HomeMy WebLinkAboutBuilding Permit 01-0188
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!Vee or orint and si2ll at bottom)
ADDRESS
_3LI_~
U)moJlJ:JjJ fJCJ ,'r-C-
LEGAL DESCRIPTION (office use only)
LOT "l BLOCK ( ADDITION
UJ:IJ<;
]. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT
<t2)
Date Rec'd
-ZI-OI
01- O/Sf;
ZONING (officeu,e)
PUD
PIDZ5-337~ 030-li
OWNER I/vJ
(Name) , ( 1 -(
(Address) n (,.,0 (
fJo--a-IJ Cu.--'S T,
(l..(<::-T..... STw,.eg7,
(Phone) ~- 'rf t}...- ){,t?r
/).111 L. () c.t-( (....
~
BUILDER If....
(Name) /v I (l
(Address) ?(~ (
u..."U r~ 7,
/ c.rCu.. ,") tLt/ AP;J,..,{,/u-{(~
(Phone) q~Q- t4$~.IW(
('....:If Col'l -?()(- 6'{D4'{
/U.. . :\-<7 ~ l.(
i
TYPE OF WORK
o New Construction
o Fireplace
ODeck
~ower Level Finish
o Misc,
OPorch
ORe-Roofing
ORe-Siding
OAddition OAlteration OUtility Connection
OU
PROJECT COST IV ALUE (excluding land) ~ X' ,J~-
~3'7(p
Contractor's License No.
~06.....
I Park Support Fee
SAC
#
#
I hereby certify that I have furnished information on this application which is to the best of my knowledge nue 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 po the ope to perform needed inspections.
x
Signature
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
8~ .1'5' I
I
'2..tH I
I
40.00 I
I
I
I
r9tr!ttiFOUrBuildin1~ii;:;:;woved
~Official Date'
Water Meter
Size 5/8"; 1";
<- QI- t:' (
Date
#
#
$
$
$
$
$
$
$
$
I Pressure Reducer
I Sewer /W ater Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
~
,3.Z-f.D/
$ /2. q. z.5
I Paid
I Date
/2..9. 2-~
:3 -2.2.-01
~
I Receip1tljo. 3' 0 '1 ~
By~ .
f
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
.
Residential Building Permit Checklist
Basement Finish or Interior AlteratioD to Single Family Homes
By:eB
Date: ~-( \- OZ"'Ol' I
Building Permit # PID:
Site Address '3l.fn ~ ~ Qr--
ZODing:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Plamring
NO
~
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
r
>Z
X
Refer to Plamring
Refer to Plamring
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc,)?
Refer to Plamring
'/....
THIS CHECKLIST MUST BE COMPLETED Al'ID INCLUDED IN THE BUILDING PERi'iIIT FILE TO
MAlNT A1N A RECORD OF THE REVIEW.
.
LlThVlPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '31 3'2 lJ~ Q.,d~ Or-
NATURE OF WORK I,... ..... ~ \ ~
USE OF BUILDING SF=rI)
PERMIT NO. OI-Oif'JPJ DATE ISSUED 5-2/<)fJo!
CONTRACTOR M,,~~ ~ PHONE C./2-7tJl-Bf.&/t.(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l...-
,
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
~ - ~'Fi
11 * J ILlH.I
\
~. \)'a.uo
l
4:-{[-()(
4--1\ -01
4-/( -0,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
.~-~~
liP 4 191
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
u
l.\
1.\
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 lohall be placed near main entrance.
t..\
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 0 - tI-iJ /
w(Jcd~tu:./C
p-
[)o1Je....
ADDRESS ~ 1../3;;)--
OWNER
CONTR.
PHONE NO,
PERMIT NO.
/- Iff
o FOOTING
o FOUNDATION
o FRAMING
I'v-D INSULAJIOIl
'fL 'C"'FINAL L-I-.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
It D..-eEWER HOOKUP
11 ~LUMBING FINAL
W MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-----
( d~
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. fALL FOR REINSPECTION BEFORE COVERING
Inspector: ~J ~ Owner/Contr:
gALL 447.9850 FOR THE\.EXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNO"