HomeMy WebLinkAboutBuilding 02-0249
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White File I PERMIT NO I
Pink City . o~ '7_ -.0 "? t.jq
Yellow Applicant G.- C- ~ .
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3, 2/- !JZ-
ADDRESS ZONING (office use)
ICZ-
LEGAL DESCRIPTION (office use only)
LOTS'6 BLOCK
ADDITION M
PID 2..5- 3m- - -5' - 0
OWNER
(Name) Ly;>n-k'lfk,yVlr>~
(Phone)
(Address)
00
$ s .~ ({'
Wh'
BUILDEIY J I _
(Name) Cf>n-!e)( rtOWlP.5
(
(Contact Name) -:to(' .<;-j-vJrll'(h;
(Address) I') 00 wh,'
(Phone)
(Phone)
q~) - q '$6'-7...a 5:3
i/) - ;);;) l- OS 9%
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o New Construction
8Lower Level Finish
~Fireplace
OAddition
o Alteration
o Mise
..3 J3-It'1S
PROJECT COST IV ALUE (excluding land) $
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 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 e rope rm needed inspections.
x
Park Support Fee
SAC
#
#
Signature
)0076-7-~'7
Contractor's License No.
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 ODO.OO
f
$ 7 t./. 7;;-
$
$
$
$
$
$
$
TOTAL DUE ~
/. s:- 0
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
4-CJ. 00
3 ~).O'-o~
Date
$
$
$
$
$
$
$
$
$
iIfO c 0 ()
pproved
ot--
.2~
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
BY:
sidential Building Permit Checklist
t Finish or interior Alteration to Single Family Homes
..------...........
Date: 3-- ZI ~O 2-
Building Permit # 0 2 -
Site Address /4'4-2 G
Legal: L SG- B
P : 2-5 - -~8 -O~'-OZoning: ~?-
8,e?&Jk:ncl~ -PL/kV
/ Subdivision: fVlDmO(.A)('/tt:;:"lJ
Existing Structure~r NO
YES
NO
CONFORlVIS TO ZONING
ORDINANCE
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 'I
Does the alteration include any additional kitchens? Refer to Planning
p
Does the proposed alteration include any outside Refer to Planning r
entrances other than patio doors? -.,t?
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a nomal single y;
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TE.MPLA TE\AL TCHCK.DOC
White - Building
Canary - Engineering
Pink - Planning
Thr Ct"nlrr or rht t.kr ('ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
C6N7F){ I-!OH6-C;
3-2/-0L
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44-z~
Accepted.
Denied
L3 ~ O~ n e:Jzt5 (5 (- L/1::) ,
Accepted With Corrections
Reviewed By:
Date:
3- 2-1- 0 2_
Comments:
~ we' t-oU/~ t.--61/EL FI/UfS/-I
Hntvo tJ VI
"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 /442 (0 e,eOOK-ne;ee; 61- V D.
NATURE OF WORK 1- oWe,€- &(3(/6 t..--
USE OF BUILDING !2-;::S t4/~
PERMIT NO. !JZ ~ 02-4'-9 ' DATE ISSUED .:5 - 2/-0 2-
CONTRACTOR fLNTEX I-IOH6:=; PHONE (,/2-- 22-/-0578
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ -
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
5 n OJ..
d
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical Gt=rvice' 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