HomeMy WebLinkAboutBuilding 06-0076
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
r2. c~.
White
Pink
Yellow
I PERMIT NO. 0 (", -- 7 Ie
File
City
Applicant
ZONING (office use)
Lv~.1
z..-
LEGAL DESCRIPTION (office use only)
LOT l)BLOCK '~ADDITION
Lt/
OWNER
(Name)
~
{;
Lc..I~
(Address)
c.-
s J- ()53-
PID
(Atone)
'f S'Z..-1. "L,,-~.,tif
DlJaDEl\;,
(Company Name)
(Contact Name)
(Address)
54ML-
(Phone)
(Phone)
TYPE OF WORIt 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
o Misc.
A
R
5
B
S U
$
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have hlrnished mformation 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 fe)r the
above-mentioned proper and that all co struction will conform to all existmg state and local laws and will proceed in accordance with submllted plans. I am aware that the buildmg
"fficial ean revoke th rmlt for Just e. Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the proper1y to perform needed mspectlons
2-1...-ot;.
Permit Valuation 000.--
Permit Fee $ 87.2~
Plan Check Fee $
State Surcharge $ 2, C> 0
Penalty $
Plumbing Permit Fee $ cfO . ()O
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$ q,o . 00
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,/~ $ I- C/O
TOTAL DUE $ I ') (; J :}.- S"
Paid
Date
/j~~~5~
I ~~ce;Pt No!;; ~ If
ThiS IS to ccrtlfy that the requcst 111 the above applicallon and accompany 109 documents is 10 accordance With thc City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constItutes a temporary Certiticate of Zoning compliance and allows construcllon to commence Bcfore 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
Ba.seme!lt Finish or Ime~or Altcnrion to Single Family Homes
Byi8
Dare: 2/ 2.[ ~ c...,
Building Permit ::# Pill: Zoning:
Site Address I 5'2 L( q WCt!>tR.. ()c:,c..LL
Leg'll: L } 0 B -z.- Subdivision: W!"J..... J 'J....4 lAJ:~&S So~
E.:risting S cruc:ure: ~ or NO
CONFOR!."YIS TO ZONTh-G
ORDlliAl~-CE
NO
'tIS
NO
Is dns an expansion or cte e:-is-...ng footpr.l:t or Rere:- :0 P lar:ri...-: g
building height? X
.
Is me properrj located w"irh-n dle tlccd plau:? I Rder to Plar-"ir g I ~ )Z: I
I
Does th,e ahention induce any additional k::c::e::s? I Rere: to Planning I ~ I
Does the orm:ose::. alte:-arion include 1."1'1 ou:s'ide Refer to Pla""'~~g
. . . x..
enrrances aIDe:' thar. patio doors?
Is ti:e pro-posed '.lSe of ti:e - .. . or Re:e: :0 ?lJJ.~z
::!ll.sJ.'1e~ spac= X
alte::lrlon for anyd:i.'"lg o:he: :b,ml r:or.::al sir:g:e
,.. ,~ ! ( or::ce, d::..y c:::..r~'t ~::.) ?
tarr..ll~r nor::e g:'8 U"9 Gcce.
THIS CEEC:-<l.lST ){lIST BE COl'iCPLETED A....'fD !NCUfDED Ii'( Till: BC1LD[NG ?D..i'dIT mE TO
l'ilAL'lTA1N A RECORD OF THI REVIEW,
P R 10 R LA KE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /52 'tV ~ ~cJc-~
NATURE OF WORK ~ . L. h~"0
USE OF BUILDING ~n . ,
PERMIT NO. DATE ISSUED zlo y
CONTRACTOR 1)1.e...d-.. Lel'^"". r-- PHOX
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
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 rou~h-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