HomeMy WebLinkAboutBldg Permit 05-0851
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE J\ z=-
AND UTILITY CONNECTION PERMIT f?- J~(.IJ
(Please type or print and sien at bottom)
ADDRESS ZONING (office use)
155Ci'X' ])"tA-ke Cl.rd~
I. White File I PERMI
; ~~~I~w ~::licanl T NO. OS. 0 e s /
L~GAL DESCRIPTION (office use only)
LOT(oBLOCK l ADDITION f\.r I ~~-\z;d
OWNERU^r\I~
(Name) --l - lL!.L.lJC LA
(Address) ')JJ~
Rf1~
PID
eres
-
.::LJ. tjUY\
f'f\n
(Phone) (Qf2) f ~ fJ:1, ,'11:6'
5fj) (}~
r;~
(Phone) (pf)WtAr 'YJIK'
(Phone) 1.Qfi/'- ~r 77 /8'
mn ffi o-~
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing ORe-Siding 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: M.R.C. DI.B.C. PROJECT COST/VALUE $ 50.,~ DD
Type of c1;stnlction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hcreby certifY that I have filmished 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 agcnt for the
above-mentioned property and that all constructi n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;~7(N{o~t cause u crmore, I hercby agrC~that the city official or a designee may enter upon the t'.vt'''..] to perform Rd~din7~offi
Signa re Contractor's License No. Date
Permit Valuation
1~
rt ~t'XJ,oO
$ ?7 .'2.S
$~
$ Z" 0 Ct
$
$ "ItJ,o a
$
$
$ J./~,OO
This Application Becomes Your Building Pennit When A...," 'ed
~~
Building Ollicial
?'( 'Y/ / OS
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE I/IUelJ ~ 3/ . fJr $ 1(, 9. zs-
Paid liPq.. ~ ReceiptN~VUc7~
Date ~ q - (:; -b By !--
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ThiS IS to eertifY 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
Residential Building Pel uJt Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~ ~ Date: f{- !&,-Ds-
Building Permit #
Site Address
PID:
Itif;1~
Zoning:
!JrtZk~ a;~!~
Subdivision: ~ ~
Legal: L l, B
EDStingSUucmr~rNO
CONFORlVIS TO ZONING
ORDINANCE
YES
NO
i
I
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Does the alteration include any additional kitchens?
Refer to Planning
rub
,.:11)
~
~
tJC
g~ Pw.rdtlt
Is the property located within the flood plain?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L;\TEMPLA TE\AL TCHCK.DOC
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS ISSfje D~
OWNER
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
[] FRAMING
o INSULATION
o FINAL
[] SITE INSPECTION
o PLUMBING RI
o MECH RI
[] WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[] MECH FINAL
COMMENTS: LL foI
~l' ~\~
~nR
5" - 6S/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
[]
? ~~"...+ 41l:;-r ~ \~ -.-..&> ~
\\A ~AIJIJ.J l(~ a~~
(lloso ~ ~iLt
...
~ f;V ~ q-LtJ1l
~K SATISFACTORY, PROCEED
ORRECT I AND PROCEED
o C RREC L FOR REINSPECTION BEFORE COVERING
Inspector: . _ Owner/Contr.
CALL ~1.9 ~O~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/IISNOn