HomeMy WebLinkAboutBuilding Permit #03-1469
CITY OF PRIOR LA}(E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1.3.03
1. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 03-/~j
(Please type or print and sign at bottom)
ADDRESS
So~o
HOPE sr,eU,r .
)
f'~io~ L/'.U:L~
ZONING (office use)
/GIS.l)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ?~ 08'. 003. 0
OWNER Jl
(Name) LhAJ2.LFS
E
(}.ArJ.JtR.iAJ~
I( E.CSf-
(Phone)
(QSd.) 44(J- ~q J I
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
'c{ower Level Finish
-5#Cb/ ','C.&IlVG ~L
/2PMAS.
]1tMisc. GFIfA&;e -.J~/.
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
OUtility Connection
PROJECT COST/VALUE (excluding land) $
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 u~n the property to perform needed inspections. ,
X (~~~. .~. 5rJOv: ~~ ~3
Signature ./ Contractor's License No. Date
Permit Valuation 'ff:3 611 t9 ' tJO Park Support Fee # $
Permit Fee $ 7~'J~ SAC # $
Plan Check Fee $ Vvater Meter Size 5/8"; I"; $
State Surcharge $ /,~O Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ \Vater Tower Fee # $
Mechanical PClJuit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other cLel!.77U c.-- $ /.()O
Gas Fireplace Permit Fee $ L./tJ,t!) a TOTAL DUE $ _//7. 25
This Application Becomes Your Building Permit When Approved I ]Paid /IZZ,S Re7 <H,()/7
~~I- I t.p,/o ~ I Date 1/.3.Q3 By
Building Official' 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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.
Residential Building Pel wit Chetklist
Basement Finish or Interior ~Uteration to Single Family Homes
BY: ~ ' ~ .;2P,w.. Date: If J/~:5
Building Pe~.u.Jt # PID: Zoning~
SiteAddress SlJ(,(J ~ ~
Legal: L
B
Subdivision:
Existing Structure:(YiS~ NO
CONFORlVIS TO ZON.u'fG
o RD IN.AJ.'{ CE
"YES
Is this an ~"i-iansion of the e~~g fool.fJJ.~t or
building height'?
YES
Refer to Plamring
Is the l'J.V'::IIw.. ~f located within the flood plain?
Refer to Planning
Does the alte:'3.tion include any additional kitchens?
Refer to Planning
Does the proposed alteration mciude any outside"
enLA.l:Wc:s other than patio doors?
Refer to Planning
Is the ~J. \J~osed use of the finished space or
alteration for anything other than a Ov....u.a1 single
famiiy home (office. g:ro~ hoee. day C:lI'e. etc.)?
Refer to Planning
NO
NO
~o
~Q
rJC
~"
~d
THIS L.d...l!.CKLlST ~lUST BE COMPLETED ...\.;.'ffi INCL1JDED IN THE Bt-rlDf:'iG PE:R..vfIT mE TO
)L-UNT AIN A R.E CORD 0 F THE R,EvlI"\V.
.
,
..
-------....r-" . - - c:a&&-" ~..-
P R I 0 R LA KE DePARTMENT OF
BuILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5060 hVP& ,:';'//266/
NATURE OF WORK L 0 tV C /C r-e vr;: L-
USE OF BUILDING I26S r::J/1K:.
PERMIT NO. 03 - /4-(0 C; , [)ATE ISSUED II.. ,3- 03
CONTRACTOR /8-(/ fS5 b PHONE HO. cO q I /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
-
.rl/fY.
111/
,
IL- ~-03
fj-q,-o 3
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
J1/J1'
h~/_
.~
IL-q-03
(
11
COVER NO WORK UNTIL A.BOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
rlf'
/
:(.-2 -04
I
-
HEATING ~ S/~(/L/
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 be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
.:?/fL1
u.~~ __~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHIEDULED
ADDRESS
~()
OWNER
CONTR.
PHONE NO.
PERIMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / /
fiE FINAL ~t.-,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FltllAL
COMMENTS:
DATE TIME
"3 - {LlC f'
,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
~
/ I
/ /1 x--
( I ~ C/~c--
\ ~l ~
~ -~
--------
----- ----
.-- ') ~
,--- '/,s )
I ({~/
~'RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~';1$ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owl'1ler/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!