HomeMy WebLinkAboutBldg Permit 07-0061 LL
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1/3 r /iJ7
at bottom)
~~~:~: ~:;lic.nl I PERMIT NO. 07.00& U
/517,) EC6~~~ c..,IlC1-~
AI f-
LEGAL DESCRIPTION (office use only)
ZONING (office use)
l<. (SD
LOT
ADDITION
PID 25"". 057. 003.0
BLOCK
OWNER
(Name) 'Ja:F -I
(Address) 1S-/9S-
kS~~7~
(Phone)
7S- ).-,-/1/7- J'/ 9P
-
e:
6" r..t-.---A-f~
C/..z CL ~
/t! ~.-
BUILDER
(CompanyName)P4-/€ lktv'S6tt/
(Contact Name) 'Oi:--,::;c- &.es:A?E r~
(Address)
(Phone)
(Phone)
9.5"';) - L/~O ~ / j 73
G/~- ?()3-7dJ68
ORe-Siding
Lower Level Finish
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: j)5I.R.C. OI.B.C.
Type of ~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
~isc.
e.<G..-~ 0 ~ E...<--
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otficial can revoke this permit for Jl Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed inspectIOns.
x
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee ~ f $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fe $
'()CJtJ ,I) ~
7. 2..~
#
#
Park Support Fee
SAC
2.eo
- tJ, 0 0
Builder's Deposit
Other
TOTAL DUE
Date
$
$
$
$
$
$
$
$
$
tfO,()O
I~
I;~~~
This Application Becomes Your Building Permit When Approved
~ ~ 1/{,(/!!7
8uildlll!! 01licial
Paid
Date
~
ThiS IS to certify that the request In 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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
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=nasement Fjni~ Interior Alteration to Single Family Homes
BY:
~ ~Date: /P/(a7
.
PID: Zoning:
f'~ ~ /J.e,
Subdivision:
Building Permit #
Site Address /5"/1 S-
Legal: L B
Existing Strnctn~r NO
I CONFORMS TO ZONING
ORDINANCE
Does the proposed alteration include any outside
entrances other than patio doors?
I YES I NO I
YES NO
Refer to Planning rJO
Refer to Planning NO
Refer to Planning NO -
Refer to Planning
\
Refer to Planning
tJO
Is this an expansion of the existing footprint or
building height?
Is the property located within the flood plain?
Does the alteration include any additional kitchens?
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS~.~4 ~.4~' P6
NATURE OF WORK (JIIA ~ . ...
USE OF BUILDING s: ~ Q.
p. ERMITNO. ~ DATE ISSUED II~
CONTRACTOR 'ItI1-l PHON.. W · /L7.1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
- :.
TIL ABOVE HAS BEEN SIGNED
UGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELEqTRICAL
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 untit aU 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