HomeMy WebLinkAboutBuilding Permit 09-0439
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Uccupancy Group:
Division:
A H h
l'
I
H 1
2 3
M R S U
4 5
(exduding land)
I hereby certifY that I have hlrmshed mformation on this applicatIOn which is to the best of my knowledge true and correct 1 also certifY that I am the owner or authonzed agent for the
above-mentIoned property and that all construction WIll conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
otlicial can revoke this permit for Just cause lithe' re, I hereby agree that the CIty official or a desIgnee may enter upon the propel"ly to perform needed mspectlons
~ 2/1.1 2oa!J
Plan Check Fee
Contractor's License No
Date
x
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$ 3S-. Z-S
Permit Valuation
-
Park Support Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
SAC
Permit Fee
.50
Water Meter Size 5/8"; 1";
Pressure Reducer
-
Sewer/Water Connection Fee
TOTAL DUE
This IS to certIfY that the request in the above apphcatlon and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIs document
when signed by the City Planner constllutes a temporaty Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a Certificate of 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
BasementFinish or Interior A:lteration to. Single FamilyHomes
BY: /Jt
.
Building Permit #
Site Address /4-53 0
Date: ~,z,. 1. 0 7
PID: Zoning:
BL U bLl /R.L) 77?A.--.
Legal: L
Subdivision:
rNO
CONFORMS TO ZONING
ORDINANCE
YES
NO
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 V
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning ~
alteration for anything other than a nonnal single
family home (office, JUoup home, day care, etc.)?
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\ALTCHCK..DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 09. 04-..3l-:, . DATE ISSUED
CONTRACTOR rJl'1e<Jn'/lv PHONE +02... 9'+"2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/4530 :t>LVbU//t...O 7/l;tt/ f..-
L,(}WEIf? LEvEL
INSPECTOR DATE
.... I I
~ UN~IL ABOVE HAS B~EN SIGNED
ROUGH - INS
--~-~ ~,
- -
--
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
1fj--30 ~/r) Iii.
Date Rec' d
t. 2-/ '1
I White
Pink
Yellow
File
City
Applicant
"ftl;~fl {Ct(~e IV n ~<;s 1-
ZONING (allice use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PID
OWNER
(Name)
Eok<<cI
A-N~bH/#
f.r2 YtJ2 -YoY2
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ORe-Siding
L~ 0 Fireplace
I R.'1. ----,~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~ OAddition OAlteration o Utility Connection
CODE: I.R.C. DI.B.C. 0 Mise.
Type of struction: I II III IV V A B
Occupancy roup: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(exduding land)
I hereby certify that I have furnIshed mformatlon 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 buildmg
otTicial can revoke this permit for Just cause Irthe' re, I hereby agree that the City atTicial or a deSIgnee may enter upon the property to perform needed inspectIons
,$#U 2fl./ 2oa!J
x
Permit Valuation
-
Permit Fee
$
$
$
$
$
$
$
$
.50
Plan Check Fee
-
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$
$
$
$
$
$
$
$
$ 3S-. Z-S
ThIS IS to certify that the request in the above apphcatIon and accompanymg 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 Zonmg complIance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
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