HomeMy WebLinkAboutBuilding 04-0840
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
bOZo
Date Rec' d
White
Pink
Yellow
g"/3 -ol./
I PERMIT NO. 0".. 0 810 I
File
City
Applicant
~LU ff-' ~~ ~ '\{2.N '---'
ZONING (office use)
uD
LEGAL DESCRIPTION (office use only)
LOT b BLOCK
ADDITION
fJaJ~_/
OWNER
(Name)
(Phone) ct5l-t/Jfo- b (,. 13
lIMID
bOW
M~'1.s0N
BLu rr- t-M5
(Address)
~v
BUILDER
(Company Name)~wtL-OvJ~
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
Lower Level Finish 0 Fireplace
CODl~.R.C. OLB.C.
Type of onstruction: I II III IV V A B
Occup cy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE
(excluding land)
$ /2 f)(f)
I
this applicatIon which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzcd agent for the
n will conform to all existing state and local laws and will proceed in accordance with submittcd plans I am aware that the buildmg
el .c, I hereby agree that the C1ly official or a designce may enter upon the propelty to perform necded mspcctlOns.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee 6 U./IlIe.>r $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee 0 $
,IJIJ
.,PO
This Application Becomes Your Building Pennit When Approved
~~~ ?)-fhy
. Buildll1!! Otllcial , 6ate
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other e/ e.C- $ /:()O
TOTAL DUE ~- .-. 8 13 ()+- $ 104. ZS
~tRI
Receipt No. f-77
By tl)k
Paid
Date
18
ThIS IS to certify that the requcst m the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested ThIs document
when signcd by the City Planner const1lutcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
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 Eomes
BY:~
#
~I--
Date:
f~!3-0L(
Building Permit # OJ (j &' tf<:>
Site Address t"
Pill:
Zoning:
S(jd-()- ./1it{f() NCO
Subdivision:
\
J/l~
Legal: L
B
E:risting Structure~r NO
I CONFORMS TO ZONJNG
ORDlliAl'fCE
YES
NO
YES NO
Is this an expansion of the existing footprillt or Refe: to Planning
building height? NO
Is the property located within the flood plain? I Refe: to Planning I
No
Does the alteration include any additional kitchens? Refer to Planning I t00
Does the proposed alteration include any outside Refer to PlalliJing
entrances othe: than patio doors? tsD
Is the proposed use of the finished space or Refe: to Planning
alte:arion for anything othe: than a normal single NO
family home (office, group home, day C:lre, erc.)?
THIS CHECKLIST MUST BE COMPLETED .-\l'fD INCLUDED IN THE BTJILDING PERi'vlIT FILE TO
MAlNT.-VN A RECORD OF THE REVTEW.
T '\T=-:\,rpr ~ T'=\ALTC-iCZ..DOC
.PRIOR LAKE ~DiN~D~~SPECTJON
.
INSPECTION RECORD
SITE ADDRESS ~2-0 3lu. HE/GH7:r
NATURE OF WORK L 'D4 'L #Jl II
USE OF BUILDING . . .
PERMIT NO. _ Of. o~ __ DATE ISSUED
CONTRACTOR ~.t-.) PHON '3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
It.,
-.s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
INSPECTOR
DATE
.
------ ~--
FRAMING
INSULATION
ELECTRICAL
PLUMBING
EATING (if re
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy U~T!L ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electriC?&l service cabinet prior to rough...n 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