HomeMy WebLinkAboutBuilding 06-0432
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. While Pile
2. Pink City
) Yellow Applica..
I PERMITNO.O~- JI~+
I I WNll'G(,~-) I
rr~;~"~-:
(00 l. 0 (\Duol) 12-<0
?v1Dr LG"tlCL
LEGAL DESCRIPTION (office use only)
LOT \}:' BLOCK ADDITION
PID d ~
&:~'I u i ~O(\JL'- .~ b ANVU-
(Address)
(Phone/1'S: () -;:;;. d b - ~1-13 ~
BUll..DER r
(CompanyName)~'J Dlc9 \'),"M-fv (,>
(Contact Name) DLMJP (~11 vl,Q "b..{"
~~~ ^ S~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding JdG>wer Level Fimsh 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: OUt.C. OJ.B.C. PROJECT COST/VALUE S L)I 000
Type of Coostruction: I n m IV V A B (excluding land) I
Occupancy Group: A B E F H J M R S U
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge tJlIe and comet. I also certify that I am the owner or authonzcd agent for the
above-menuoned propertY and that aU eonstJllction will confonn to aU existins state and 1ocal1aws and will proceed in accordance with submilled plans. I am aware that the building
official can revoke this permit for just cause. Furthcnnorc. I hereby agree that the city official or a designee may enter upon the propertY to perform neOOS rons.
X -fi.ttr~ 111 ~. 11/ <:; '/ d L-( /Ofo
Signature Contractor's License No. Date
Permit Valuation
Permit Fee S 7'
Plan Check Fee S
State Surcharge S I . C) 0
Penalty $
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &. Water Permit Fee S
Gas Fireplace Permit Fee S 7
es Your BuilcIinJ Permit When Approve'
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee # $
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE $ Lo .~ ' (".') c;;-
1= ~~~-(Jb I~N,~{~~(;,q
Date
nus is 10 certify that the requesl in the allow application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as rcqucstcd. This document
when signed by the City Planner constitutes a temporary Certilicate of Zoning compliance and allows conStJllction to commence. Berore occupancy. a CertifICate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fill (952) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
,I!.. J ~I!J. ment Filllih or Intorior Alto"tion ~o Single Family Homes
! /IlA /IL Date ~ - d5-06,
Bv.
~ .
Building Permit # pm. j' ,Zoom .
SiteA.ddress / W /3 /1/ ~7!z U--/)::S: Kd-- . g-
Leg'll: L {L;,
B
Subdivision:
::~ c}
E.:risring Srruc:ure: &r NO
CON-"fORlvIS TO ZONING
ORDm.A~,{CE
NO
NO
Is thls an expcnsior:. or d:.e e7.:r...ng :ootpru:, or R~fe:- ~a Planr.'-c:g L---
building height?
Is ilie pro-pe-r:-jlcc:3.td w'irh1"'"' "he flood ?lau:? \ R.ere-: :0 Plar:-;-:;ng \ .~
\ Does to':.e al'tention induc.e my additional :<i:che:c.s? \ ReIe:" :0 PlanniJ::g \ ------
Does the ~ro-pose:i alte:a.tion mclt.:.ce any ol.:!Sice I ReIe:" co PhT"''''~g ~.
en1:"3Lces othe:- ilia!:. patio doors?
-
Is ct:e pro-pased U.se or ili~ W-::.sn.e-:. ~ace or R~r~ :0 ? 1 ar.r ,.,.. :z I V
al!enr:on for anyd::ing Ou,1.e:' cI::m a Clor:::al sir:gle
f.;L-nil~' ho-r::e ( or::ce, g::8 U"9 cace, 6y C:1r~, ~1"'" VI
-.....J.
YES
THIS C1iECKl.lS1' :Y!UST BE COM?LETED .~'1l) INCl.UTIED IN T:-1I Sl;lLD[L'lG n..RJ.y[lT mE TO
l'tf....ill'!TA1L'l A RECORD OF THE RSVT.EW.
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1d,~;1- l1L~rlf ~- Rei
NATURE OF WORK J.. IA- ~tG.C; <<..--
USE OF BUIL~ ~
PERMIT NO. - Z. ~ DATE ISSUED (;-.;:A~ ~"\
CONTRACTOR e r~ ~ S PHONE · ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
b~ (P.{lb
/C /0-&
"red)
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