HomeMy WebLinkAboutBuilding 02-0771
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~.zs -02-
I. White File I PERMIT NO
2. Pink City . D'J -0 11/
J. Yellow Applicant . _~ __ _
ADDRESS
3305
GLY,NWr!.~ 7?A/~
LEGAL DESCRIPTION (office use only)
LOT) BLOCK .3 ADDITION GL- AJU.//f/C:,. K- 2 t;iP
PID Z5-
OWNER
(Name) I?E I 0
ZONING (office use)
R2-
5<:'.4"'...."'2..
(Phone) cr~ 2. .zz.~ - Z S" 4-1
CF) 4-9/P ~ SSS4-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
DDeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) S
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 the property to perform needed inspections.
xl< <.J
s~
Signa re
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
3,000.00
$ 'I. 75
$
$ /. .sv
$
$ 4-0.00
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
omes Your Building Permit When Approved
Date
2'5"
,h.. ~ 0;
Date
c:.2-
$
$
$
$
$
$
$
$
$
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 documenl
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 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: c:.. zs' 02.....
Buildin2 Permit # PID: 2~' 3(PS - 0/7- 0 Zonin~:
~ ~ ,t::. -z-,
Site Address 3305 6LYAlW/l7E:L ~.
Legal: L I B 3 Subdivision: GLyA/W/j'~ Z~
Existing structure~ NO
NO
I CONFORMS TO ZONING
ORDINAl'{CE
YES
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? 'f
Is the property located within the flood plain? Refer to Planning -I
Does the alteration include any additional kitchens? Refer to Planning I 'f
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? 'f
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single l7
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUlLDING PE.R1'1lIT FILE TO
l'iWNTA1N A RECORD OF THE REVIEW.
L\TEy(PLI.. TE\AL TCReZ.DOC
White - Building
Canary - Engineering
Pink - Planning
The ("("nfer of lht' I.akt' Countf)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ l'J d S'cfL 1.,0/ ~
APPLICATION RECEIVED ~.- .:+.5 - d-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3305' ~tr>'.ui:ih~r.
Accepted
Accepted With Corrections
Denied
Reviewed By:
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
D~PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3'So~ ~
NATURE OF WORK ~ ~ ~ ~
USE OF BUILDING .s FA-
PERMIT NO. OZ - 077 / DATE ISSUED (, -.;1(4 - 0'C-
CONTRACTOR Sc.k\J \'- PHONE :<J~- 2..'S4 I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
r- I
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATI.NG (if required)
v
/} / '" r 0.)-..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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 sh-ail be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850