HomeMy WebLinkAboutBuilding 07-0400
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ellS T () If I< fT. J t<.
Date Rec' d
5"/2- 'f /07
1 White
Pink
'{ellnw
File
City
Applicant
PERMIT NO. 07 - 04{oo
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
}lteI l3 II /?,
OA K ,PT, j) If-.
WltL. rE
(Address) ..5""1 t ~ cE-I1S r
(Phone) 0 / d. - 7 / 'I - t ~ -5 .;L
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
~ (1..., ~
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
DAdditlon DAlteration o Utility ConnectIOn
ORe-Siding )jLower Level FinIsh
o Fireplace
d.~
CODE: ~.R.C. DI.B.c. o Mise.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
x
I hereby cntlty that I have hlrnlShed m](lrmat]()n on this application which IS to the best of my knowledge true and correct I also certify that I am the owner or authol!zed agent t(lI the
above-mentllJned property and that ,Ill construction will Cllnfmm to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the btllldmg
otticial CJn Tvoke tIns permit for Just Juse Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the prOpclty to perform needed InSpectIOns
, '. ~ ("z-'!i07
SIgnature Contractor's License No Date
Permit Valuation
Permit Fee
Plan Check Fee
-
$ .00
$
$ .00
$
I $
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I~~
I I3l1i1dlllg Ufficlal
S-1~tf(07
!)at~
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /03,2..-5;
i Rc,,;pt No. ~ '3 lr d<{
By ~
,
Paid
Date
lo~, 2..~
S(2 t{ (07
ThiS is to certify that the request in the abllve applicatlOl1 and accompanYll1g documents IS In accordance with the City Zoning Ordmance and may prnceed as requested ThiS document
when Signed by the City Planner constitute, a t~mporJIY Certiticat~ uf Zunlllg cumplIance and allows construcllon to cummence. Befme uccupancy, a Certlticate uf Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
c:JJ3Sement Fini!jYor Interior Alteration to Single Family Homes
BY:~ ~ Date: 5/Z<f!tJ7
Building Permit # PID: Zoning:
Site Address 51 t:, tY fJo-aJI- ~ fJi- , &.
Legal: L
B
Subdivision:
Existing Structure:~r NO
I CONFORMS TO ZONING
ORDINANCE
I ~YESJ
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? jUt)
Is the property located within the flood plain? Refer to Planning Me;
Does the alteration include any additional kitchens? Refer to Planning NCJ
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? NO
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ;.it)
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS Sl~ ~~e.:; ~ ~fr
NATURE OF WORK ~ ~ ~ W - AI'...
USE OF BUILDING ~~A'
PERMIT NO. fJl;;.~fJO- QATE ISSUED ~/uO'
CONTRACTOR If. I'. PHON. 'I.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUI'LDING AND INSPECTION
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
INSPECTOR
DATE
! .
-- /""'\
FRAMING /W./ fi,- ,~ tF/
INSULATION J
ELECTRICAL f I
PLUMBING :' I
HEATING if re · uired :
;V /' [?
V I
, r:'"<~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
J I
FINALS
BUILDING '
ELECTRICAL
PLUMBING
HEATING
DO NOT
S v(,-.t-r
./l,,-t/{
t;"1/v-rM
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet ptior 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