HomeMy WebLinkAboutBuilding Permit 01-0921
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I. White File
2. Pink City
J , Yellow Applicant
ADDRESS
LEGAL DESCRIPTION (office use only)
13 I
LOT BLOCK ADDITION
PID'
/ 31;}-()/~O
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name) b a., l-tw-lY\ ,~, t
(Contact Name) /Yli'c..k//(
(Address)
-1J1J.1
l.lh //'1'1
(Phone)' 9Svl- 915"- 7272
(Phone) 9.j-;;l- f?S- 7?/1.:,
TYPE OF WORK
DDeck
ORe-Roofing
o New Construction
}'ILower Level Finish
o Fireplace
PROJECT COST/VALUE (excluding land) $ ;JIlt. 0
OAlteration
OUtility Connection
o Misc.
o Porch
DAddition
ORe-Siding
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 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X ~~ 1A)~g,
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
.lO
'-to .c9~
$ '2V-Ux,(-
Date
r;?IJ")();S~ S-?
Contractor's License No.
)7-;200/
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 Paid ~ (., . ~f-
Date - /1- '
-
I ~;ceiPt No.
This is to certi 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
B~
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: (-- d-d-O!
Building Permit #
Site Address
Pill:
c:5)/j--
(3 B
(
Legal: L
Existing structure@. NO
I CONFORlVIS TO ZONING
ORDINA1'fCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning Y-
building height?
Is the property located within the flood plain? Refer to Planning ~
Does the alteration include any additional kitchens? Refer to Planning I ~
Does the proposed alteration include any outside- Refer to Planning ><
entrances other than patio doors?
Is the proposed use of the 5nished space or Refer to Planning 'K
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED A,l'ffi INCLlJDED IN THE BtJ1LDING PE~'rnT FILE TO
MAlNTA1N A RECORD OF THE REVIEW.
T \"'T"'T""" I'i'lT ... "'T""'C\ 'T if'T...J'r'l'".r llf'\r
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUI!:..DING AND INSPECTION
SITE ADDRESS 5dJ~ fJurr.~
NATURE OF WORK ~ (-4<~. t. ~ .
USE OF BUILDING ~
PERMIT NO. '11i . DATE ISSUED $-?~~:
CONTRACTOR PHONE ~ ~ i'8~- ,Z2/?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
... I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
)
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-I 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850