HomeMy WebLinkAboutBuilding Permit 04-0302
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ORe-Siding )8tower Level Finish
$~7.:s.
PROJECT COST IV ALUE S
(excluding land)
I hereby Ct'rtitY that I have furnished i formation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner 01" amhonzcd agent for the
above-mentIOned property and that 1 constru .on will conform to all existing slate and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
nfflcie ~o~ th.Jiermit for J ause rthermore, r hereby agree that the city official or a designee may enter upon the property to perform needed Inspections ._ .
X A.=z.Z";;:~ -'/_ .:20 - <>L/
Signature
White
Pink
Yellow
File
City
Applicant
/-(,-70
(Please tvpe or print and silD at bottom)
ADDRESS
WILD HOI€..SE.
33Sto
LEGAL DESCRIPTION (office use only)
LOT .5BLOCK 4-- ADDITION
/Vtl-US
C77+
--'
OWNER
(Name)
fA!,l! .I.,
J-
1/1
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DOeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~I.R.C. OLB.C.
Type of onstmction: 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
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee A.. I. $
4Lj c;.q/t/17'1tPm!lE
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee I $
3,000.00
''74-. 7S-
Park Support Fee
SAC
;.57)
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
4-0.00
Builder's Deposit
Other
TOTAL DUE
~ecn~ingpennitWbenAPproved
'(lJ!foi
Paid //u.Zr
Date ./ i
Buildin20fticiaJ
Date Rec' d
4-.2-004--
PERMIT NO'04 (; so Z-
ZONING (office use)
,el
PID 25.375. 03" 0
9b"c;1._ <lL/-7-l"I..{Jl
, . - . I
..--/
o Fireplace--
,
Date
# $
# $
$
$
# $
# $
$
$
$ 11f.". ZS
I ReceiPtl:tt.~ 4& r.,.r7
By !ftff .
, ~
ThIS IS to certifY that the request in the above applic3110n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requeslCd This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a O:rtlficate llf Occupancy 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 Permit Checklist
Basement Finish or Interior Alter:ltion to Single Family Eomes
BY:
Dare: 4-. 2 O. 04-
BuildingPermi!# 0'1-.030"2- Pill: 2~.37S.03t,. 0 Zoning: R../
Si!e Address 3350 I'VI l- 0 /-fO/t:-.!"'C
-7/+
Legal: L 5 B 4- Subdivision: J1)/LOS"!:>
E:r:isting StTUcrure:G :'i.0
CONFORyIS TO ZOrfTh-G
ORDlliA..!.'-i-CE
'YES
NO
:as
CiO
Is t.h.J.s an ex:pansion of me e;Gsting reoo/w.e or
buildi.'"lg height?
Refer ~a Pl3.Ill"..L.lg
V"
I Is the propert"j located within :he :100ci p!am?
I Does the alteration inc:ucie any additiar:a! kitchens?
Does the proposed a,lre:Juan cdude any outside.
entr:l.1'J.C~S othe: tha.1'J. :Jano doors?
Refe-r to Planrung
~
Refer to Plannir:g
..........
Refer :0 Pl3.r.....i.:l:1g
~
Is t'1e proposed use of the n..'l1ished space or
alte:ar:.on for ai1.yrrur..g ache 63..:.-:1 ~oT'i:l3.1 single
:~ "], h- (Ff:... en- :.,O~'" d'l" ,"''1r:'" "'~- )'J
,2J!1..1 ./ ,L.rrne O.J...J.C..., .=.:.OU"9.- '~''''' --.' ~....., ..\..., .
Rcfe:- co Pllli""1.Th-:lg
~
THIS Cm:C;UIST ~lUST BE COM:?LEED ",'i1) Ii'lCUTDED IN THE BULDli'lG PERMIT Fli.E TO
~l.\.li'lT..\.Ii'l "RECORD OF Tm: REVIT\V.
~ "--:~..!-::~ .'. --:-' -"'.~ ~'--=:-:'=':.':((
PRIOR LAKE
INSPECTION RECORD
~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING _
PERMIT NO. DATE ISSUED iI ~! D . M-
CONTRACTOR --.1 N PHONE ..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTI
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-- I
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION . \ lUll
ELECTRICAL . ^ ,j- ?, -
PLUMBING W~~\J. \)G
HEATING (if required)
~iv
~. )'7-
,
I
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I j
FINALS
_ r /Y1..
BUILDING I /;t/./ J 'I -c.f7
ELECTRICAL I /
PLUMBING I _ 1-,
HEATING I ~
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ,--u.,o
ADDRESS ':<"Sk
\,,\;\~ ~~-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
l..l- 30L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
]:iIC..EINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
./WORK SATISFACTORY, PROCEED
/&...;;ORRECT ACTI D PROCEED
o CORRECT WO
REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
lNSNOTl