HomeMy WebLinkAboutBuildin g02-0495
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT.
BLOCK
ADDITION
(Address)
Lj-;;LS' O(~
I. White File I PERMIT NO I
2 Pink City . 07, 0 ~ 1/1 c'
J. Yellow Applicant . V TI-:.J.
P"'/'or L4k-e; M N 5~ 37:2
8 L Vd/
Date Rec' d
ZONING (office use)
K~
PID
5-:3 84-
BUILDER
(Name) (r"'nfr'~ I-fr,J34'~..J
(Contact Name) Toe . ~/fl f1 ;rft:i.
(Address) .
(Phone) f/<;l -9 56~ 7P<S
(Phone) 1~).- r]6~7R??
(Phone) 'It'). -~ o~ --6;; 1/ C)
S
TYPE OF WORK
ORe-Siding
o New Construction
~ower Level Finish
o Misc.
DDeck
o Fireplace
DPorch
ORe-Roofing
OAddition
o Alteration
OUtility Connection
PROJECT COST IV 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 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 e ro orm inspections.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~
$
$
$
$
$
$
$
$
.)0
C/a . (:)0
qo.oo
omes Your Building Permit When Approved
{5 -g -(J L-
Date
d. C(]767]7
Contractor's License No.
~- ;)~ --6,)
Date
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
#
#
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -1!:l~ :&k:oklM~ lS"lvce
NATURE OF WORK e..'u.J Lo~(~ ~'^-\~ (
USE OF BUILDING S FCl..-
PERMIT NO. 02 -0 t.fCl5' DATE ISSUED ,.r:;--{., -(~YZ
CONTRACTOR C~ ~s PHONE -rS-"2.-cqo]-t,2C({)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- I I
~II
. .PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l~~
)
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
fhf ("fnlff of lhf Lakf Countr)
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (~
APPLICATION RECEIVED Lj -;).5 ,-0;;;'-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Itf:J7D ~kJm~ p)ud
Y-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
"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."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
By:f f;l
Date: 7- ~ .5 - ()~
Building Permit # /{ ',. PID:c9.S-3>i1- O~d-uZoning: I( ~
Site Address /.?/:J.9o 'I...MJ-t;// 1tPJ,1Jt 6/ v'J.....
Subdivision (:-llUuc/JlUi.:/p2ur'
Legal: L J d-
.
B
/
,
E.:risting Structure: Y'ES or NO
CONFORlvIS TO ZONING Y~S NO
ORDIN.Al~CE
Is this an expansion of the existing footprint or Refer to Planning
building height? ore..
Is the propert'j located wit.\in the flood plain? I Refer to Planning I s(e
Does the alteration include any additional kitchens? I Refer w Planning I DK
Does the proposed alteration include any outside Refer to Plannmg ok
entrances othe: than patio doors?
Is the proposed use of the finished. space or Refer to Plar..r..L.':.g e>k.
alteration for anything aIDe: than a normal single
family home (office, group home, day care, etc.)?
YES
NO
THIS CBEC1G.1ST MUST BE COMPLETED .~'fD INCL1JDED IN THE BU1LDING PER;.'YIIT Fll.E TO
t'il-UNTA.lN A RECORD OF THE REVIEW.
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