HomeMy WebLinkAboutBuilding Permit 03-0365
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3./~5"03
White File
Pink City
Yellow Applicant
PERMIT NO. 03 -03 b5
ZONING (office use)
3//7
ox+c'"t (' I Tr-
!
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
sTA-
PIn:2 5-- 3 7 S - O::Jd-
(Pwe) (152.) '/'17 - 5635
e ;~;; ~~;~:.;~;~
'1J1f~R
4Rine)
(c!~l"'~)
f0~S)
L7
4. tu 1/ ~
~AM'
''is
'"
/1Iw
PNlr l41(~
(PIIIiIDe)
--.
(~
TYPE OF WORK
DDeck
o Porch
ORe-Roofing
ORe-Siding
o New Construction
~er Level Finish
~ Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
DUtility Connection
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 pon the prope~ erform needed inspections.
~
o Misc.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ I,SO
Penalty $
Plumbing Permit Fee $ O..OD
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 4 . dO
e omes Your Building Permit When Approved
:J-J-fr-d>
Date
~
3/2>1/0)
-.-
"-
Contractor's L~e No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ //&.25
I f ~'~~ I ~~ceiPt]~~t~
Paid
Date
This is to certify that the qu st io the above application and accompanyiog documents is io accordance with the City Zoniog Ordioance and may proceed as requested. This document
when sign by the Ci P er constitutes a temporary Certificate of Zoniog compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
L..uw-e- l-l ~ (
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
J -.If-i)
J~4c!
~JdVr
BY:
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Eomes
0lJ;;- Date: 3 -;; 5- -03
Building Permit #
Site Address
(Id
Pill:
33/7-
roy~ //onin7l-c7 //
Subdivision: wllJs ~-r"-
Legal: L
2
B
I
Existing S tnlcture@r NO
I CONFORlVIS TO ZONING
. ORDrn.Ai~CE
I(~I
NO
YES I NO I
Is this an expansion of the existing footprillt or Refer to Planning
building height? ~
Is the property located within the flood plain? I Refer to Planning I ~-
Does the alteration include any additional kitchens? Refer to Planning I L---.
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
farnily home (office, grou~ home, day care, etc.)?
Tms CHECKLIST MUST BE COMPLETED ..\.J.'fD INCLUDED IN THE BUlLDfNG PERI''/I1T Fll.E TO
l'tWNTA1N A RECORD OF THE REVIEW,
'\.
T .\r;:~,rPT ~ :C:'.A LTr::~r::(..:JOC
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .3~/'l FOJ-Io-il r,
NATURE OF WORK .iF. ~ FP..
USE OF BUILDING _ ~
PERMIT NO. (p DATE ISSUED
CONTRACTOR PHONE 1.1"'1- S'-3S'
NOTE: THIS IS NOT A PERMIT FOR ANY F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE , ~
- GAS LINE AIR TEST I
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