HomeMy WebLinkAboutBuilding 02-0075
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/4453
Date Rec' d
White File
Pink City
Yellow Applicant
PERMIT NO.
c!?'2.... 00 -r 5'
,,'.
oil
ZONING (office use)
8L () 6.15/,en 7;erJ / L-
~/
LEGAL DESCRIPTION (office use only)
LOT J BLOCK 2- ADDITION
-nt
KAJ'OI3 /-I/~L-
PID 25-3<p2...- 0 /~-O
OWNER
(Name)
r/205/
(Address)
(Phone) ~~1--- Z6?:r-~' J
rJ 556 7-
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o Misc.
o New Construction
'J(Lower Level Finish
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
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 ~ro~ to perform needed inspections.
X ~~,JJc?~" I/()j/OZ-
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
$
$
$
$
Plumbing Permit Fee t:!)c..A4' '6(t... $
Mechanical Permit Fee $
$
$
Plan Check Fee
State Surcharge
Penalty
'2-.. CO
40. -
Sewer & Water Permit Fee
-
Approved
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other eL-Ec-. $ /'. DO
TOTAL DUE $ I ~O:z..~
I Recei~o. f-n ~h
By H
Paid 1Itn
Date
I to' L....;'
\ I e!D,&-
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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
nO\ ~ Date: I (
,~ ~ \ B O""L
BY:
Building Permit # t)-z ...00"< PID:
Site Address T
I {- 4-)" ~ B ~ .~ \D l (LO (L
Legal: L B Subdivision:
Existing Structure@ NO
Zoning: (Z-'" \
Ic~ I
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ------
Is the property located within the flood plain? Refer to Planning ~
Does the alteration include any additional kitchens? Refer to Planning --
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? "'----. .
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ~
familv home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TEJ\lIPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
t4453 l>Lv--& t\lLI) T<L-
L . L. F I ,...l S "
~ A/(Z..
,
DATE ISSUED
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERM/T NO. '02- - 6016
CONTRACTOR c..~ ~y\
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1/'~(O2-
INSPECTOR
DATE
~~ I
~~prior to Backfill) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1tW"~~ I I
FINALS
G rior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an el~C'tri~ai 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 entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850