HomeMy WebLinkAboutBuilding Permit 01-0720
(Please '!vpe or orint and sien at bottom)
ADDRESS
/4517
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File I PERMIT NO
2 p;" C;ty .
J. Yellow Applicant
W/l_OS
V/6W
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK (p ADDITION
OWNER
(Name)
7JI6 W / L--OS
PID 25-2<17-o5':?-D
/tV/t..;l/6/V'BR/N6
595 ne-K/V/qI-/T
,
(Phone) M2-3rA3- 39/S-
.sr. P/7 U L..-
(Address)
BUILDER c-',a /"1 C
(Name) ..->/7 0
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~
(Phone)
(Phone 1,
D New Construction
~ower Level Finish
ODeck
ORe-Roofing
Date Rec' d
1-/3-0/
j,.,
F
ORe-Siding
DUtility Connection
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 upon the property to perform needed inspections.
n Becomes Your Building Permit When Approved
x
-
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
l Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
CIa!
OPorch
OAddition
DAlteration
--
$
$
$
$
$
$
$
$
$/117'1 zG'"
~~.r?
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
o Fireplace
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
$
$
$
$
$
$
$
$
1(400 _0/
A7.?~
Park Support Fee
SAC
#
#
600
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE t4otJA,tI) "1, /(D -0 I
#
4('). 0 0
#
4-0.00
7-/{,-)Nl/
Date
I Paid
I Date
/fp ". Z-5
/0 -r ---0
.-
I Receipt lfN
Bv /fl,(
I
Date Special Conditions, jf any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
By9-f7 -
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: 7-/3-0)
Building Permit # PID: 25 - 217- cJ53 - 0
Site Address /45q7 /lVII-05 V 16W
Legal: L 3
Zoning:
puo
B
~
Subdivision:
Tl16 WI t...-OS
Existing StTuctur@r NO
CONFORlVIS TO ZONING
ORDINAJ.~CE
/)
(~
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
x
I Is the property located witlrin 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
..,L
Refer to Planning
'I-
Refer to Planning
'I
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 Planning
'I
THIS CHECKL1ST MUST BE: COMPLETED A.ND INCLUDED IN THE BUlLDING PE:RlvlIT FILE TO
MAIl'ITAIN A RECORD OF THE REVIEW.
UTE"J:PLA TE\AL TCHC<:.DOC
PRIOR LAKE
INSPECTION RECORD
/45CJ7 WJL-OS VI6W
NATURE OF WORK J_OW6/Z (,-E;l/[:;L- ;::;//vlsH
USE OF BUILDING ~ 4/12-- -
PERMIT NO. ()/ - 0-12,() DATE ISSUED
CONTRACTOR WI LL6/1/ 13e/ /\IG PHONE tA/2 -.3fe,3 - 3"'IS
NOTE: THIS IS NOT A PERMIT FOR ANY 6F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I
~rior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1lt,lnr t-.~~,
1 l'tIQI ~\1 (
FRAMING
I INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical serl(ice 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.
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 10' f2-,.{)(
ADDRESS N c::; '7 I ~ h IJ ,\h--f'-A__)
PHONE NO.
OWNER CONTR.
PERMIT NO. 0/- 6720
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-s--F1NAL
o SITE INSPECTION
COMMENTS:
~ ':t) \-J
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBrNG AL
o MECH FI
fiJ Or- ol{l{Lf
/f
r:l'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ATISFACTORY, PROCEED
o CORRECT ACT N AND PROCEED
o CORR K, CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
C'" L 447 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI