HomeMy WebLinkAboutBuilding Permit 03-0515
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
??(') ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
i INSULATION
FINAL L. L ,
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 8. Co-o:!
1'~"\..{}~A:\g ~
CONTR.
PERMIT NO.
"'3 '- S/a--
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
L~"
--
"'-
~
.. /
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~RRK' CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CA .9.?o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
- V/
CODE-KlQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l/'t$1l()TJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1, White
2. Pink
3, Yellow
File
City
Applicant
I PERMIT N003 -~) 6-1
(Please tvEe or print and sian at bottom)
(~'l?B~8S
ZONING (offi" "<0)
I-k rJ C C,; rck
(;J;d
3JCX
72/
LEGAL DESCRIPTION (office use only)
LOT IbBLOCK 3 ADDITION ev;/tJI
st!2.
PIrBS-375'- 031-0
OWNER
(Name)
(Phone)
(Address)
(~5JoM 7?JJr5
L1J..LCd1<n
iJ .
~'^ 4~ /",lceJ:/~.
/ /
BUILDER
(Name)
6/2 -5 2~-'112:6
,(Phone)
(Phone)
(Address)
fh "'. <;)D'-/ '-j
TYPE OF WORK
o New Construction
~Lower Level Finish
ODeck
OPorch
ORe. Roofing
ORe.Siding
o Fireplace OAddition DAlteration
PROJECTCOST/VALUE (excluding land) $%')"00
DUtility Connection
o Misc.
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 age the above.memntioned .~t'-'~J and that all construction will conform to all existing state and local laws and w ill proceed in accordance with
submitted p ns. I a aware that the il ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupon eprope =rmn ~s IJL7 C}r/-07;
~ "1';~. Contractor's License No. __Date
l/
0I.JX:1C>. 0 oJ I
0:1. db I
I
1,00 I
I
'10,00 I
I
I
I
I Permit Valuation I
I Permit Fee I $
I Plan Check Fee I $
I State Surcharge I $
I Penalty I $
I Plumbing Permit Fee I $
1 Mechanical Permit Fee I $
I Sewer & Water Permit Fee '- I $ /1
I Gas Firepn Pe';){il Fee I $ I /
I g' ~1:1:0 ............... I 1
Tills tBUildingp?l7:~oved
BUll jOfficial '" I rfate
"'- ,
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
#
#
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
L
J c) 6, J-.S
- ---'
c:o f 0 ~ u;P:J
5-1-0'7..
I ~~Cei~___
Paid
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
vl1i;rent Finish or Interior Alteration to Single Family Homes
BY: ~/j Date: S- j-() 3
Building Permit #
Site Address
PID:
3 3<03
~~
tI~~
Legal; L
B
Subdivision:
Existing Structure: YES or NO
NO
CONFORlVIS TO ZONlNG
ORDlNAi'l'CE
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
j
~.
Is the property located within the flood plain?
Refer to Planning
/
V
V--
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Plat1t1ing
Is the proposed use of the finished space or
alteration for anything ather ,han a notTIlal single
family home (office, gTOli'P home. day care, e:c.)ry
Refer to Planning
('
THIS CHECKLIST MUST BE COMPLETED A.ND INCLUDED IN THE BU1LDING PERMIT FILE TO
MAlNTAlN A RECORD OF THE REVIEW.
r .\T1=7vrPTJ. TI\ALTr.HCK..DOC
PRIOR LAKE De'PARTMENTOF
- BUILDING AND INSPECTION
INSPECTION RECORD .
.33~3loiJJ, Ihrse (!I 'Y
1...1-
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. . ~ATE JS~l.JGD 5-'- 03
CONTRACTOR AJ~~HONE
NOTE: THIS IS NOT A PE IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I j
I I l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
/?13 1 tCJ
tJ~ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
{~
I ~-Co
I
I
.Jp
HAS BEEN SIGNED
I
I
UNTIL ABOVE
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.
OCCUpy
FOR ALL INSPECTIONS (952) 447-9850