HomeMy WebLinkAboutBuilding 02-0111
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2 -' 4.-oz..
I. White File I PERMIT NO
2 Pink City . 0;' - 01/ /
3. Yellow Applicant . _
ZONIN G (office use)
Wooi) Due K- laA-\L 1\Jl0
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK 2- ADDITION
53w
OWNER
(N ame)
(Address)
All N~
BUILDER.-r B. ():-.. -./J <.
(Name)--1/1Yl E(2Jar~ . l.::h) I Lwcr(.... J
(Contact Name) f111k: t;qWIAfVf\)
(Address) J ...~fH ga\lJ(,.-G-t-JA1EL DI1___
pup
PIDZ5-33 - 052.-
(Phone)
9s~J 440 -7t'J:2 S-
(Phone) 9Sl- 440 - s3(3
(Pf<~ /:" 1 - 9 '7 'T? .- "J.S~?'7
I .A. ,1'1,' -
::>~~:::-
TYPE OF WORK
o New Construction
ORe-Siding
o Mise.
~Lower Level Finish
3 ?-VlS
o Fireplace o Addition o Alteration
PROJECT COST/VALUE (excluding land) $ ~J 000
OUtility 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 p form need d inSpeCtions.. 'I Ji\. ;1 Ie)'"
x ).o~~~4o I AL0.::>~ A-
,
Permit Valuation .3 000.0 0
Permit Fee $ 74-.'75
Plan Check Fee $ -
State Surcharge $ I 50
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
n Beco7 Your Building Permit When Approved
.:.~~ Q- cj-oc-
BuildinlYOfficlal Date
ODeck
OPorch
ORe-Roofing
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ l/h.25
/~.Z~
'15- tJ Z-
I ~;ei~
+JZ- / 7
Paid
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 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
PRIOR LAKE
INSPECTION RECORD
.
t'JvJ
DEPARTMENT OF
BlUlDING AND INSPECTION
SITE ADDRESS 15(74 WOOD Du~ Ile-AIL--
NATURE OF WORK ~~~ '7 ~V F-iL-
USE OF BUILDING ___ __
PERMIT NO. 02- 0 III ' DATE ISSUED
CONTRACTOR T/MBF;e.R.ID~b PHONE (012.- Cf78-2-587
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
lA -~ -0:1.
""
\I
1\
It'
l(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(p-
. "2.--
t(
....
li q
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 have, been ifpproved. 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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:V2fU
Date:
2.- 4-- 0 Z-
Building Permit # PID: 25 - 5~/- 052-- 0 Zoning: pu D
Site Address ( 51/4- V\J ODD 0 tJ ~ TeA I L- N vJ
Legal: L 14- B Z. Subdivision: v-JIL-OS 3,t2-D
Existing Structure: YES or NO
lei
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
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 }L
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? f
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single f
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED At'lD INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC