HomeMy WebLinkAboutBuilding 06-0768
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
-1-+21
FtJ)C
Date Rec' d
8 zz~ 0 ,
.
I White File I E / - 7 8
~~'I'I~w ~~t;licanl P RMIT NO. (P. W
/iV/V/ a- /(/6"
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS.300 .6 2.-J. "l)
OWNER --,--...
,,,{Name) Ve.fZ.e."-
\.L~opr
(Phone)
tl~7.4'lw .'L9/i\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration o Utility Connection
Lower Level Finish 0 Fireplace
/IU'(
CODE: OI.R.C. OI.B.C. o Misc.
Type of Construction: 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)
.ormatlon on this applieatItln which is to the best of my knowledge true and correct. certIfy that I am the owner or authofIzed agent tllr the
conform to all eXIstIng stale and local laws and will proceed In accordance submitted plans. I am aware that the blltldIng
rmore, I hereby agree that the CIty official or a desIgnee may enter upon the propelty to perform needed mspectHHls
x
Permit Valuation I~ 000.00
Permit Fee $ . 3+. 7S
Plan Check Fee $ -
State Surcharge $ . S7J
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BuildllH! omcial
Date
Contractor's License No.
o. . '2-'2.. 0 c-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
I Water Tower Fee # $
Builder's Deposit $
Other elA3e:r: $ /.00
TOTAL DUE $ 3~.~Z,,6-
Paid
Date
i"z4
. 2,. Z. .d ("
r'NO
$"" ~ ~ r7.---'
ThIS IS to certify that the request 10 the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner constItutes a temporary Certificate of Zonmg compliance and allows CllnstruCtIon to commence Before occupancy, a Certtticate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOUf notice fOf all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS L/-4-2/ r-O HUNT (!;T N'C
NATURE OF WORK LOW6/Z &6VeG I
USE OF BUILDING ..- ,q /L..
PERMIT NO. O~.07~e DATE ISSUED 8.Z2.0
CONTRACTOR ~/,P PHONE 4-9~. Z8Q/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
==--- I :
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
I
J
-- -- -- =---
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
I I
FINALS
L___=-----
BWlDING
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 maintain.d until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
.1
FOR ALL INSPECTIONS (952) 447-9850
Residential Building Permit Che~klist
Basement Fmish or Interior Alteration to Single Family Hom~
j
..
.
BY:~~
Date: 8"1 d)- zr /0 0
Building Permit ##
Site Address 'f 'f 2../
PID:
~ ~4."~ C!At:f ,
Zoning:
L~~: L
B
S llbdivision:
E~tingS~Cmr~OiNO
I ~ I
I CONFORLyIS TO ZO~1NG
ORDIi't~'{CE
~.O
I
YES I NO
Is t1:ri.s an e.~ansicn of the ~...sting footprint or R~e: to Planning
building height'?
/J()
Is the prop~f located within the flood plain? I R.::e: to Plamring I I
fJo
Does the alte::ltion include any additional kircb.e::.s? I Rde: to PlaI!ni:ng I I
f-Ja
Does the orocosed alteration inc!ude any outside' R.:f::- to PIa"l'tr'l~ g
. . .
e:ltranc:s othc::" than patio doors? f\Jo
Is the pro~osed !.lSe of the nmsne:l spac: or R.::::- to P!a~T":g
alteration for anything othe:- ,haj'l a nor::nal single tJO
fan::lly ~o-n:.e (oEc~. grOl.~ hCt::~. 6y C::l!"~. e':c.)?
THIS l.n..:.CK:...1S7 }fCS7 BE COMPL.ETED --\"W fi'fClUDED IN T~""I BlllDC'iG P=:R.'rG7 FIlE TO
.YL~...E'(7 .-Ul'f --\ R! CORD 0 F Til""I ~VlE\V.
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