HomeMy WebLinkAboutBuilding Permit 10.0171 J
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PR♦ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
iit ° � e TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 2 1
"' AND UTILITY CONNECTION PERMIT
M,A'NESO'cP I. White File PERMIT NO .
2. Pink City ' O . 0
3 Yellow Applicant _ (---7
S
'lit and sign at bottom) _
ADDRE ;S Afidli 1 ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
O ame) _I ,G ,v- 4,, 4. C /2 (Phone) ` -/i - Vy`s-= 45,F
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection /
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished 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
above - mentioned property and that all c .r uction 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 for just Furore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspectio s.
X iifl/ _ /0'.
Signature Contractor's License No. Date
Permit Valuation ? ' U o o 6 0 Park Support Fee # $
Permit Fee $ J 7 - 7 5 SAC # $
Plan Check Fee $ ! Water Meter Size 5/8 "; 1 "; $ .
State Surcharge $ / S0 Pressure Reducer $
Penalty $ / Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 50 . 0 Q Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /Z 2. 5
This Application Becomes Your Building Permit When Approved Paid PIG/, 2 .0 e ' t No. 3 8 z - z_ -
Date ?, Z$ / d /
Building Official Date
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
O� PRIOR
u 4646 Dakota Street SE
Prior Lake, MN 55372
44 vrreso'c''
March 7, 2011
Berry Campbell or Current Resident
2896 Fox Trail MW
Prior Lake MN 55372
RE: Building Permit Number 10 -0170 F N otice
In review of the building permit files it was discovered there is an open building permit for basement
finish. The City would like you cooperation to schedule a status inspection. Please call by March 16,
2012 to set up the inspection. If there has been no contact by March 16, 2012 the City will deem the
permit abandoned and invalid per State Building Code R105.3.2. This will be recorded in the permanent
public record. Any additional work will require new permits.
If you have any questions feel free to call between 8:00 and 8:45 AM Monday through Friday at (952)
447 -9853
Since ly
aul aumgartner
Building Inspector
Phone 952.447.9800 / Fax 952. 447 .4245 / www.cityofpriorlake.com
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: `/ Date: -3 Z S : ( 0
Buildin Permit # (� Q / 7 PID: Zoning:
Site Address � � /
ze9& t r Tr4iL__
Legal: L B Subdivision:
Existing Structure- YES or NO
CONFORMS TO ZONING NO
ORDINANCE 0
J YES j NO I
Is this an expansion of the existing footprint or Refer to Planning
building height? '/
Is the property located within the flood plain? Refer to Planning ,/
Does the alteration include any additional kitchens? Refer to Planning ,i
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 V
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: \TEMPLATE\ALTCHCK.DOC
i-' l- 1 (..) 11 LAtk vQrmn1Inm III 1 yr
BUILDING AND INSPECTION
INSPECTION .RECORD
SITE ADDRESS Z89?10 Fe/ - 7k./9 - / C—
NATURE OF WORK L-0 W &/2
USE OF BUILDING /00 /9"//e---
PERMIT NO. ATE ISSUED l C)
CONTRACTOR A / 1 2 P PHONE 4-4 . e8 '7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
q+? d °WI,IE 1 : t` F
_.. •. ': .rte- „...ra »rq ,
PLACE NO CONCRET UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
lLDING P-e, 1,2 117
ELECTRICAL 6 r �
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