HomeMy WebLinkAboutBuilding Permit 04-1054
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
10. /3. o+-
I. While
2. Pink
3 Yellow
File
City
Applicant
I PERMITNO.O+-./05+- I
(Please ~ or mot and si2l1 at bottom)
ADDRESS
51 JI ~p~
~+..
ZONING (office use)
te./.5D
LEGAL DESCRIPTION (office use only)
LOTZ,I BLOCK 2. ADDITION /"117U/eu.- PolJ.O
PID 25: 155. 0 z.3. 0
OWNER
(Name)
(Address)
~(-l<2-
~,,",^.l "
~~
(Phone)
44, -/07/
PJ-,.~I It
SIll
~oU"e^"
BUILDER (\ ,...\
(Company Name). e>I.f;. "I r"")/ J-c-- '-t'V\S..J-
(Contact Name) '":\oh"" L c...0\S"''''''' Vo..
(Address) 38'14 - <O,~ 1-k.:(JhJ.:s
<
(Phone) 4l.iO-5/f/'6
(Phone) '" I;). - "'40 - 7/0<&
(f'(
TYPE OF WORK 0 New Construction DDeck '81'orch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition 'WAlteration DUtility Connection D Misc. l ,~~~D"""" ~ l{ 5 ~~
WDf\,\.L.I'-
PROJECT COST IV ALUE $
(excluding land)
CODE: oa'LR.C. OLB.C.
Type of &;'nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
I hereby certify that I have furnished information on Ihis 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.menl1oned property and that all construction will conform to all existing state and locailaws and will proceed in accordance with submitted plans. I am aware that the building
:"i"C ~or~;';h~~:reby '~'e th'tth,,,ty offie"'or, d"ignee ma4~~n t property to perform need/6:',; _ 04
Signature Contractor's License No. Date
r
I Permit Valuation ~ gG~ -=- I I Park Support Fee # $ I
I Permit Fee $ /05.2. ,So I I SAC # $ I
I Plan Check Fee $ R~. 1.1 I I Water Meter Size 5/8"; 1"; $ I
I State Surcharge $ :1. - I I Pressure Reducer $ I
I Penalty $ I I Sewer/Water Connection Fee # $ I
I Plumbing Permit Fee $ I I Water Tower Fee # $ 1
I Mechanical Permit Fee $ I I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I I Other I $ I
I Gas Fireplace Permit Fee $ .yU. - I I TOTAL DUE ,fJfu p;f) 10. r 4-.n.f- I $ ,;2~/, ~..1 -I
This Application Becomes Your Building Permit When Approved I Paid 2,!, I. ,,:I I ~.7' ~BJ~
4 tP" ~ ~... /~1"'~y I Dale 1 L 'i"K-
Building Olllcial Date
. ThIS is to certify that {he 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
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS J/7/ ~~ s"-
NATURE OF WORK ~ ~ ~
USE OF BUILDING ~ ~.~ N/~
PERMIT NO. 16 4f.. A s-tI" DATE ISSUED /0. / · 0 ~
CONTRACTOR i:..............,.. PHON~ "/_,
NQTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~ I j
, t' I II I I vkflll) I I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
JiDU'-- "'''--R . -...
FRAMING
INSULATION
ELECTRICAL
~
HEATING (If required) ~.
FIREPLACE f'W
I GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
~
//~~~
,,1/ Pj'y"
//#ff7~'
, ,-
///.72/,,-;/
/);;J;1
':'1 '--'11 (P r
BUILDING
ELECTRICAL
.....-:.
,
HEATING
DO NOT
- . 'I~g)
-
I/VY/
, l--/7-(/tj
,
/Iv./ / ( /.r 17--t/l-f
, I
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 addltlDns
where no service cabinet Is available, card shall be placed near main entrance.
~
t=nq A.lL INSPECTIONS (952) 447-9850
PROJECT VALUATION WORKSHEET
ADDRESS: 5/7/ ~/J e rS ;(
~
I 2nd Floor I
~
I Slab On Grade Garage I
~
I Unfinished
I Crawl Space
13 Season Porch (unheated)
I Screen Porch
I Deck
Masonry Single
I Stacked Masonry
I Gas or "0" Clearance KA.
I Other
I TOTAL VALUATION I
...........
UPDATED 10/11/2004
I $68.33
I $30.00
x
X
~;4.84 ~Jx I
1- ~jU.OO X I
$31.59 X
$20.00
$20.00 1 X I -
$15.00 I X I -
I $15.00 I X I I =
I <l~ X I~~rr,(/f'~
I I $20.00 X I f'/ =
I I $9.00 I X I I -
I $2,000.00 I X
I $3,000.00 I X
I $1,000.00 I X
I I X
J:\BUlLDINGIFORMS\PROJECT VALUATION WORKSHEET.doc
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I '~~.""'I
I I
I I
DATE TIlle
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J~-/7--(/t/
ADDRESS
07! /In?~ 5d-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
L/ -I ().S7.f
o FOOTING
o FOUNDATION
o FRAMING
o I!ISULA TlON /.J. _ I.
.P"fINAL V~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
-:--
~ -- ----... . --.........
( (--,'Me ~)
---
;WORKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~%,~R REINSPECTION BEFORE COVERING
Inspector. Y l/?" OWner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn