HomeMy WebLinkAboutBuilding 06-0030
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. O~- o03d
I ~~:;;;s;' prim ~d;: :'
ZONING (office use)
LEGAf?SCRIPT~ (office use only)
LOT BLOCK K ADDITION
33q - 00.7
PIDd~'btO- GJ;t')-
OWNER
(Name)
.-,-
~)De.
C....rft' ',,>
(Phone)
9<;7- 212- /7/D
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing ORe.Siding \i7!lower Level Finish 0 Fireplace
DAddition o Alteration OUtility Connection '"
CODE: ~I.R.C. OI.B.C. o Misc.
Type of onstnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST/VALUE $
(excluding land)
I hereby certify that I have hlrnished mformation on this application which IS to the best of my knowledgc true and correct. I also certify that I am the owner or authonze,l agent teJl the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. 1 am aware that the buildmg
official can revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspectlons
{'~~.
x
.~
Contractor's License No.
I-Ii-Db
Date
Sewer/Water Connection Fee
#
$
$
$
$
$
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
L.
o
Water Meter Size 5/8"; 1";
Pressure Reducer
This Application Becomes Your Building Pennit When Approved
~o~ tj,zd?G.
/
.-...
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
ThiS IS to cerufy that the request m the above application and accompanymg documents is m accordance With the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner mnslltutes a temporalY Certificate of Zonmg compliance and allows constructIon to commence. Befme occupancy, a Ccruficate of Occupancy must be
isslIed
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 Chedilist
BY:
Baseme:nt Finish or ImeI"ior Al!cr-Jnon to Single Family Homes
r--......
~~
Date:
/- I/~()'
Le-,;'ll: L is- B:5
Pill: Z
L/ 6 :7 (" /J.LL f11/41 /~ID/; /' V d I r L
Subdivision: ~ ~ ~
Building Permit :;
Site Address
E.:tiso.ng sCTUc:ur6~r NO
CONFORlyIS TO ZONING
ORDmA..l.~CR
NO
YES
NO
Is dns an eX?an51on of d:e e;,..:.~...ng footprw.! or Rde: ::0 P 1 ~r:T""'I~ cr
..~_...~
building height? ~()
Is the pro1ler':j [ocard w"irh1'!': the flood ~iain? I Refe: ~o Pl2J.-:ring I I
rJe I
!
Does ::.'J.e altention include any additional k:cche::s? I Ref::- ~o Planning I ~d
,
Does me arm:osed. alte:ation include an'! outSide Refe: to Plar~~g
. . .
entrmc ~s othe:- than ~atio c.oors? tJ
0
Is cb.e ?ro~osd '.:.se o f ct:~ futished. .spac= or R~{e:- :0 ? lar:-~~ g
altenr:.o'C. for anyd:ing Ou.1e:- tbm a nor:nal si!:.gle tJ~
fa..llilv han:e ( occe, ' . .a?',.... \'/
g:'8 UD ::cce~ ~y C:1r~, .--.J.
Tms CRECG..1ST:'tn:ST BE COM:?LETED A.I.'fD [l'fClUDED Il'f TRE Bt;1LD(l'{G ?SRl'l(IT mE TO
MAlN'TA1N A RECORD OF' Tm: REVIEW.
PRIOR LAKE
INSPECTION RECORD
v, 5 ~ H IA/H.m ; IJ, b; rei.. frL,
NATURE OF WORK J".t,.
USE OF BUILDING ~S F
PERMIT NO. ~. ~fl DATE ISSUED l- 1:1..- f>
CONTRACTOR ~ Ul'flS PHONE a-/~. 1'710
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BlHlDi'NG AND INSPECTION
SITE ADDRESS
rwa I
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
f/
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.
FOP ^ '-lINSPECTIONS (952) 447-9~~O