HomeMy WebLinkAboutBldg Permit 05-0517
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3 Yellow Applicant
PERMIT NO.G-S/'f
(Please type or print and sixn at bottom)
ADDRESS 1f!3S'6 lI-f.t",tI1"~l::ui4 Ir ;V~
Pr" (pr /A::;k e- I11Vl S~ d...
LEGAL DESCRIPTION (office use only)
LOT <K BLOCK ~ ADDITION
v .........,.,
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3f'cL
PID3'1CJ-OJ-3
OWNER
(Name)
8 red ~ II-e/d~'
Le S V'1C.I .:so! c--,
(Phone) tf:::::-.) - 4l/.s:--cJ/6?
(Address)
BUILDER
(Company Name)
(Contact Name)
S a..l-f
.s~
(Address)
.J~H1e..
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection
ORe-Siding }fLower Level Finish
:3 .ePJ,s.
CODE: OI.R.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV
H I
2 3
V
M
4
o Misc.
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
ZONING (office use)
S4~
o Fireplace
I hereby certify that I have li.lrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned 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
:cial c~t for cause Fu more. I hereby agree that the City official or a designee may enter upon the property to perform ne6t;~~
, Contractor's License No. - Date
I Permit Valuation
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
3, 000. 00
$ I+-. ..,S
$
$ /. S{)
$
$ ~O.OO
$
$
$ ~O.OO
~=Z:-:ki::~
Buildll1l!. Ofticial Date
$
$
$
$
$
$
$
$
$ /,$.? C)
Receipt No. L/%/.71
By ~
Park Support Fee
SAC
Water Meter Size 518"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
1,- ~ -,r--
,;>(C'~J_
4--' :::l -.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
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
" .....~... ~.
. .
. ... ~ .;;
t
..
,
:~ .
..
Residential Building Pel.wit Ch~klist
Basement Fmish or Interlor Alteration to Single Family Homes
BY:~
,...
~
Date:
t; ( ?...(d5
BuildinG' Permit #
1:1
Site Address 15 ScP
Legal: L B
PID:
Zoning~
~~tr:J Td,
Subdivision:
~gS~c~e~orNO
CONFORiVIS TO ZONING
ORDIN.Al.~CE
'YES
NO
Is this an _"t"-.sion of the e.-"....sting fo...~~t or
bm1ding height?
YES
Refe:' to P~g
NO
Is the :'4"'t'ert'f located ~~.b. the flood plain?
Refe:' to P1A'" ,:"g
,JtJ
tJ"
,JO
Does the al~..tion include my additional1citchen.s?
Refe:- to P~g
Does the :'4 "'t-osed alte::uion inciude my outside'
entrances othe:- than patio doors?
Refer to P~g
t-Ja
Is the ,\J41,/~osed use of the finished spac: or
alte:ation for m) ~g other than a nor.nal single
. family home (acc:. gro~ aoc:. day c:u-e. etc.)?
Re:"cno PL.. ..:.. g
tJ~
THIS Li:U.CX1.1ST )1UST BE COMPLETED .~'fD ll'fCUJ'DED IN ThL Bt'1l.D~G p~R.ynT mE TO
)(AINT..ul'l .-\ R!CORD OFr.d! R,EVITw.
..
..
..
-
PRIOR LAKE :~':JD~:SPECTION
INSPECTION RECORD
SITE ADDRESS +1M' ~~/~ 11t.1,
NATUREOFWORK. (.. c.. ELfJ'~
USE OF BUILDING ~ --
PERMIT NO. D"E ISSUED A1"'~
CONTRACTOR -.AO PHON~.""'.I:I"
NOTE: THIS ISNQT-A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"'CTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING /}(-
INSULATION I"
E~~~AL I
PLUMBING I
HEAnNG (If required) I
FIREPLACE ~ :4
GAS LINE AIR TEST /;ttJ-1 176 /~ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
I
FINALS
1.
BUILDING
E~", I "leAL
PLUMBING
HEAnNG
DO NOT
/I
///(/
}
j
(" -(-oL,
J
I
(jI
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be poated near an electrical HtVIce cabinet prior to rough-ln inspections
and maintained until all Inapectlona have>_n approved. On buildings and addltlona
where no Hl'VIce cabinet 'a available, carerahall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED C::r !~;;
rtr.l >'VI J'f1 ; ":' 1;, ,# ;J 1Y1
ADDRESS
L-/5S~
OWNER
CONTR.
PHONE NO.
;r- 5lJ
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~ULATION
;!t""FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
--------
/ ,
/ / IJr--~
( I /cl .>L..-
" ~
"--- --------
---
.---- -.............
.~
1-1 / ~ ""
(--'1 ~ )
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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