
Basement Fmish or l11terior Altention to Single Family Homes
BY:~~
Date: to ( S' (~ '='
Building P ennit #
Site Address 5' (../ ;;r (p
PID:
"Deut.. A~-w
Zoning~
L~~: L
B
Subdivision:
E~tingS~cmr~orNO
~KV
NO
COmOR!.'IS TO ZOi.'rING
ORD:U't~'fCE
Is this an e.'"tpansion of the ~~g foo,,:,..';"'r or
building height'?
YES
Refe: to Plamring
NO
Is the l'.I.I",j~~J located witirin the flood piain?
Re:fe: to P~g
N'O
tJ()
No
No
fo
I
Does the alte=':l!lon inc~ude any additional ki!ch~?
Refe:- to Ph,','..,mg
Does the }I"I",j~ose::i alteration indude any outSide'
e:ltr:mC::S othe:- than patio doors?
Refe: ,0 Plamring
Is the ?I'opos.:d '.lSe of the finished spac: or
alteration for anything othe:- th:m 1 nor:nal single
family home (0 cc:. grOll';' hcce. 6y C~:. e~c.)?
Re::e:- to Pl~"''''~g
Tms c.:..u.C1C.1S7 )11:S7 BE COMPLETED ..\;.'fI) U'fCUJDED U'f T:-n: BlllD[~G PER.'ilI7 F1'~E TO
,jl..lJ?'f7All"f A RECORD OF T:-rr R,IVrrw.
..
..
..
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 542'=:> (2:~rzFf';;LDC,R.. S,C.
NATURE OF WORK !C/N. L~v6-L
USE OF BUILDING r<Gs A-~ . I
PERMIT NO. --'>p -17/ DATE ISSUED 'f/Y!~~
CONTRACTOR l2PtJ A~O VlT"-rEil. A _ PHONE ·
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
l~ I
I'i! --1 (Prior to Backfill) I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.. 16 Itk.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
rlrn.. _. ._E
- .AI ----ItS ·
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
VW'
I/VO
ky)
"
t1lV/
7-({) -u
7- tu.-V<,.
7~/(J'()L,
7~/ t/ 4
_A...JllJ~rior to Sodding)
BUI! .DING
ELf:: CTRICAL
PLUMBING
HEATING
DO NOT
II1IV1
If ~ I-t/l,
i
/
JJ
BEEN SIGNED
L/Jd/
t)vyJ
OCCUpy UNTIL ABOVE HAS
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
I(-/~
41."h-t/d- 0:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
sLlU
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
~ -47/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ -------..... ~
/ / /. r/
( ( -// uS C-- I-Le /
\ /
~ ~
~ --
r/WORK SATISFACTORY. PROCEED
o CORRECTV1r ATlON AND P CEED
o CORRECT WO R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!