HomeMy WebLinkAboutBuilding 02-1058
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8-Z7-02-
5.5+5 ov&,et-OOK..
I. White File
2 Pink City
3 , Yellow Applicant
PERMIT NO. tJ2-/oS8
(! / K. t!,~
ZONING (office use)
POL)
..s6
LEGAL DESCRIPTION (office use only)
LOT e> BLOCK I ADDITION ~//V/lL ~O~& 5~
PID 25-.335- aoe - 0
OWNER
(Name)
LrlRIS'TD PI-JEf~
(Phone)
CJSl- 4t/O .0' 999 t/
I-IADt ft i.. ! ~\
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
.3- EY*'7.s
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
o Alteration
OUtility Connection
o Misc.
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 b ilding 0 cial can r voke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the Il p perform ee dins .
x
Permit Valuation 3,000,00
Permit Fee $ 7-:;' 7S
Plan Check Fee $ -
State Surcharge $ I. 5'0
Penalty $
Plumbing Permit Fee $ 4-0.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
~~rmit WI AP7ved
~/Z7 /02.-
Date
Contractor's License No.
6' / Z- 7 / DC'.-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other ez~4 ()rJ '-' $ / ()()
TOTAL DUE $ //.7-,2..S-
Paid
Date
I ~;ceiPt No.
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 55372
BY:
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
1
/J f)/ L Date: j. 27.0 Z-
wg. .
BuildingPermit# 02-/().!;~ PID:2..5-..:?3'5-00h-O Zoning: r'UO
Site Address .5545 t3v~~~ t!-/LtUE Se:-
Legal: L 6 B /
Subdivision: ~,,h/1'f1../ M LJ rrt::: S/Y"
CONFORl"IS TO ZONING
ORDINAl'iCE
NO
Existing structure:~NO
YES NO i
Is this an expansion of the existing footprint or Refer to Planning
building height? ~
Is the property located within the flood plain? I Refer to Planning I )L
Does the alteration include any additional kitchens? Refer to Planning I ?
Does the proposed alteration include any outside. Refer to Planning -,L'
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 y
family home (office, group home, day care, e!c.)?
THIS CHECKLIST MUST BE COl'vI:PLETED .-\J.'fD INCLUDED IN THE BU1LDING PERl'YIIT FILE TO
l'vWNTA1N A RECORD OF THE REVn:W.
L\TEvfPLA TE'vU TCHCZ.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5545 ovOuO()J::::.. e/~ s6
NATURE OF WORK C.-OU/ De.... . ~c--
USE OF BUILDING ~J- ,q/~
PERMIT NO. 0 Z- - /ore- '. DATE ISSUED 6 . 2-7-tJ'Z---
CONTRACTOR HA- OC-/lND PHONE 44-0 - y'(C/4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
1-23-
25# A -r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1. fJ \ -- I ///1'(/ I
FINALS
-
- - -
l
BUILDING
ELECTRICAL
PLUMBING
2- L-I-(jl,
(2-- Lf-{{L
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.
FOR ALL INSPECTIONS (952) 447-9850