HomeMy WebLinkAboutBuilding 02-0084
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5/& /
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/- 22--02-
1. White File I PERMIT NO . I
2. Pink City . D~ ~ Oi OJ' A./
1 Yellow Applicant v () 'r .
SHJ1 0 y
(!A) V 6
P d / NT
ZONING (office use)
Je I.:5D
LOT l7BLOCK
LEGAL DESCRIPTION (office use only)
PID zS - 37/- 017- 0
/ ADDITION P"~f/N(JOO tJ#j::.J ~.smT6s 2 (:;!!?
OWNER
(Name)
(Phone)
(Address)
~., 111'0. :-:>\...' I_~
(Phone) . ~ ~ '1 '1 ::>"\ 1()'-17I
(Phone) (pI)
\~~VY\EL
~.~
(Address) ~\ 6' S ~'t COV2~
BUILDER
(Name)
J
KA<l~
(Contact Name)
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
ORe-Siding
o New Construction
~ower Level Finish
3 1<.-1"15.
o Fireplace
OAddition
o Alteration
OUtility Connection --
PROJECT COST IV ALUE (excluding laod) $
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowled e 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 s te aod local laws and will proceed in accordaoce with
submitted plans. I am ayvare that the building official can revoke this permit for just cause. Furthermore, eby agree that the city official or a designee may
enter upon th~O .' " _' ded inspections.
\,.: . . /.;..-- ./
X ' ~. <..--. '..- ..._.~
/
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
.;3 (JOO.OO
1t.f75'
Contractor's License No. Date
Park Support Fee # $
SAC $
Water Meter $
$
# $
$
Builder's Deposit $
Other $
$
-
I. :50
40.00
40.00
1 tion Becomes Your Building Permit When Approved
) -2. ?',. Cf?
Date
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certi
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
BY:
f~ (
Date: 1- 2- 2- -0 2-
Legal: L /"1 B
Pill: 25.37/- 0/7 ~o Zoning: /Z.-fJO
s;-t.ttOY {UJVf5 pT
I Subdivision: )/()IGT7-1Pt/O()O tJrflcS
r;J7P-Te S 2-~
Building Permit #
Site Address 3/ (p /
Existing Strllcture@r NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
I YES NO I
Is this an expansion of the existing footprint or Refer to Planning
building height? Y
Is the property located within the flood plain? Refer to Planning (-
Does the alteration include any additional kitchens? Refer to Planning I
~
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 -p
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED A.i'ID INCLUDED IN THE BUlLDING PERMIT FILE TO
MAINTA1N A RECORD OF THE REVIEW.
L:\TENfPLA TE\AL TCHCZ.DOC
White - Building
Canary - Engineering
Pink - Planning
The Cf'nlrr or the "Ike Count,."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANTl7G~,6 /'1/ '} 6, L-, I l<~f1 ;< L_""
APPLICATION RECEIVED 1- z Z - 0 Z-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,31 (0 / ..5/11--1 Uy/ C (, Vb 1-'0 I ("./T
Accepted
Accepted With Corrections
Denied
Reviewed By: Date:
Comments: I!~ ;.-1 U . 711 E L (, [,v' ElL i- C l, E L
F-/ N l ,5 f-I fir} IV'[) 0 rj-r
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION. RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3/&/ SHADY GOV6 PT
NATURE OF WORK L- oW ~,e U5V6~
USE OF BUILDING ~- A/tL--
PERMIT NO. ~ Z -- 0084-' DATE ISSUED
CONTRACTOR -rIU3HI"78L- ~e...-,- PHONE 44-0- 34-(07
NOTE: THIS IS NOT A PERMit FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
__ I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
--
,---
FRAMING (}-
INSULATION
ELECTRICAL
PLUMBING vt V\
FIREPLACE " V\
GAS LINE AIR TEST '^ \t\
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 service cabinet prior to rough-in inspections
and maintained until all inspections ha\te oeer: 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