HomeMy WebLinkAboutBuilding 02-0496
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
l? r ()~M~tt Bl-VD
LEGAL DESCRIPTION (office use only)
LOT 6~LOCK ADDITION
OWNER
(Name) (-e'tA--W ffo ~ s
Date Rec' d
J-j~~5~
I PERMIT NO. 0 Z -0 '-1-9 fR I
I. White File
2 Pink City
3. Yellow Applicant
ZONING (office use)
J ~
PID
--oG,l-D
(Phone) "~')..- 9:16 -7..H31
(Address)
(Phone)
(Phone) ?C1- f/~5 - 6)Y"O
TYPE OF WORK
ODeck
ORe-Siding
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 upon th perty ed inspections.
OPorch
ORe-Roofing
BUILDER
(Name)
(Contact Name)
(Address)
~ t?H1 of'
Toe
t?-~ ~~;:, ~
<;7vd ~ /cf.
o New Construction
~Lower Level Finish
o Fireplace
PROJECT COST IV AL UE (excluding land) $
o Misc.
x
Permit Valuation 5,cxD ' <!) C>
Permit Fee $ 74.7<)
Plan Check Fee $
State Surcharge $ 1.S-6
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 40.00
ecomes Your Building Permit When Approved
6-7 -O'"L
Date
DAddition
OAlteration
~- ;2(" - 0 ';)
Date
Dv
$
$
$
$
$
$
$
$
$
~0076717
Contractor's License No.
Park Support Fee
SAC
#
#
TOTAL DUE
~.
~. "rul'f"
Planning Director
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
.I
#
#
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.
Water Tower Fee
Builder's Deposit
Other
I Paid
Date
/~ 2- r~
. ~ 1)0- v;)-
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
B~'
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: ~/- ~) .5 - 0 "L
Building Permit #
Site Address l-;VeX f~
LS h)ok~~ 3~/-::t~-UZonmg:
Subdivision: r:I1t Uc(~A.J2~
Kc~
Legal: L /;;..- B
E.:dsting Structure: YES or NO
CONFORLvIS TO ZONlNG Y~S NO
ORDIN-Al'rCE
YES NO
Is this an expansion of me existing footpr.wt or Refe: to Planning
building height? o C<:
Is me propert'j located within the flood plain? I Refe: to Planning I ~4.
Does the alreration include any additional kitchens? I Refer to Plannh""1g I t)~
Does the proposed alteration include any outside Refer to Planning
entranc::s othe: than patio doors? cjk
Is the proposed use of the finished spac:: or Refer to Plar.J1...i.r.""1g tJ1C
alteration for anything orne: than a nor:nal single
~., ( ~- h d . )?
raml1y nome ornc:,:, group orne, ay c:!re, etc. .
Tms CHECKLIST MUST BE COMPLETED AJ.'ffi INCllTDED IN THE BU1LDING PER:.'YllT FILE TO
:'YL-VNTAlN A RECORD OF THE REVIEW.
L'TE:YL?LA TE\.-\L TC:-iC-C.DOC
Thf ('fnln nf thr Lakr Count'")
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ce~,
APPLICATION RECEIVED 4..... at!i-{J(3-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity wh~h is proposed a. t:
14}?~ orootYYL~re Blvd
f
Accepted Y
Denied t:J1;?~
Reviewed By: .._.__fY~. _ . Dale: S- 7-0l.
;r -t..rLd LiP ~()~<~(I LM~--&
Accepted With Corrections
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,"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS -1L/~ ~=~I 5lvJ. .
NATURE OF WORK -"1 et.O Lol-W cu- l~ ~~ ~~\~
USE OF BUILDING SFA
PERMIT NO. (X? - o~9e:, DATE ISSUED S-(~ -o'L
CONTRACTOR C~ HOh-es , PHONE
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
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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 havlJ" 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