HomeMy WebLinkAboutBuilding 02-0201
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/tf2/0
3-4,02.
White File I PERMIT NO I
Pink City . 0 J -0 ") L'J}
Yellow Applicant c:;r- ~ _
ZONING (office use)
rif~ Al/& 1lI~
;::.../
LEGAL DESCRIPTION (office use only)
LOT 5BLOCK
ADDITION Z~ /!VPA!. TlJ ;V. rffl~ tJ/lt::-S PID 2-5 ,a8+., 0/3-0
OWNER
(Name)
)
)
(Phone) ('15?J ~'1b)bb 0
\ '-~ f't\ N 5"~ -?71
(Address)
BUILDER
(Name) So 1I\e ,:;,,"5 0 W ~ e V'
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
. ODeck
OPorch
ORe-Roofing
ORe-Siding
o New Construction
~wer Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
o Alteration
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 upo roperty t per' rm needed inspections.
iLQ/\
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ 2.0b
Penalty $
Plumbing Permit Fee $ o .96
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ t:. X\'s I
This Application Becomes Your Building Permit When Approved
;:4144-
.3 'f~() 2-
Building Official
Date
Contractor's License No.
tvk.vch ..[ J l.OO~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other c:.lc. ~VV\.( t AOl:). $ l . Gel
TOTAL DUE $ 30 25
I .
Paid
Date
~~~~
I ~;c1't.liUf;
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
White - Building
Canary - Engineering
Pink - Planning
Thr ("tnler of fhr talef {'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 5C/f 6El5'e. '7}fcJ/-1/15
,
APPLICATION RECEIVED 3 - 4- -02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/42/0
r/SH6e
.
AV6Nur;;
;116
Accepted
Accepted With Corrections
Denied
Reviewed By: Date:
Comments: /Z6r/O '77-16 tAJwE:lZ- LE'V6L- ~/AI/.5f/
HrlAlD out
.
"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."
B(J{b
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: 3-4-,0 L
Building Permit #
Site Address /421 0
Pill: 25 -084-- 0/3-0 Zoning:
rlSHEl:!- /1Vt;., Nt;
,e../
Legal: L 5" B
Existing Slructur&NO
I CONFORMS TO ZONING
. ORDINANCE
Subdivision: /'/, J".I'Jf:i/Z6' cJ/t~.s'
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 V
Does the alteration include any additional kitchens? Refer to Planning t/
Does the proposed alteration include any outside Refer to Planning V
entrances other than patio doors? r .-t. ~
&
T v"'""K
Is the proposed use of the finished space or Refer to Planning /
alteration for anything other than a normal single
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:\TENfPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS J!:j2\~~
NATURE OF WORK ~ ~
USE OF BUILDING e
PERMIT NO. --02-0/ DATE ISSUED 3,..tf-02-
CONTRACTOR. PHONE 'iT&. ~2/k-O
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
~~-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
'&\~ ~
INSPECTOR
DATE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
L-==:= _ ,..
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrk:al 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 (952) 447-9850