HomeMy WebLinkAboutBuilding 02-0103
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I. White File
2 Pink City
3 Yellow Applicant
PERMIT NO. 02" 0103
A '7 Ci' ')
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(S/ u / N(/ V ,_-::/ _S-{~
ZONING (office use)
/2' / _\ LJ
LEGAL DESCRIPTION (office use only)
LOT I i BLOCK
ADDITION ,5 U Iv F I ~') /-/
L-il-+V
-.- - 1-- . ""T"7-/'
PID /:./ -(K~_) - I./i.- I 1..)
OWNER
(Name)
(Phone)
(Address)
BUILD~ \
(Name~t:HL:e l
(Contact Name)
(Address)
&:. 5k,~
<;;; f.
~'
b
(Phone)
(Phone)
C/,5' ~- J-SD - d-tD 0-<-0
72.
TYPE OF WORK
ODeck
ORe-Siding
o Misc
o New Construction
940wer Level Finish
3 /2-rr:f:.;
o Fireplace
PROJECT COST /V ALUE (excluding land) $
OPorch
ORe-Roofing
OUtility Connection
OAddition
OAlteration
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 awar that the buildi official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u 0 ro erty spections,
x
Permit Valuation ~J ODD ()()
-~
Permit Fee $ 74-. '7:""7
Plan Check Fee $ ---
State Surcharge $ , ::~;:/:.)
I
Penalty $
Plumbing Permit Fee $ 40 O()
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ -
comes Your Building Permit When Approved
/ - p-02-
Date
Contractor's License No.
Park Support Fee
SAC
#
#
1- ~ --0:2-
Date
$
$
$
$
$
$
$
$ / () ()
$ I - -J -7.. L
I ,J.. ~ _'-_)
Paid
Date
Lj~2r;-
-- / - 0;)..-
I 0
I ~;~"I/q/
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.
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
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
The ("enlef of 'he l..kf ('ounl')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l4- ..:2/,l-7 C\ l, J' I 1'0 C \1 :=_=Tf-- E~[,-I-
.1--.
. \..~.
Accepted Accepted With Corrections
Denied /~0fc; L-~,.
Reviewed By~~" / 9--------
Comments: ;.. t /\, j i I! E-
Date:
1-
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"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."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
By:r~
Date: i - =::.0 - 0-2-
Building Permit # 0& 0' 0 1 PID~
Site Address ,:- ':/-7'7 (\/i) I (,,' 1~\/\'1 .S i.
Zoning: k i ~- [)
Legal: L \ I
B
Subdivision: .~ U N FISH ~s'A\t
Existing Structure:~r NO
I CONFORMS TO ZONING
ORDINANCE
YES
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
y
Does the alteration include any additional kitchens? Refer to Planning
y
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? y
Is the proposed use of the [mished space or Refer to Planning
alteration for anything other than a normal single 'I'
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED Al'lD INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4- 3Cf 7 Q U (fJ c:1 ~ s 6""
NATURE OF WORK L-OW EJe- L,5V6 L-
USE OF BUILDING f2E S A / f2-
PERMIT NO. 02- 0/03 I DATE ISSUED 1-30-02-
CONTRACTOR .J2HoVJ6e, DANt 5L- PHONE 2-50- 2/03
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE -
- -
t-...-.. ---- ----- --- .-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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 hi:2va be~n 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