HomeMy WebLinkAboutBuilding Permit 11.0011 J
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i ° r P R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
.. 4 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2 / / / /
x AND UTILITY CONNECTION PERMIT
U _ t.,,
41,n'NESO 'cP I. White File PERMIT NO
2. Pink City / / 0 0 / /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
' 13 ` t t(p5 IQ
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ( ,_
(Name) 1 L. � , V` �kV r \ji �. , (Phone) t ') -4- . � krA9N
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing DRe-Siding Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ElUtility Connection a ,
CODE: ❑I.R.C. ❑I.B.C.
El Misc. i1 ( �i�� -��
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F III MR S U (excluding land)
Division: 1 2 3 4 5 1
1 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 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 c revoke this per t for just cause. Furtherripore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation 1 rk Support Fee # $
Permit Fee $ 7 # $
R$
Plan Check Fee $ �� 10 °I,IE ZO 1 Meter Size 5/8 "; 1 "; $
1
-"\
State Surcharge � �, L �0.1 e Reducer $
Penalty Q 1� S � ° It Ay O � O Vater Connection Fee # $ —
Plumbing Pen Til AI.10 C� y V Builder's Deposit $
:V p F� eter Tower Fe # $
Mechanical Per. it OR C O
T
Sewer & Water F C OIyS �' C Other $
Gas Fireplace Pen, 1 TOTAL DUE $
This Applicatit Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Ii. H
Buti + ng Official Date
This is to certify at 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 t e 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
4 PR�o CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
° TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /
x AND UTILITY CONNECTION PERMIT
v ft ,
M�NNES01P I. White File PERMIT NO /
3 Yellow Cp / F 0 / /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
•
3 y 16 . s‘t 4 /5 a /e__/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION STE � /1 LAG- 6
/ PID ZS 40 . as 0
OWNER
Name c h V i Ru 4 6D, v (Phone)
(Address) /
BUILDER ( c s l 3 0o' 3 J 9 /
(Company Name) c � U 1 h T (Phone) /�y
(Contact Name) J n h, ✓4 o tr - (Phone) 6 S' 1 3 0' 3 s'99'
(Address) - 0-0/ /--� L-�XL � r - / /2't1 f) 1 i J4 - OA./ /0-7, S17� Z7"
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 AB PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
1
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
a ove- mention . r..erry 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
otfiicial.ea Tigris p. mit for just c t • . Furthe more, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x . _ C 4 1 , P . Lo . 2 72 Z _ ,
'Signature ontractor's Licen No. Date
Permit Valuation */ 0 0 0. 6 0 Park Support Fee #
Permit Fee $ 7� d 7 Z S SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Z _ O 0 Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ 5-4- t 0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ .--¢ J T'"j� TOTAL DUE $ / 9, ZS
v /
This Appl' i n t comes Your Building Permit When pproved Paid I9 . 2...r Rece' No. & / 6e)
,� -3 �� 7 l Date 1 .� . 11 B
Bul i ,_ Iticial Dat
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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: V Date: t 6 . //
/
Building Permit /1. d 0 / / PD: Zoning:
Site Address 2_13 ¢ /&J 7
Legal: L B Subdivision:
Esring Structur :YES r NO
C0 1FORtiMS TO ZONING / YES N 0
ORDDTANCE
YES `+ O
Is this an expansion of the existing footprint or Refer to Planning
building height?
Is the properry located within the flood plain? Refer to Planning
Does the alteration include any additional i tchens? Refer to Planning ✓
Does the proposed alteration include any outside' Refer to Planning
entrances other than patio doors?
Is the proposed use of the dnished 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 CONIPLETED AND INCLUDED IN THE BUILDING PERtitIT FILE TO
MAINTAIN A RECORD OF THE REvInv.
.\TC1'MT i"='\ 1T T("7-TC 7n c.
PRIOR BUIL AND INSPECTION
PE TI
IN O
S N RECORD
SITE ADDRESS 2.04 ApE3/45 77,
NATURE OF WORK `I/
USE OF BUILDING ,r
PERMIT NO. ho ATE ISSUED NW(
CONTRACTOR PHONE 1 .•.% 617
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
Mar 1 1
tlININIMIIIININNINI I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING 19/7 // t)
l
INSULATION
ELECTRICAL
PLUMBING Vki,44
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
V l
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