HomeMy WebLinkAboutBuilding Permit 09-0488
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
~/rrl
Date Rec' d
1 8,07
~~~:~: ~i~lic.nl I PERMIT NO. of[ tJ+98 I
P"./o,r LILIA
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
G~ O~t. o..ncJ..
(Address) 50 '/ ~ Ea..> -f
tJ a-n c.J Troy
00-11, PO/r)t- tJv;'(' .sF
BUILDER
(Company Name)
(Contact Name)
(Address)
GB,I HoJ'h~~ 7:n(_
..)
J~tJli OA- Uti-I-
S-t:b- Iv--<-L.t ~ A..f ~d
PID
(Phone)
(Phone)
q~a1- '1'1r- S.5-J:)
o Misc.
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding
DAddition o Alteration DUtility Connection
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Gronp: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
ower Level Finish 0 Fireplace
A
R
5
B
S U
------
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have filmished mformation 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
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 building
official can revoke this permit ~ 1st cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed inspectIOns.
7/~/o9
Date' I
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
s-O
vV
-
This Application Becomes Your Building Pennit When Approved
Building Ollicinl
Dale
15r
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
ThIS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conslltutes a temporary Certificate of Zoning 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
Basement Finish or Interior Alteration to Single Family Homes
BY: .pt- Date: 7 I,d 7
Building Permit #/Jr. 0 .ft; 1> PID: Zoning:
Site Address S7J4-3 e7t~OIffC- Pi. .o1C.-
Legal: L B Subdivision:
Existing structure NO
I CONFORMS TO WNING
. ORDINANCE
I ~I
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning V'
building height?
Is the property located within the flood plain? Refer to Planning v
Does the alteration include any additional kitchens? Refer to Planning ,,/
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ./
Is the proposed use of the finished space or Refer to Planning .............
alteration for anything other than a normal single
family home (office, jUoup 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
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1 z,o, OJ
57J ~3
e:rr::rr OfrlC- /7T: 0 IL.
~:~~L ~~~licant I PERMIT NO. fj'- if(K
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
(phone)
APPLICAN~ () (' \ ,
(Name) ~..\ ('....-\- ~rr ~U r\ J-.b I "-~ I........ "-
(Address) b tot 0 () ,'\.-. r 0 .\, \-
ddress)
(Contact Person) ~___ c.. , o.JJ L
APPLICANT SIGNATURE
(Phone) e'\r)...~ '-\'-\1- S"lll
p...< 0 r L_k,- s- :s.,.l-.
(City) (Zip Code)
(Phone)
DATE
.., - ~O -0,
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $49.50 minimum
Residential, New One & Two-Family $149.50 I A
Residential, Additions & Alterations $49.5g VI
Estimated Cost $ Building Permit # f( { 9
PLUMBING PERMIT FEE $ .-.--' P () (l/
STATE SURCHARGE $ ~ .50 q t/V
TOTAL PERMIT FEE $ ~ 9
./
(Office Use Only)
BuUdinl! Official
Date
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-42 5
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5043 efJST 019K.. POI NT ~/!.-.
NATURE OF WORK /-OW6/2. L-6V6Z_
USE OF BUILDING RES ~
PERMIT NO. oct" 04-88 ATE ISSUED 7. ~. or
CONTRACTOR q8Z fIol1€5 PHONE t;5Z~ 4</-8>> .557-2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CON'CRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
IN . d)
-
~- -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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