HomeMy WebLinkAboutBldg Permit 07-0787 LL
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8.1".07
~~:~: ~::Iicanl I PERMIT NO. CJ~ 07B 71
i~7;:;::: 7rJ
KiDr lltYE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
g.~ ~rvIj I}'\.e ~
(Address)
.~ ............'t...}>.'~
_'. . ;."....'i .;t_
. . " I
er52 -LiLli) - 331 T
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
Lower Level Finish 0 Fireplace
3 fUl7S A
CODE: I'iclII.R.C. DI.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
o Misc.
III IV V
HIM
2 ~ 4
A
R
5
B
S U
I
E
II
F
1
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnished mformation 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- oned 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 buildmg
offici can evoke this per it for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspecl1ons.
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $ -
State Surcharge $ /"
Penalty $
Plumbing Permit Fee $ 4-0. 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
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Date
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ThIS IS to certify that the request in the above applicatllln and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conSl1tutes a temporary Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerl1ficate 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
Basement Finish or Interior Alteration to Single Family Homes
BY:~~
Legal: L
B
Date: J" J f ItJ It) 7
,
PID: Zoning:
sB0~ T~~
Subdivision:
Building Permit #
Site Address
nt?
Existing Structur~or NO
I@
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? fJ/J
Is the property located within the flood plain? Refer to Planning ;Jf)
Does the alteration include any additional kitchens? Refer to Planning tlo
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? rJb
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single JJ6
family home (office, srroup 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 33/7 G/it:!W/tlCR....
NATURE OF WORK L-OW L-GVeL-
USE OF BUILDING /26r /9/ Ie
PERMIT NO. D 7.0 791 DATE ISSUED e.. / ", CJ7
CONTRACTOR HE-fER- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
I
... I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRA NG
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
L ~ . ~
r-h- ~----
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-~--
- ,
BUILDING
ELECTRfCAL
PLUM~ING
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