HomeMy WebLinkAboutBuilding 02-1528
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/125-02..
; ~i~~e ~::y I PERMIT NO.OZ- /~?/1;,
3. Yellow Applicant 1.../ ~ 7:/
{(o(aOQ '6~Nb
LA~E
---"'
lr.
LEGAL DESCRIPTION (office use only)
LOT /3 BLOCK 2- ADDITION
/t,.-oGle#6&S' PONDS
PID
ZONING (office use)
~/S1)
O~
(Phone)
Cfs;t 440 -{55,
OWNE~
(Name) . r0tJ I
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
~ower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
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
auth i d for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub itte ans. 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
ente upo the p perty to perform needed inspections.
x
Contractor's License No.
Signature
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
.,,-.
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
.0 -
/1-;?5-0Z
Date
$
$
$
$
$
$
$
$ /. dO
$ II?, 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 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: ~;:j--. Date: //-25.02-
Building Permit # OZ-/SZf:J PID:ZS .;318. O~ ~o Zoning: ~/J 0
Site Address / C;" 0 C ?? ~/ /t/ 0 ~/1/C& ~ / t..--
Legal: L /3 B 2.. Subdivision: tylc..L/(5)e4J6SS PONDS
Existing structure:~r NO
NO
I CONFORMS TO ZONING
ORDINA1~CE
YES
I YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? X
Is the property located withID the flood plain? \ Refer to Planning .,c
Does the alteration include any additional kitchens? Refer to Planning \ f
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 y
family home (office, group home, day care, e!c.)?
THIS CHECKI.IST MUST BE COMPLETED A.ND INCLUDED IN THE BU1LDING PER1vllT FILE TO
MAlNTA1N A RECORD OF THE REVTEW.
L\TE;y[PL\ TE\Al. TCHCZ.DOC
White - Building
Canary - Engineering
Pink - Planning
Tht' Cf'nlt'r nr Ihr L.kr Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
OL-SON~ /jA/Ot/
, (
1/- 25- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~~tJ5 /3t"INO L-A/~ 772A/L
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
~o ~ l/IJW6It:'- v6Vt;5L-
/-fJ11v'tJOUI
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /&&, 00 B~/j\/D ?/J,t::::6 7lE.rJ/ L-
NATURE OF WORK L--tJ W e~. ~6L---
USE OF BUILDING /Z5S /f/~
PERMIT NO. 02- --/SZO / DATEISSUED II. z6vOZ-
CONTRACTOR OLSON/ /11'10;/ PHONE ++0- /3.59
NOTE: THIS IS NOT A PERMiT FOR A~Y OF THE INSPECTIONS BEL.OW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
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 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 /~LL INSPECTIONS (952) 447-9850