HomeMy WebLinkAboutBuilding 02-1181
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
31
XSD~~C[tX 1{L~Q
LEGAL DESCRIPTION (office use only)
LOT ) BLOCK I ADDITION-Yk \JJ.
~~~R ~:rT7lJ[J1l)tl\h
(Address) ~l "\' \ '
~':;'~)ER ~ ~ ~(
(Contact Name) _ P-~--'" lit 6-ePLtL
Date Rec' d
q-/f~02
I. White File ~E I 0
2. Pink City . (J? -II t1. l
3. Yellow Applicant _ V __TL_
ZONING (office use)
IZ/
--z."eJ' -30Z. - 04-'1--0
PID ~c=; ~ () (') 2(j If{J
(Phone) 6.<~) q8~'>- ~~1SCj
lOAJ,'IL M~
r
( OCd-l Q1XC- Cc '9-
(Phone)\~( d . ,-..), ') /, J .
(Phoner39Jq~~- ~F7SCJ
~ enl" l Pc. tI.
0/
(Address)
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
ORe-Siding
o Fireplace
o Porch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Misc.
OUtility Connection
00
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~Jon the property t(-ferform needed inspections.
X l~o.",C1 ~S~tu~r ~ I~ de)1~(P 301 q ) '\~ DCaZte-
~ Contractor's License No.
Permit Valuation I-t . ()OO C>!J-.
Permit Fee $ 87.2.f""
Plan Check Fee $
State Surcharge $ ~.OO
Penalty $
Plumbing Permit Fee $ t...t 0 , 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
1-1'f-OL
Date
Buildmg Official
Park Support Fee
SAC
Water Meter SizeS/8";!";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
#
#
$
$
$
$
$
$
$
$
$
f/!!i6~:;
.;( -0
I ~;eiPt~E/1
I Paid
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 to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: q//e/~ Z-
Building Permit # Pill: 25,382- -0+/-0
Site Address 3/04- ~Od&qr 77ZA1L--
Legal: L 4- I B / Subdivision:
Existing Structn~ NO
I CONFORlVIS TO ZONING
. ORDINAL'{CE
Zoning: IZ-1
7116 WIt..-05 .5ovlH
NO
YES
YES NO
Is this an expansion of the existing footprint or Refer to Planning y::
building height?
Is the property located within the flood plam? I Refer to Planning \ y
Does the alteration include any additional kitchens? Refer to Planning \ ~
Does the proposed alteration include any outside' Refer to Planning
entrances oth~ than patio doors? >'
Is the proposed use of the finished space or Refer to Planning
alteration for anything oth~ than a normal single y
family home (office, grOU? home, day care, etc.)?
THIS CHEC1G..IST MUST BE COMl'LETED .-\J.'ill INCLUDED IN THE BU1LDING PERi'lIIT FILE TO
MAlNTA1N A RECORD OF THE REVIEW.
L\TEy[PL~ TE\AL TCHCZ.DOC
White - Building
Canary - Engineering
Pink - Planning
The- Cenlf'r of tht' 1.lkt ('ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT RJ\Tl:-0A FF HoM E5
APPLICATION RECEIVED q "I 6 --0 2.--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3f04- 156f5~ (72Ft1 L--
Accepted
Accepted With Corrections
X
r
Denied
tIU (lL
Date:
Reviewed By:
&(-1'1- 02...
~ ll-tG GO vJ De-- L., e:-J bL-- P/,.J! S H-
H1\rJ 0 () tIT"
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."
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1/D'1 C3obLt.t-t- 1""rtt f ,
NATURE OF WORK Low<' 1~v-c.1 ~fll'\'fS ~
USE OF BUILDING 5. F 0,
PERMIT NO. 02.- LLfj/ DATE ISSUED Cf-f'f-oJ...
CONTRACTOR flectZ-d Q~ Ifo~-t::> or"'L-. PHONE CqS1.) qi-S-- S'I.JYf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
r.-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMI
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
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.
'-)..'D
~~~1J
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SIGNED
~
FOR ALL INSPECTIONS (952) 447-9850