HomeMy WebLinkAboutBuilding Permit 07-0544
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
&. Zz..07
I. White File I PERMIT NO ~
; ~:w ;:~~licant . 07 ,0 5qq-----.J
ADDRESS
101/0 ~us+~ c. 'Kd SE
P~IOf. LA\Zf;
)
ZONING (office use)
Ie i $;J:)
LEGAL DESCRIPTION (office use only)
LOT G BLOCK /0 ADDITION O/fU/IA/O 'pcJ:'r(!-I'-t C;r~
PID 2- C;: /4-0. 0 C' 8 . 0
OWNER
(Name)
rYIaf'l3.e We:tt
to 1/0 ~ustiG ~ S&
(Address)
(Address)
(Phone)
q~2 - 4110 _ "7lD
(Phone) 952 - q1t!- U<6 z.....
(Phonep-elv 952. Z2-I. 30C' (.
rY1N t.?S3Y (0
Lib
Eden A I rle
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition ~eration OUtility Connection
CODE: ~I.R.C. OI.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
B
S U
~ -'CE ~(~N(" B~
PROJECT COST/VALUE $ Of 1Jt5O
(excluding land)
o Misc:
I
E
II
F
I
at I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
roperty and that all constru io . conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
his per 't for 'ust c se. F rm e, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
(.'302- (p-Z (.-Or
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ill IV V A
HIM R
2 3 4 5
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
.00
Water Tower Fee
Builder's Deposit
Other
~~
Buildinl! Official
C:, / z-Co II) 7
, Date'
TOTAL DUE
~
This Application Becomes Your Building Permit When Approved
Date
$
$
$
$
$
$
$
$
$ I 3 I 9. 8E)
tNo.
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~
~~
&/;Z~A7
, I Date
M!_~ JUiL(#~ ~,
Special Conditions. if any
Planning Director
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
cillnk - Planning:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:' Co'/
I
_..~.."'-""'" "
/' .1
. \
c.
, //
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
( !
.'
:__J
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ ~
Comments: ~ ~ ~ ~
~~~.No~~
tr\...- ~.&rn ~~O~~~
V~~:~~~OL~
Date:
fa I z-ro I () 7
.
"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."
c\Nhite - Building":)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,~dMt<</Zrlrc-L \:lb/.
/
G:,. 22- 0'7
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(PliO p~~ R~,Jr;
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ ~ Date: to,/z.~ 7
Comments: .f?t1~ ~ >' "j~' ~
drdL~ ~ ~ ~~
~ &-e ~ ~ ~ r-- re:oi"V ~
~ '/~ o/~) ~ .:,~
t..--/ ~-r""~ ~,
"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."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Building Permit #
Site Address , 7/0
Legal: L 8 B I~
PID:
~;:;t~
Date: (,,/z. (, /c 7
~. SC;
Subdivision: ~A L/~ IJ Af'_ , /~
C/~ ~ ~#J fJfI
Zoning:
BY:
~~
Existing Structur~r NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Refer to Planning
Is the property located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\ALTCHCK.DOC
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I~/c,. ()J
~. ~~~ ~!~ I PERMIT NO'OJ.. 05~ -I
3 Yellow Applicant , .., ,
ZONING (office use)
&7/0
{U./...J77 C!- /C-e) ~ D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(Phone)
APPLICANT ~ ..-
(Name) \/~r:P ARil/~'/
(Address) I} 7 .? S s- /jA j) V 0 A r ZJ/<.
(Address) /
-----
(Contact Person) '-;;-E./;J-- 4~../J/Y- /
(Phone) fJrc2 C/9J c:?/c/~.
C;J/lS-/d9 ~/V _~.J'/~
(City) (Zip Code)
(Phone) C-d'/C2 -?b' C/: 5""")/8'%
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Z Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
/ Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
t't../ Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
<7'/ ~ ~ t?9-
Estimated Cost ~ ~ ~ .
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office l:se Only)
This Application Becomes Your Building Permit When Approved
Building Ofticial
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~. ~~~ ~.
NATURE OF WORK ,./L ~ tJ J L
USE OF BUILDING ~ D. ,.
PERMIT NO. {n 0544- DATE ISSUED J.li.~.,
CONTRACTOR ~1fM. l,T:. # PHON · ...~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-.s
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
.
-- -- ---
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
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