HomeMy WebLinkAboutBuilding 02-0341
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- - 8 --02-
MAllJ &...Dc, 'P6,2J1HT.:tf ()z--()oi3
I. White File
2 Pink City
3. Yellow Applicant
PERMIT NO. Oz.-o34-1
ZONIN G (office use)
1<2...
7 () g rD ~"-~
B Lvo
LEGAL DESCRIPTION (office use only)
ADDITION
PID 25-384-- 0(03-0
OWNER
(Name) ('t"n~ ~1N4 '.5
(Phone) f/S'l ~ .3 /,.... 7 n J
(Address) 'l D D
~7DlI1kA
BUILDER
(Name) C-I'I1-rr ~~
(Contact Name) :r~ S-fvJ t1 i Ctll
(Address)
(Phone) 9~ ~ -13' - 7313
(Phone) 9S)"-~l'~ - '~f/D
'TYPE OF WORK
o New Construction
DDeck
o Porch
ORe-Roofing
ORe-Siding
~ower Level Finish
o Fireplace
DAddition
o Alteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
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 a at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ope needed inspections.
Signature
~t'.)07 " 7 '$ 7
Contractor's License No.
r'- g- 0;)
Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ //&. 25
'10. 0
~~:. ~ !jf-.:/f'fo- I ~~cci~t N~ I
Becomes Your Building Permit When Approved
ct-IO~Cf2--
Building Official
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 10 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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~
Date: 4- -8 --0 2-
Building Permit # OZ r o.3h PID: 25-384- .. af,'S '0 Zoning: te z....
Site Address /4- Z 7 () !5k?<)(),I::/"'lE,e& St.-V 0 . N IV
Legal: L B Subdivision: I1E1100Wl/ 16 ~
Existing Structure: YES or NO
I CONFORiVIS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? X
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. Refer to Planning )(
entrances other than patio doors?
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 A.i'IfD INCLUDED IN THE BUlLDING PEAAIIT FILE TO
MAlNTAIN A RECORD OF THE REVIEW.
L\TE?vfPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4270 I..S /GOOK-t1 EfC-.6 BLVD N tV
NATURE OF WORK L-ow6/C. t--6VEL-
USE OF BUILDING ~s ,;q / ~
PERMIT NO. ()Z -034-/ f DATE ISSUED
CONTRACTOR CEN715x PHONE 952 . 4-03. iP2.tfo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
....
I_I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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 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