HomeMy WebLinkAboutBuilding Permit 03-0397
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vp~ or Drint and sign at bottom)
ADDRESS
3221 LJood ducL De...
LEGAL DESCRIPTION (office use only)
LOT Z- BLOCK"Z- ADDITION 1llt LJll..M 3rto
OWNER
(Name)
.:1: L, J; bAw" ,sfU:l.tt-I!>l!-t-v.s
7....;.,e-.
(Address)
BUILDER
(Namp)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~wer Level Finish
o Misc.
Date Rec'd
;-;:;:;~ ~:~ I PERMIT NO. 03-3ar17
3. Yellow Applicant I A
~"LD
(Phone)
(Phone)
(Pliooe}-
DDeck
DPorch
ORe-Roofing
o Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
I hereby ce 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
authorize agent or the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitt plans. a awar tha building official can revoke this permit for just cause. Furthermore, I hereby agree that the city 07ia! or a designee may
:te, u on:: to eded inspections. i .3 / OJ
( Contractor's License No. Date
\ I
Permit Vallhtlie11
I
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#1Wn.tlo
$ "if7.ZS
$
$
$
$
$
$
$
2.00
4o,otJ
qo,oo
This Application Becomes Your Building Permit When Approved
~ :t,d~ ~/o:r
Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I,
I Paid yP
I Date 1
i ~0j.j'
1-1- ~-:?-.
ZONING (office use)
Pu/J
PID ZS3~").."4=
1sz. -'f<!O'!b7cJ
---
ORe-Siding
OUtility Connection
#
$
$
$
$
$
$
$
$
$
#
#
#
/{CJ q, d.-S I
Receipt No. L..f'-lii~
Bv vc.../ I
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, ifany
24 hnur notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
r
BY:~~
Date: Lj_ '3 -Q 3
Building Permit #
Site Address
Pill:
c;3~d-/
Legal: L
B
Existing Structur~or NO
CONFORl"YIS TO ZONJNG
ORDJNAi'fCE
Is this an expansion of the existing footprillt or
building height?
I Is the property located within the flood plam?
Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances othe: than patio doors?
Is the proposed use of the fiJllshed space or
alteration for anything othe: than a nonnal single
family home (office, r-ou-p home, day care. etc.)?
WCJOc/~ f)~
Subdivision:
YES
NO
YES
Refer to Planning
NO
Refer to Planning
NO
NO
Refer to Planning
No
Refer to Planning
No
Refer to Planning
t-lo
THIS CHECKL1ST MUST BE COMPLETED .-'..c'fD INCLUDED IN THE BUlLDlNG PERi'lllT F11.E TO
MAlNT..lJN A RECORD OF THE REVIEW.
T .\j""'l:~/rPT.i IF\A LTr:~C(.DCC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 'Z~) 1P()lcl.d~
NATURE OF WORK L L-
USE OF BUILDING SF'
PERMIT NO. ()..- -. i!l!1 DATE ISSUED ~- 3- O;J
CONTRACTOR' ~~~ PHONE "I/tJ- ~ 70
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
,---
"--,,or to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
If/JS
q-
FRAMING
'INSULATION
ELECTRICAL
PLUMBING
. HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
~
/I b .J,
<:.I-llJ
tj-J ")
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
I
~
11"
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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, t
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 entraAce.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS :>'Zt \ L.o. ~ Du:~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
ilNSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
{~
~-(.)~'17
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~KSATlSFACTORY. PROCEED
o CORRECT A AND PROCEED
o CORRE . CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
~ .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""""'TI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/