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O;u z- zO O;u :::!> 0" mm , ~ r-... ~ en o :J: m c c: r- m c ~ ~ ~i m CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT r LEGAL DESCRIPTION (office use only) Date Rec' d Cl~/() - 02- I, White File 2 Pink City 3. Yellow Applicant PERMIT NO.O.l-llz2 rut ZONING (office use) LOT f"-BLOCK 7 ADDITION j:;/Vt1t> H/i.A.-- Z/V ~ PID 2-5 ,~' 4 t1 ~? -:':) .,WNER (Name) (Address) (Phone) (12)2- 2 3 -1' 01-2."3 BUILDER (N ame) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK ORe-Roofing o Misc, o New Construction tower Level Finish ODeck DPorch ORe-Siding o Fireplace DAddition OAlteration DUtility 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 a d that all construction will conform to all existing state and local laws and will proceed in accordance with submi ed plans, I am aware the buil ing offic' I can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may enter u pYOperty to per or needed nspecti s, a I J _.. }., ~ ~ {1. \'" ~ Signature Contractor's License No, Date Permit Valuation 3000. .- Permit Fee $ 74. S- Plan Check Fee $ State Surcharge $ .50 Penalty $ Plumbing Permit Fee $ o /"' Mechanical Permit Fee $ Sewer & Water Permit Fee $ $ Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE $ / /~. 2 <; Paid Date II~ '';>6~ q-(O-- I ~~cei~tN~ 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 ] 6200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ILD {.-\: Date: '1. /to & L Building Permit # OZ _ i/2- -z.. PID: Site Address t 4?-ll 'B t.....,~ B (IU) Legal: L B Existing structure~ NO I CONFORMS TO ZONING , ORDINANCE Zoning: l(2.Al <- Subdivision: '@I NO YES NO Is this an expansion of the existing footprint or Refer to Planning ~ building height? Is the property located within the flood plain? Refer to Planning 7 Does the alteration include any additional kitchens? Refer to Planning v 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, lITOUD home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEJ\tIPLATE\AL TCHCK.DOC PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS \4"2-" "B~Cl>'IZ.D T.lAIL- NATURE OF WORK L~~ U~ ~...".,~ USE OF BUILDING ~ A!JZ. . PERMIT NO. 0 Z - II Z Z- DATE ISSUED Irol D7....- I CONTRACTOR 21IJA ~ K'AI'J 6,t.J l...~1 PHONE 9 S2. -13~ -c..7l3 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE r. -- - I -~~tlrJl.I\TION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 4.l~bACE ~Sl COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~G (Prior to Sodding) BUILDING IO-JrJ ,'oJ 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 maintafned 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