HomeMy WebLinkAboutBuilding Permit 11.1232 am
2 j ui 2 LL re U
h LLZ Q 4L
` C
Z
\ M � z
N z
W
� ��� �'
II I ■
00000 0 W o
• W =
,\ ,, 0 N
m L Z
0
0
o »a z
w Z 0 0 Z O 0 U
O F- O O u- J N W
W Q 0 002 W c to O h
x z w =_ - - = =Z a 8 z 2
U 0 w mWm� v� a
N U d D 2W D_
I w w z X F 11.20mM W W
o❑❑❑❑❑ ` a a 0 1
CI
0 a v f
W W ` U z Y Q o�
� �� O a V l i S
H
O z O Z W 1- Q ._ 4 a
- a 0 - w recere I L - z W W O� Q � D <W 0 0 0 y U V
O a Q W O 00 LL= ti v) s U U w
�- Z o '0 f❑ 0 E
C I f PR/o CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE if, (0. / /
y AND UTILITY CONNECTION PERMIT
.,
x
'
U f t,
��A' NES��P I White File PERMIT NO
2 Pink City 3 Yellow Applit 7/ / Z
(Please type or print and sign at bottont)
ADDRESS ZONING (office use)
16 Z 2) o - T I lAtit41/..,s, c, .
LEGAL DESCRIPTION (office use only)
LOT I 2 - BLOCK y ADDITION �! (� F Fs o { r�l�wtb,o PID
OWNER p n
(Name) I��.rvty /? ,r , c ,(- 1t/tGa6 (Pho )
o I-- 4- -C -1 t
i tat ' ittfA" .
P
(Address) 42 '' / 64/t
BUILDER
(Company Natne) ,C /df4Y ity / St t - (Phone) 9.5- /� Z 7Gy ,
(Contact Name) 1, koC try g 04/1/4 A) (Phone) 6 / Z - L- 7E6.
(Address) 17 6 t-/ S' K hlh•e,r P NTH Sr e - ! .
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding aiittower Level Finish ❑ Fireplace
❑Addition DAlteration ❑Utility Connection
CODE: ❑LR.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F III M R S U PROJECT COST /VALUE $ ,Gr.'v
Division: I 2 3 4 5 (excluding land)
I hereby certify that 1 have htmished information on this application svhich is to the hest of my knowledge true and crnrect. 1 also certify that 1 am the owner in authorized agent for the
above- mentioned prop • • ir all constriction 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 revo • it for rust cause Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
X — ./ / if wg +1� jp6 3//d v /J.-- y ' f
Signature l Contractor's License No. Date
Permit Valuation j t 0 0 0 0 O Park Support Fee # $
Permit Fee $ 7 4 7 S SAC # $
Plan Check Fee $ ----- Water Meter Size 5/8"; 1"; $
State Surcharge $ / - Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ , 50 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer Sc Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE _ $ /36, ._
This Application Becomes Your Building Permit When Approved Paid /36 7 Receipt No. i « 1 7/
Date / B
4 '__
Buildin official late
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 constuction to commence. Before occupancy, a Ccinficate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, faN (952) 447 - 4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY: "of(----- Date: fi. /,' //
Building Permit # l (_ / Z 3a PID: Zoning:
Site Address /G Z U Q O /NJG� e1
Legal: L B Subdivision:
Existing Structure i r NO
CONFORMS TO ZONING YES NO
ORDINANCE
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
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? t'
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: \TEMPLATE\ALTCHCK.DOC
DEPARTMENT OF
P RIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /C l 30 Tfift/ //C4 �~
NATURE OF WORK L.Ok1/67e-- L6V6Z
USE OF BUILDING / ?/x
PERMIT NO. /1. / 132 DATE ISSUED // /¢ //
CONTRACTOR pa.° 67 - OA-le PHONE 1 5600
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
0/10 ~Pt
alliiinalailaillafig6 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING z /G /i
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING r 7 I 1
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