HomeMy WebLinkAboutBuilding Permit 05-0148
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I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z.7..-5,05"
at bottom)
ADDRESS
/';:1 I'} J j ~1
Lt! ;(/ ,J..J C ;; j ~
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
ADDITION
(Address)
t?.
L/~, Ii! J':
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()S-II/QI
~5ZJ/ S./-fCI US t~J
ZONING (office use)
PitS
(Phone)
9S.) ~9 ~- lid!
t/{-d/ ie~ jc
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
<...
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition OAlteration OUtility ConnectIOn 0 Misc.
CODE: ~I.R.C. DI.B.c.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
Permit Valuation 1,000,00
Permit Fee $ 3 f,"15
Plan Check Fee $ -
State Surcharge $ .stJ
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee /110 $
This Application Becomes Your Building Permit When Approved
1~n;P ~::~S I
ORe-Siding
Lower Level Finish
o Fireplace
B
S U
(1JoolYl
PROJECT COST IV AL~ $
(excluding land)
.). ...,) I~ (; S
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ~ $ I, 00
TOTAL DUE $ ..3(,.2S
~~
Paid r") ~
I Dated- -
~;ce;pt No. ?~
ThIS IS to certify that the request in the above applIcatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the CIty Planner conSl1lutes a temporary Certificate of ZonlOg compliance and allows construction to commence. Before occupancy, a Certlficate of Occupancy must be
Issued
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
Residential Building Permit Checklist
Baserne::rt Finish or Interior Alteration to Single Family Homes
/? --. =- )
BY: -~/y____
~
--
Date: ;;? -cc?-p,..{?~
Building Permit ~
Site Address
Pill:
/-Y50?/ ~::;i11g~
Subdivision: ~ ~ If~./
Leg'll: L I B
6,
EIisring strucrur~r NO
CONFORlvIS TO ZONlliG Y"ES NO
ORDIL'fAJ.'{CE
Y"ES
~o
Is this 2..J.""1 e;~:panslon of d:.e exiS7.xg footpnnc or I R=:te:- ~o Pl2J.~~-rg
buildir.g height? t00
Is cb.e ?ToPe:Tf loc3.teC within the Dood plain? I Reter to P la.nni..""1 g I I
~O
Dces i:.;.~e altention include any additional k::.ccher-s? I Rere:- co Planning I
~
Dces c.'1e proposed alte:-ation iLclude any outs. de R=rer :0 Planr~"'1g
er-tr'".illces oLhe:- tb.an paco doors? ~O
I I
Is tte :;ro-cosed. use of :he rlI"ished spac::: or Refe:" ~o P 1 a..-rrc.:in g
3.1 te:c.c.cn for a..'1.ytr...L.'1.g ot.'1e:- t..1:L'1 2. QOGl2.1 siI:.gie ~O
(3.CJlv noce (oF"'~ gTOU? Gowe. d2.Y C2.:'~, ~:c.) ?
...-.............,
ThlS cmCKLlST )[lJST BE COl'r'CPLETED .-\.;'fI) I;'iG.1JIlED Ii"{ THE BU1LD[i"{G PER'ifIT FIlE TO
c'rL-Vi'iT.-V!'l A RECOR.:J OF THE REVTEW.
- ,C-:7'/i~T' ~ --:' ~ - -~'-...~\-... ~(-(~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~S(JI J'f1t! LA-~ _ P. ~ ·
NATURE OF WORK L. , , ~ A~I ",
USE OF BUILDING ~~
PERMIT NO.. DATE ISSUED Z. / L fI ~ S-
CONTRACTOR t5z.uu< Kku~'t!IL~ PHONE!/;. m ~//ZtJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUJLDING AND INSPECTION
INSPECTOR DATE
IL ABOVE HAS BLN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical saryice 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