HomeMy WebLinkAboutBUILDING 08-0109
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CITY OF PRIOR LAKE RUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec) d
) {~cr. 6 i
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08, OIOc;/
I
ZONING (office lIse)
35.79
nx
'71t't L
7It-A-' / L-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
LINDA-
(/6-r7c..?eI<-
(Phone)
9.)2-'1'/0
701./7
(Address)
i BUILDER
I (Company Name)
I
I (Contact Name)
I (Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddltion OAlteration o Utility ConnectIon
ower Level Finish 0 Fireplace
-z...-- f4.(
CODE: OLR.C. OLB.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 IV ALUE $
(excluding land)
I hereby certify that I have hJrnished Information on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authorized agent for the
Jbove-mcntwncd property and that .111 cllnstruction wIll conform to allexistmg state and local laws and will proceed in accord, ce ted plans. I am aware that the buildmg
offiCial can rev e thl. cr It for Just cause Furthermore, I hereby agree that the City official or a desIgnee may enter upon the property to perti.lrm nee . eetl ns
3
-'
,
x
I
Contractor's License No.
Permit Valuation
'2-,0 tJ o. O()
(,2-.2S
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
Water Meter Size 5/8"; 1";
Plan Check Fee
State Surcharge
. Penalty
! Plumbing Permit Fee
~echanical Permit Fee
100
Pressure Reducer
Sewer/Water Connection Fee
#
5O.0Q
Water Tower Fee
Builder's Deposit
Other
#
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
//3.25
This Application Becomes Your Building Permit When Approved
Ilutldtllg Ortlclal
Date
TIllS IS to ecrtlty that the request III the above application and aCCllmpanYlllg documents IS III accordance With the City Zonlllg Ordlllance Jnd may pmeeed as requested TIllS document
"'hen signed by the City Planner conslItutes a temporary Certificate of Zonmg complIance and allows construction to commence Before occupancy, a Ccrtlticatc llf Occupancy must be
isslIed
Planning Director
Special Conditions, if any
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: ~~ Date: .3.1'7, (/8
Building Permit # 0 ~. 0 I 07 Pill: Zoning:
Site Address ..3 571 ,ctJX TI1/L ~/ L-
Legal: L__ B
Subdivision:
Existing Structure: YES or NO
Refer to Planning
CONFOAAIS TO ZONING
ORDINANCE
Is this an expansion of the existing footprint or
building height?
,,/'"
Is the property located within the flood plain?
Refer to Planning
~
Does the alteration include any additional kitchens?
Refer to Planning
v/
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
v
Is the proposed use of the finished space or
alteration for anything other than a nonnal single
family home (office, group home, day care, etc.)?
Refer to Planning
v
Tms CHECKLIST MUST BE COMPLETED Al'{D INCLUDED IN THE BUILDING PER;'rIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
1: \ TE?vIPLA TE\ALTCH CK.DOC
PRIOR LAKE
~NSPECTION RECORD
SITE ADDRESS 3579 Fox 7Jl/~ ~/L-
NATURE OF WORK I tJvt/He- L--EVe7..-
USE OF BUILDING /26.f A//L
PERMIT NO. 08. 0/09 DATE ISSUED 3. /9. 0 b
CONTRACTOR LINO/f Pe7J4:~ PHONE t(SZ.~. 7(11'-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ I J
~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
J
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
We..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
] 1
FINALS
J
-
- .........
BUILDING
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 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