HomeMy WebLinkAboutBuilding 07-0798
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CITY OIr PRIOR LAKE DUILDINC PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please n at bottom)
ADDRESS
\ 4lQ5" ~ct r C)("C~ I'JW
Date ItecJ d
I White
Pink
Yellow
8"/ CO f 07
PERMIT NO. 07 - 0 I 'tr
File
City
Applicant
ZONING (office use)
{C-I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Ke~ R\~~(
\L\''1~eU\J, (' Cl' Nw
(Address)
PID 25, 4D't . 0;:-1 ~ 0
(Phone) ~Sd.. - LI,( S-:~ 3l{ ;)....
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding 40wer Level Finish 0 Fireplace
OAdditlOn OAlteration o Utility Connectlon
1~W.~
CODE: ~R.C. OI.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: CD 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
x
I hereby certify that I have furOlshedlOformat1<ln on thIS apphcatllJO which 15 to thc best of my knowledge true and Cl)ITect I also certify that I am the owner or autho!lzed agent for the
JbllYC-mcntlOIlcd property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the huildmg
nfflcial can rc ok' 1 S per rJust cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspectHlI1S
~-1~7
Permit Valuation $;(/000. 0'0
Permit Fee $ 3l./.7S
Plan Check Fee $ -
State Surcharge $ ,SO
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ i
This Application Becomes Your Building Permit When Approved
Q '- -!~ n.
~~
lllUldlllg Ufticial
g/ 'Gt!J /0 7
[)atJ
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter SizeS/S"; I"; ~.~ ,.,$
Pressure Reducer $ ~..~
Sewer/Water Connection Fee # $ ~
,
Water Tower Fee # $ ~
Builder's Deposit $ \
Other $ 1\,
TOTAL DUE $ :3 5". 2-~
\
~~~ -If;::r: 7
~~cei~o. 5'fS-b?
r.
ThiS IS to certify that the request Il1 the abuve applIcatlun and accumpanYll1g documents is Il1 accordance with the City Zoning Ordinance and may proceed as requested ThiS dlleument
when signed by the City Planncr CUllStItutes a temporary CertIticate of Zonll1g complIance and allows cunstructlon to commence Befme uccupancy, a Certificate of Occupancy must be
j,ssued
Planning Director
Special Conditions, if any
Date
24 honr notiee for all inspeetions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
~ I:"
BY: ~ Date: ??J2 CJ/tJ 7
Building Permit # PID: Zoning:
Site Address /c(/9s ~~ ~ )/. tU ,
Legal: L B Subdivision:
Existing Structur@>r NO
I CONFORMS TO WNING YES I NO I
ORDINANCE
I YES I NO
Is this an expansion of the existing footprint or Refer to Planning
building height? jJo
Is the property located within the flood plain? Refer to Planning Nc)
Does the alteration include any additional kitchens? Refer to Planning jJD
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? tJO
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single fVtJ
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. '"
-.J
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
.
CI
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~ATE ISSUED .d
CONTRACTOR KlA-t ~I PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
__ FIN A L S
I
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. app.roved. On buildings and additions
where no service cabinet Is available, card shan'be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850