HomeMy WebLinkAboutBuilding 01-1102
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /()- $ - 01
1. White File I PERMIT NO
2 Pink City . QI-IIO Z-
3. Yellow Applicant __ __
14-4-Z(P
L-I9 t:.& WA / ~
NE
ZONING (office use)
1</
LEGAL DESCRIPTION (office use only)
Lor 3 BLOCK 4- ADDITION ~NOB HII-L- 2A10
PID 25-339- Dz/-()
OWNER
(Name)
CTOtttJ / CFtelZ16 N6LSOAl
I 5/1H6
(Phone)
952" Z3.3 -330;
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Roofing
ORe-Siding
o New Construction
~ower Level Finish
.:3 r<.frJS.
ODeck
o Porch
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
DUtility Connection
I hereby certifY that 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 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo~ the ~o~erty t~ perform needed inspections. /
X caAA-uu tL ~ IO~:rIl) J
Signature Contractor's License No. . Da{e
Permit Valuation .3 000.00
Permit Fee $ .75
Plan Check Fee $
State Surcharge $ .5[)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
eLG~cA'-'
TOTAL DUE tA~
mes Your Building Permit When Approved
Paid
Date
R~I
@-t(-e>!
Date
$
$
$
$
$
$
$
$
$
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Thursday, June 10, 2004
Re: Lower Level Finish
Building Permit #01-1102
Dear Homeowner,
The Building Department is in the process of updating old files and it has come to our
attentio
Please c
Monday
should h
please c
may ext
:30 p.m.,
n. If you
iance date
us so we
The Cit
The Ci 0 Prior Lake Buildin Ins ection Department
16200 Eagle Creek Ave. S.E.. Prior Lake. Minnesota 55372-1714 / P: . (952) 447-4230 / Fax (952) 447-4245
AI' EQLAL OPPORTI;0iiTY EMPLOYER
White - Building
Canary - Engineering
Pink - Planning
The Ct'nlt"r of Ihe Like Countr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~Ol:l1l / CA~ 8- ~LbO tJ
I
10- 3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J44z& l2JXS ~ TT2A/L tJ5
Accepted ~
Accepted With Corrections
Denied ~Ifl L--
Reviewed BY:W~ Date: ;b-rr--cr
Comments: ~ 1]j'G LOW5Y2-- ueJf5L, PlNt~~[x)~
"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."
BM)
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: /0.3-0 J
Building Permit #
Site Address / 442~
4-
Pill: 26.331 .02-1 - b Zoning: ~
P /KE LrJ K-6 ~I L---
Legal: L
3
B
Subdivision: KJl.,JO./S !flU-- Z~
Existing Structure@ or NO
I CONFORlVIS TO ZONING
ORDINAi'{CE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? '/
Is the property located within the flood plain? I Refer to Planning I ~
Does the alteration include any additional kitchens? Refer to Planning I "7
Does the proposed alteration include any outside- Refer to Planning /
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning V /
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED .-\.I'll INCLlJDED IN THE BU1LDING PER:v!IT FllE TO
MAlNTA1N A RECORD OF THE REVIEW.
L\TEvfPL.i.. TE\rU TCHC:Z.DOC
PRIOR LAKE
INSPECTION RECORD
DePARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4-42& PI!C6 L/lK:6 7;:eA/L-
NATURE OF WORK 711/1/6K::.. LEV6t.--
USE OF BUILDING 65 ,4/K!-
PERMIT NO. O/-//OZ- DATE ISSUED IO-4--()/
CONTRACTOR IV&LSOAl PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~ -' .. - -
I
I
_I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
"t.--
FRAMING
INSULATION
ELECTRICAL
~
~.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
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 ~e placed near main entrance.
. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850