HomeMy WebLinkAboutBuilding 03-1558
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2-.3163
~~~~~Prin~":MbOttD: .
I 7 () F Q . T II..
1_ White File
2. Pink City
J. Yellow Applicant
I PERMIT NO. 03 ~/558 I
l)"r; 3 7.:L I
TfZl+/L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone) QS.2 - 447 - 55 7
OWNER
(Name) 7 0 n1
P 1-/ /, ....J t..
(Address)
ZONING (office use)
P P-- i () f\ L.A- jL., I:;
MiV
,
PID 25.36. t;47. 0
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
~ower Level Finish
'2- I'V/f.
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Addition
o Alteration
DUtility 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.
1
x
Permit Valuation Z/ 000,0 ()
Permit Fee $ " Z-. 2S"
Plan Check Fee $ -
State Surcharge $ ;. t1 ()
Penalty $
Plumbing Permit Fee $ ~O.OO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ ~ /~f3
Building Official Date
Contractor's License No.
17 - 0L - V ~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /03.2.5""
I~#-
~orr
Paid
Date
/~zr
'J.O'?
This is to certify that the request in the above application and aeeompanying 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:~
1edJ1--
Date:
l#f~3
Building Permit #
Site Address
37 It)
PID:
fry T~ T~
ZDning:
L~al: L
B
Subdivision:
Existing Stl"ucture@r NO
NO
I CONFORJ.'rIS TO ZO~1NG
ORDm.A.L~CE
YES
YES NO
Is this an expansion of the existing footprint or Refer to Plamring
building height? ,JC)
Is the property located within the flood plain? I Refer to Planning I ,~D ,
\
Does the alteration include any additional kitchens? I Refer to Planning I I
tJO
Does the proposed alteration include any outside' Refer to Planning
enmmc:s other than patio doors? f'Jo
Is the proposed use of the finished space or Rere:- to Plar..ning
alteration for anything othe:- than a nor.nal single tJ6
f: .. h (-- , cia )')
.a.T!lllY . ome ace:, group nome. y care, e':c. .
Tms cm:CXI.IST :'vlUST BE COMPLETED .~'fD 11'ICLUDED I1'I THE BtlLDr:'iG p~R.ynT FILE TO
:'v1..lJNT.-\1N A RECORD OF THE REVIEW.
~
.
_ _ ~,", ___.""""..'!!!n"-,,_~"~,I'"'\,"""
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 37/0 Fax -pilL- ~/L-
NATURE OF WORK L.-oU/~ v6VEZ--
USE OF BUILDING /U3.f' ~..e..... .
PERMIT NO. ~ -3 -/.55'eJ DATE ISSUED /2-. 3. OJ
CONTRACTOR Ph'V/v'ii PHONE #7. S57 7
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~~tk
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 ALL INSPECTIONS (952) 447-9850