HomeMy WebLinkAboutBuilding Permit 11. 0222 5 ❑ 0
❑ >0 ❑❑❑❑❑❑ 1 0 N
n
a 00 0 A �Z-n„-n 0 o 4
p o 0 OzmD m0
� XI 73 � g mzc3z0 71 vM
r m g zDz N
-
tz
ri
tri '
IT,
}rr N rn �Z z z� o
III C0 W It • Z
a
o 2OI z , m m
el
-I
II
m v v
o O th 00
00 ❑ C ❑
x ci n 4 b m �am0
k vo rr
^'
z m
A � zM z3 -o 0 to fn ,
Cn
kJ
m � 13
o "'C 3 z
nm
yC coa
r 0
o 0o I- -rt -I
C
7C 7C Z r
z m 1 ^OAQ `
c o 1111
- ..-..a
511
_ •"••-•
z i
3
o
>��
Fap. o
Ct."
mmo0 .0
D ri P.
Z 1cnmm - _ 1 CD-
t
XI z
z
p4 pRtO
4, CITY OF PRIOR LAKE BUILDING PERMIT,
�, Date Recd
\\`� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
L AND UTILITY CONNECTION PERMIT ¢. r
"6,. .c‘-'
E 50��
1.White Filtye 2.24
3. Deno CiPERMIT NO. // z
(Please type or print and sign at bottom) s.Yellow Applicant
ADDRESS
19(4 to Y i st o n ok r9 14i-s- Ci r N W 1 Prior LOLKe, M N 5S-3-72ZONING office use)_
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) Nil-Hh (k,n d- {l4- (.r(nc, Sand(if (Phone)(G52)45I*(.QO-1-
(Address) 1UigU Vtsf o nary 1+c Cor NWt Pr(Qr L-Gt.4e, M J 553-1z
BUILDER
(Company Name)
(Contact Name) (Phone)
(Address) (Phone)
TYPE OF WORK 0 New Construction ['Deck ['Porch ❑Ee-Roofing ❑Re-siding p j ower Level Finish 0 Fireplace
['Addition ['Alteration ['Utility Connection �"— P
CODE: DLR.C. DI.B.C. 0 Misc.
Type of Cordon: I II HI 1V V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby cettiry that I have furnished information on this application which is to the best of my knowledge true and urea. I also
above-mentioned property and that all construction will conform to all existingcertify that I am the owner or authorizedarthat agent far the
official revoke this statecand local ad laws and will proceed in the property
with submitted ded inspections.I am aware the building
permit Furth agree that the city official or a designee may enter upon the to peufo.m needed
aJ —'t' 4 -1 i it
Signature Contractor's License No. Date
Permit Valuation # 00 o. d Q Park Support Fee # $
Permit Fee $ 87. 2.S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 2. O v Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ ,`TT. SO Water Tower Fee # $
Mechanical Permit Fee $ /L Builder's Deposit $
Sewer&Water Permit Fee $ Other. $
Gas Fireplace Permit Fee $ 4544,
57�2
TOTAL DUE $ /79. 2454
This Application Becomes Your Building Permit When Approved I Paid /qty. ZSRec,1'1 No. /_�3�t�
Date ¢, 7 1, � / �f'
Building Official Date /
This is to certify that the request in the above application and accompanying documents is in accordance with the
when signed by the City Planner constitutes a temporary Certificate ofCity oA Ordinance andmay proceedaas requested. This document
issued. g compliance and allows construction to
commence. Before occupancy,a Certificate of Occupancy must be
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family-Homes
/
BY: I/ Date: /I
Building Permit#/1u Z PID: Zoning:
/c /9 '
Site Address vis/04)/1/evLegal: L B Subdivision:
Existing Struc re: YE or NO
CONFORMS TO ZONING YES NO
ORDINANCE L
_ 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:\TEMPLATEW LTCHCK.DOC
P LAKE DEPARTMENT OF
R 'OR
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS A,/94 itei OW= Amps, cede
NATURE OF WORK 14/0/
USE OF BUILDING
PERMIT NO. DATE ISSUED //
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1111.1111INSPECTOR DATE
I �
1011111111111101111.11111.111111
PLACE NO CONCRETE UNTILI
ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
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