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HomeMy WebLinkAboutBuilding Permit 11. 1281 F O O 0 O 0000 -0 o > ■ 0 nn O ■ z71 � 11 § § § 584 § g I k mx . E. Rir § z§ z 0) 0m I mm � .t � % (■ 2 ■ •cn 0 z 2 z ■ § 03 k § n q k 0 n ( . V) m m ■ 0, ........ \ r 2 AI � I X § 7 § ? ❑ 00000m � mm ■ 13 ■ ■ ■ � o -1 z § § � r » �E CA nc2 � n § k m f II � 7d73 - m 0 0 .. -a ® q _.., § 0 ,. ,:) o s_ § 1.0 \ I rn 0 xi s . ctyl 2 $ m I r � 1 p M§ _ 0mn ■ mC� ❑ 000 _00 Q �10 a o§v 7 22 § § • mm3 © i � . A 5 5 5 a cp m % � A� B sm`§ -1 r o f Plt�o� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd o J✓ -4/.,b.TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1 / AND UTILITY CONNECTION PERMIT tri 44NNESdoP I. White File - 2. Pink City PERMIT NO. 1/J -7 3 Yellow Applicant / !. / 4.�'/ (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1441 wttAID uit 6:7 SE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) ogopr-K y 6u/ 7-4-4'=" (Phone) 90.-Wo- 2934; (Address) .6.747// lfJVACW4/1iC 7 5'E 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: ABE F HI MR SU (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 prope'-, 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 t.' .ermit for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed insp'ctions. Contractor's License No. Date Permit Valuation '2 o 0, Park Support Fee # $ Permit Fee $ Z SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ State Surcharge $ / vO Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee jilizif y Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ 5L. SO TOTAL DUE $ /17 75 This Application Becomes Your Building Permit When Approved Paid // 73 R pt No. (0211-1/ L` Date A/ 2 ,,/1 t 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 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: "jk Date: /1 Z `� Building Permit# `! / Z / PID: Zoning: Site Address Legal: L B Subdivision: Existing Structure: YES r NO CONFORMS TO ZONING YES NO ORDINANCE YES NO 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 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,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 P 1 REDEPARTMENT OFBUILDING AND IN ECTION ASPK INSPECTION RECORD SITE ADDRESS 5/41 yAlDi1/1111 67. NATURE OF WORK Z. ''► a, USE OF BUILDIN -_ " PERMIT NO. iiit = DATE ISSUED !4 ZAP l I CONTRACTOR 1'l7 PHONE 44A Z$33 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS MEOW THE PERMIT IS BY SEPARATE DOCUMENT DISPECTOR DATE 011111111 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS NIIMMIEW FRAMING f i 4//)/, INSULATION ELECTRICAL PLUMBING HEATING (if required) kjG di' FIREPLACE (2,4- 11131p, GAS LINE AIR TEST10114 fi''`b_ l ._. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL MERE= 1 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. J v FOR ALL INSPECTIONS (952) 447-9850 1e/.,.;)"< x