HomeMy WebLinkAboutBuilding Permit (LL) 08-0978
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I hereby cntity that I have hlrmshed mfllrmatllln lln this applicatIOn which IS to the best llf my knowledge true and correcr. I alsll certify that I am the llwner or authllllzed agent for the
abllve-mentlllned property and that all Cllnstructlon will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the blllldmg
nftiClal can revoke thiS ptTmlt for Just cause Furthcrmnl"c, I hereby agrce that the city official Of a deSignee may enter upon the property to perform needed lI1SpcctHms
x
Signature
Contractor's License No.
Date
Permit Valuation
Permit Fee
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
~echanical Permit Fee
50.00
Sewer & Water Permit Fee
-
It
Park Support Fee
SAC
$
$
$
$
$
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
cnt5 IS In a ordancc with the City Zoning Ordinance and may pn)cl'cd as requested. ThiS document
plIancc an allows constructIOn to commence. Before occupancy, a Certificate ()r Occupancy must be
-4 hour notice for all inspections (952) -t-t7-9850. fax (952) -t-t7--t2-t5
4646 Dakota Street Prior Lake. MN 55372
Special Conditions, if any
Resi ential Building Permit Checklist
Baseme nish or Interior Alteration to Single Family Homes
Building Permit #
Site Address
Date:
II zr,. Of;
BY:
ID: ~. 4-S7_(J(),./. 0 Zoning: j!4.S" V
77r1.-f IIV/q:I f/&/ttt&
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
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 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 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