HomeMy WebLinkAboutBuilding 05-0315
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+.22.05"'
:3 ,ll3z...
ADDRESS
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05 _ 03 15""
ZONING (office use)
SE
/(P 11 (p
r /r1Lf ex-ell'6-1T 0 IC.
PUD
LEGAL DESCRIPTION (office use only)
LOT3OBLOCK (3 ADDITION Tl/'1dEJe- ~ P;1K-~
PID 2-~;). 1-0 l-. 0 C((p. 0
OWNER
(Name) (Phone)
lD'~ Lt)(p '61<9~
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~.R.C. OLB.C.
Type of &~stnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ORe-Siding
L;ower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(exduding land)
I hereby certily that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certIfy that 1 am the owner or authonzed agent for the
above.mentlOned ~ and that .all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
"mClal can revoke ,hiS plrml for J6 cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform needed InspectIons.
. ,7 - I .
X ' . '-i ~~l().!)
Si ature Contractor's License No. Date
Permit Valuation '2; DO O. (J 0
Permit Fee $ lP2 - 2~
Plan Check Fee $
State Surcharge $ /. () 0
Penalty $
Plumbing Permit Fee O{.!/J.I~ $ 4-0. VV
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit I;:~e, J.7u ~ $ 4-tJ. ,,?)
b~ildffigP'i;:;~d
Blllldlll!! Official Date f
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other bl.--C~U C-- $ lOO
TOTAL DUE $ /44- z..S-
fay
-
ThiS IS to certify Ihat the request in the above applicatlOn and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner CllnStltutes a lemporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
.
Residential Building Permit Chetklist
Basement F'mi:sh or Interior Alteration to Single Family Homes
BY: ~~ Date:
BuildinO" Permit #
e
Site Address
PID:
ZoniDg;
L~1l: L .3 ()
~
Subdivision: 7 ~ ~ I2.L
B
3
E~gS~cmr~orNO
I CONFOR1VIS TO ZONING
ORDIN".Al,{CE
YES
NO
f r YES I NO I
Is this an e."'t'p3llSion of the e:"...sting footprint or Rder to Planning
building height'? 0[)
Is the prope:'t'J located within the flood plain? I Refer to Planning I f0v I
Does the al~tion mdude any additional kitche:1S? I Re:::e:- to PiaI:ning I I
fJ()
Does the oro'Cosed alteration inc:ude any outside Rere:- .0 Planning
. . .
enmmc:s other than patio doors? tJO
Is the pr01'osed use of the finished spac: or Re:::"e: to Plar..n:mg
alter:ltion for anything othe:- than a nor.nal single No
family home (occ:. grOl.~ hC1::e. 6y c:rre. etc.)?
Tms Cl--..LCx:..lS7 )11:57 BE COMPLETED ,.\,tfD fi'lCLUDED fi'I Tb"'E BlllD~G p~R.'InT fT~E TO
.'IL.uNT AE" A R.E CORD 0 F Th"'E RIVIT\V.
"
"
.
.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /~9-" C/ft;; 77/VltJ't//z-U'?-OT .ole ..<"c;-
NATURE OF WORK [OWDL &ev~
USE OF BUILDING REf II//?-
PERMIT NO. 0$.03/s-' DATE ISSUED 4. 22. oS-
CONTRACTOR r/J'(),cr PHONE (; IZ. &.3(.;,. f'lo4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
, I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~--
-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
A1
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
~-
~ -
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
t/0
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.
FOR All INSPECTIONS (952) 447-9850