HomeMy WebLinkAboutBuilding Permit 05-0039
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I
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
at bottom)
. 1A~.k
Tr-
LEGAL DESCRIPTION (office use only)
LOT q BLOCK ADDITION
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. t/S-31
Pr / 0 V
Lm
,j ~17
ZONING (office use)
/
.ZtPrIh ~
PID
OWNER
(Name)
t (
(Address)
(Phone)
19) 'J-~~.1768
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Lower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection 0 Mise.
furnished InformatIon on this application which is to the best of my knowledge true and correcl. I also certIfy that I am the owner or authorIzed agent for the
and that all CO s .uction will conform to all existIng state and local laws and will proceed in accordance with submiItcd plans. I am aware that the buildIng
for t cause urthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform neede InspectIons. ~
I 10 . '7
Contractor's License No. Date
CODE: MI.R.C. DI.B.C.
Type of ~stroction:
Occupancy Group: A B
Division:
II
F
I
III IV V A
HIM R
2 3 4 5
I
E
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
B
S U
PROJECT COST /V ALUE $
(excluding land)
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other l'~
TOTAL DUE /03/ if'::: $ ..... , /'l.
l-'Q:7 ~ . ~ ,
.
I~l-.&
Paid
Date
rqJ!-;?-fu I ~;c~tJg05s'
. /
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 consl1tUles a temporary Certificate of Zoning compliance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
issucd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BY tJ"j
sidential Building Permit Chedilist
t Finish or Interior AJten.tion to Single F:1mi1y Homes
/_-) Lj
Date: J - /_~ - L/
,
Building Permit;F tPS" - 3 i
Site Address
Pill:
Zoning:
Leg'll: L B
Existing Structu~MO
Subdivision lL/r79 teJ~
CONFORL"YIS TO ZONlliG
ORDIL'L~'fCE
NO
YES
NO
Is th1s an ex:pansion of the exi~wllg footprilit or I Refe:- to Pl2J.J.T1.J.J.1.g
I
building height? I /vo
Is me property located w1u."lln the flood plain? I Refe:- to Planning I No
Does :.b.e alteration include any additional :<:itchens? I Rere:- to Planning I /Vb
Does the ora-cosed alte:ation Include an'! outSide Rere:- to Plalmmg
.. ~ J
enrr.Jl1ces othe:- than patio doors? /0
Is the proposed. tlSe of lie fi.n:ishd s-pace or Refe:- to P lanr..m g I
alte:ac01: for anyrhing oU.~er iJ.1an a QOr:J::::.l 5ingie ;Vv
t3.r:1il~/ home (office, grou-p home, d2..Y C2.re, e:c.)? I
THIS GiEC{llST :'truST BE COMPLETED ..l....'fD Il'lCLL"TIED Il'I nIT Bl;lLD!l'IG PER;.v!U F1l.E TO
.vL-Vi'lT.-\.E'f A RECORD OF' THE REVIEW.
~ '--=-:-"I-::r .:.-:;',j,~~'-'~--:\-- ~,(,[~
PRIOR LAKE
INSPECTION RECORD
tL-Joo d~~ItJtf:,/~
DEPARTMENT OF
BUILD!NG AND INSPECTION
SITE ADDRESS 111171
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r~,
FRAMING
INSULATION
ELECTRICAL
fI\
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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 JNS?ECTJONS (952) 447-9850