HomeMy WebLinkAboutBuilding Permit 09-0131
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uccupancy uroup:
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at I have fur 'd mformation on this applicatwn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authof!zed agent for the
d that II ClJnstruction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
jus cause Furthermore. I hereby agree that the Clry official or a deSignee may enter upon the propeny to perform needed mspecl10ns
$
$
$
$
$
$
$
Gas Flrej!1ce Permit. Fee _ 'I $
/ /1"1 ~ /
B""~P~; k r:;'
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/
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
lOOt): -"
- ->
.,<.. 4 . -, '\
,<;"0
Contractor's License No. Date
1 Park Support Fee # $ I
I SAC # $ I
I Water Meter Size 5/8"; 1"; $ I
1 Pressure Reducer $ I
I Sewer/Water Connection Fee # $ I
I Water Tower Fee # $ I
I Builder's Deposit $ I
I Other 1 $ I
(
I TOTAL DUE_ _ - j /- #1 $ .3 5'.2 S- unl
c:.~ 4'/0 /0'1 ~
I Paid -3.5: ?~,J ( II)j~tNO 571/(
-
I Date 4- _ /0.- (/ I
/
ThIS IS to certify that the r~ in the ~icallon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested Thrs document
when signed by the CIty Planner ClJnslltutes a temporary Certificate of Zonrng ClJmplrance and allows construcllon to commence Before occupancy, a Certificate Df Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
I );. Ba.i seer .ent Finish or Interior Alteration to S~. Ie Ft.. ily Homes
BY: KD t-!- Date. 1! G I (j 7
Building Permit # PID: Zoning:
Site Address :s <30(0 '2/1> r--\~<{'.l,(2v!Ll 2;006- N, LcJ-
Legal: L B Subdivision:
:':\
Existing Structure: ~ NO
CONFORMS TO ZONING ~ NO
ORDINANCE
YES NO )
Is this an expansion of the existing footprint or Refer to Planning
building height? V-
Is the property located within the flood plain? Refer to Planning V
Does the alteration include any additional kitchens? Refer to Planning V
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? v
Is the proposed use of the finished space or Refer to Planning v/
alteration for anything other than a normal single
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
~'~A~~~CTI~~~[~~~9~ N-~
NATURE OF WORK \ ~OOC'-l L, L... ~}N'S~
USE OF BUILDING ~E->o/1Z-; I
PERMIT NO. DATE ISSUED 4 (in .I 01
CONTRACTOR u.)~Y11NJ,v~e...s PHONE ,/%-~z:;z-(1/S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BU~LDING AND INSPECTION
INSPECTOR
DATE
I
I I
UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
({~.
J
/0,0.0,
\
FRAMING
INSULATION
ELECTRICAL
~
HEATING (if required)
] J
+11<(6(
7
/
,
f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~c/
, f/ /
J
HEATING Y
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.
BUILDING
ELECTRICAL
FOR ALL INSPECTIONS (952) 447-9850
, I
~ /e~ar;
./
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sie;n at bottom)
ADDRESS
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. () 1.'; 3/
:<; fOG
Ips;;be.,,?
If, d c;K
IVW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT,J.lBLOCK / ADDITION
OWNER
(Name)
(Address)
~d/~S"l
--------- ----------
f1J
PID.?~~.4_..5(~ OZ2.D
;/n/
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
tv /2/lSa-r? /r-r-//l/
q//&~~
- - ,
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
CODE:~.C. DI.B.c.
Type of <fc;'~~~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
t7'?71~
7S) -;; 3 3.- J ).<:13
f!J - ;23). ?"?/L
'S
ORe-Siding ~-Lower Level Finish
o Fireplace
o Mise
PROJECT COST /V ALUE $
(exduding land)
(~/Jo u
0'"'
--
at I have lur 'd mformallon on this applicatlLln which IS to the best of my knowtedge true and correct. I also certify that I am the owner or authonzed agent for the
d that II Cllnstruction will con!(lrm to all existrng state and local laws and will proceed in accordance with submmed plans. I am aware that the buildmg
jus cause Furthermorc, I hereby agree that the Clry oflicial or a deSignee may enter upon the property to perform needed mspectlons
x
Signature
Permit Valuation
Permit Fee
Contractor's License No.
Date
j0t2u~ -" 1
~4.1'\' 1
, <;"0 I
I
Park Support Fee
$
I $
1 $
1 $
1 $
I $
$
Gas Fire~ce Permit Fee ' $
- - --............ . 1
BUil';.ll P,~. ~u JeU'"
'" 4(~ Ur-
/
$
$
$
$
$
1 Water Tower Fee # $
I Builder's Deposit $
I Other , $
1 TOTAL DUE ~ _ . j / _ # I $
c:.~) 4'1010'1 I
I Paid -3.5: ?~,J :" I Rdeipt No.
I Date 4- _ /0.- (/ I g..;.- _
I 0
.3 5'. 2 S-
5770/
/1
This lyJlicaj
KtJ h.
--I \ - T3ui In. Otlicial
"-
ThiS 15 to certify that the r~ 10 \he ~callon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construCllon to commence. Before occupancy, a Certlticate of Occupancy must be
issucd
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Planning Director
#
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any