HomeMy WebLinkAboutBuilding 02-0590
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~-~/4-02-
o 35 J-
~. ~i~i~e ~::y I PERMIT NO. o'L.... """-Lc?
3. Yellow Applicant 7,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
LOCK / ADDITION
PID;2)'-
"- 0/6--
OWNER
(Name)
(Phone)
(Address)
BUILDER i I
(Name) Hd l t.1(...S"
(Contact Name) Gf+I2.J:>
(Address) t:=> () , ~?Jj(
~I\..u. <
\AJC
(Phone)
(Phone)
9c;z-- g9CO- ~'s
4"0
TYPE OF WORK
o New Construction
,rgLower Level Finish
DDeck
o Porch
ORe-Roofing
ORe-Siding
~Fireplace
DAddition
OAlteration
OUtiIity Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ '1 ~ Q:lO
on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
ov -menti ed prop and that all construction will conform to all existing state and local laws and will proceed in accordance with
at e building fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed ins ections.
X
Permit Valuation 5000
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $1\
Contractor's License No.
~-11-0Z
Date
Park Support Fee # $
SAC # $
Water Meter SizeS/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ (Co,Z~
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 S5372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY, W Date: 5 - /"F 0;1
Pill: ~:5 - ,3i>Lj- oft:, - Zoning: tc 15 D
!l) /Id Ca/c!~ ~
(
I Subdivision: /l).d!t1! {!)a.j,~
Building Permit #
Site Address to 3S~
Legal: L I~ B
Existing Structure: TIS or NO
CONFORlvIS TO ZONIN-G
ORDlliAl'l"CE
NO
YES
NO
Is this an expansion of me existing footprillt or Refer to Planning ----
building height?
Is me propert'j located within me flood plain? I Refer to Planning I
--
Does the alteration include any additional kitchens? I Refer CO Planning I ~
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 ./
~l' (~- h d . )'7
[arm y nome OITICe, group orne, ay care, etc. .
THIS CHECKL1ST MuST BE COMPLETED ..\.1'11) INCUJDED IN THE B1:J1LDING PEN';IIT FILE TO
l\'L-VNTAlN A RECORD OF THE REVIEW,
,,-
L\TE:VLPLA TE\AL IClCe,DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS t;'S52- ~<-D ~$ T~
NATURE OF WORK L, L.. F%lS~
USE OF BUILDING ~s ^ If!- / /
PERMIT NO. oz ...r;-40 I DATE ISSUED 5(1102-
CONTRACTOR Jt,("..(..c..~>-r ~y; ~(... PHONE 15L -&fj8-7~"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ ~I"'..' __ --
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ior to Sodding)
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