HomeMy WebLinkAboutBldg Permit 07-0899 LL
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~: Et~.. I PERMIT NO. 07- 029/ I
I ZONING (oIJice -) I
~" ~I /UJ/ ~J"37Z . fl- I .
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
fb"b cJ- rid(; {
Nv
Date Rec' d
LEGAL DESCIUPTION (oftke use only)
LOT2.~BLOCK } AoomON 71\e ~A\d' .5?~
M ti YK- f. M 1'c.kJ le,. 0ehJt"'-
6000 8.bcd full NfJJ Pr/w ~ke~/v!N
OWNER
(Name)
(Address)
PID 2:S'3?2, ,0U.o
(phone)
'1 S'Z - Cf9 b-2oc;e;
~S" J 7~
BtJD..DE1l
(Company Name)
(Contact Name)
(Address)
(phone)
(phone)
TYPE OF WORK 0 New ConstrUCtion ODedt oPorch oRe.Roofing ORe-Siding
DAddition DAlteration OUtility Connection 0 Misc.
. CODE: ~R.C. OI.B.C.
Typeof~on: I n m IV V A B
Omapancy iliou.p: A B E HIM R S U
DiYision: 1 2 3 4 5
Level Finish
t:7-f2co-.-.
PROJECT COST/V ALUE S
(exduclm,1anlI)
o Fireplac:e
I berdIy CMifY dUll I haw furnished informalioa 011 this applicalion wbidl is to the bat of my IcnowIed8e IrUC and comet. I also c:emry that I am thc UW1Xt' or autlulrizled aamr for the
above-mentioned propmy and that an constnK'lion wilIl.'1l1llbrm to aD cxlstina state and local laws and will procmI in aCQltdance with submitted pllns. 1 am aware that lhe buildina
official can this permit for just c:ause. Purthermore. 1 hereby agree that tile city oftlcia1 or a delignet: may emer upon tile property to paform needed insp<<tions.
x
Permit Valuation
Permit Fee
Plan Check Fee
StateSurcharge
Penalty
Plumbing Permit Pee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Ccmtrac:Ior's LimIse No.
Park Support Fee
SAC
##
##
,00
Water Meter Size 5/8"; l"j
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
t#
t#
#00
ThIs ApplkatiOA ~ YOUI' BuiI_ PamIt When ApproYell
~ ~'/)'-'
Buildinll OffIcial
91U~7
~te
Dare
$
$
$
$
$
$
S
S
S
1bts is to m1ify tllat 1M request in the aboYe application and acxompanyiq documents is in accmIlIIICe with the Clly ZooinS Ordinanc:l' and may prclteCd as requested. This doc:ument
when siped by tile City Planner constitutes a tempomy Certiflcare of Zonina compliance and aDows COIISlrUc:tiOll to co_. BelllR l.IC.'CIIJIUCY. a Certificate of 0ccupInc:y must be
issued
PIaImins Director
Date S'-;.I COlldlticlal. if ."
24 hour notitt for .lIlnspecdon. (952) 447-9858, fill (952) .....,-4145
16200 Eagle Creek Avenue Prior Lake, MN S5372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~
r-
~.l~
Date: r /20 /a f
Building Permit #
Site Address :3 OD~
PID:
~~,
Zoning:
J.j..w_
Legal: L
B
Subdivision:
Existing structurBr NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ('JO
Is the property located within the flood plain? Refer to Planning t-'d
Does the alteration include any additional kitchens? Refer to Planning ~O
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? fVO
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single f'Jo
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 ~~rto~~~D~:SPEcnON
INSPECTION RECORD
~iu~~D6'i~K~e-.~:: l!ti~~.1IJ1
USEOFBUILDING . ... SSP.,
PERMIT NO. j)7~..... ........ ... DATE ISSUED. ~7
CONTRACTOR ~ PHO~~t(~
NOTE: THIS IS.NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS .8Y SEPARATE DOCUMENT
INIPECTOR DATI
~ l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH · INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I l
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted. near an eleclrfcal service cabinet prior to rough-in inspections
and maintained untlt atl inspections heve been approved. On buildings and additions
where no service cabinet is 8Y8iI8b1e, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850