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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3-' g-o~
I. White File I PERMIT NO I
2. Pink City . ().'2 ~ 0 z.z.3
3 . Yellow Applicant .
ZONING (office use)
PUD
/~Zft:,~ ;a,qRK.VICW D12/t/C ..:5b
LEGAL DESCRIPTION (office use only)
LOT 2..BLOCK I ADDITION M,eo/NA- '- R/06'G' 3.eo
OWNER
(Name)
r::o f!ovR1AD
/62bcr n~VJf~
(Address)
PID 25-.3lfp - tJoz-O
(Phone)
CjS;;J -Lffe - 'jIP /
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
~ower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
DAlteration
DUtility Connection
o Misc,
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
autt;or' ed ag.ent for .the above-mentioned property am!' that all construction will conform to all existing state and local laws and will proceed in accordance with
sub . ed plans. am aware that the building ffk can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent, u~e roperty to perfor ded in cti s. _
" .~ .:s-g-O:L
Permit Valuation J . C(')I') , (:) r,z,
Permit Fee $ It{ .7<1
Plan Check Fee $
State Surcharge $ / .YO
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
3 - I L -D7
"---'
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
l2'OTALDUE CAtQ;O S-rz- 07.- $ '1fo . 25
Paid
Date
7~. 25
...3'- / oS -0 ~
I ~~ #50~
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
The ('f'nfer of fhe tah COUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Eel f/ov /'tt.d
APPLICATION RECEIVED 0'" g~Od.v
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 0 ~ q fJ o.yk: u ,'c.Ll..;'l:) r
I
Accepted
Accepted With Corrections
~
Denied ~ 1/2
Reviewed s{ . {)f/.J./ Date: 3 -II-elL-
Comments:
~ ~ 1~ f;~~lA ~C/LJ
"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."
BMs
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: s,/ { -0 2-
Building Permit #
Site Address /(,2 G 7
Pill:
e/<.vl'~
Zoning:
Legal: L 2-.
B
I
Subdivision: WJ f6~
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Is the property located within the flood plain?
Refer to Planning
~
X
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
x
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a nonnal single ><-
family home (office, group home, day care, etc.)? _
I'Stl'~~ Wi~ W~l
Tms CHECKL1ST :VIUST BE COMPLETED AND INCLUDED IN THE B TTLDlNG PERNfIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TEvfPLll... TE\AL TCHCZ.DOC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /(,,;),loCt filiUc'-e...J 0,-
NATURE OF WORK L-w~ d ~",--\,q,,~
USE OF BUILDING g t-:1~
PERMIT NO. 02 --022-3 DATE ISSUED 3 -11-c2.
CONTRACTOR ~cl/r(JlJ PHONE cr5';)..~4C{t)_f=U8(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~..JtI.. - I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r-- ~
L~
FRAMING
INSULATION
ELECTRICAL
I tJ - 11--02
.- - (f)...
HEATING (if required)
I - 5/- 0 )...
ST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrical 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.
BUILDING
ELECTRICAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850