HomeMy WebLinkAboutBuilding 07-0069
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2/1/a 7
ZONING (office use)
;(-(
LEGAL DESCRIPTION (office use only)
LOT 17 BLOCK
ADDITION
PIDZ
OWNER
(Name)
(Phone)
6C)/-503 ~J?hOt?
(Address)
BUll.DER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK. 0 New Construction ODeck o Porch o Re.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc,
CODE: ~.R.C. OI.D.C. PROJECT COST/VALUE S
Type of&stroction: I II ill IV V A B (excluding land)
OCCllpancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
x
ished mformation on this application which is to the best of my knowledge true and co t I am the_\lwner or authorized agent for the
rm to aU existing stat and local laws and will proceed in accordance with 5U jued' plans, I am aware that the building
ereby agree that the official or a designee may enter upon the property ,?~orm needed mtction/
~ C) 0-7-
Contractor's License No. f Dlte
00
Park Support Fee
SAC
#
#
Permit Valuation
Pennit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Pennit Fee $
Mechanical Permit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Pennit Fee $
..--
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
d.(JIJ
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
'-.~
--,.
2-;
This Application Becomes Your Building Pennit When Approved
~~
Build in!! Ollicial
~:rd7
Da e
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 requl'Sted. 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 I>im;tor
Date Special Conditions, if any
24 hour nafire for alllnspertlons (~2) 447-9850. fax (~2) 447-424!l
16200 Eagle Creek Avenue Prior Lake. MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'/
f\/w
ZONING (office
use)
e or rint and si n at bottom)
ADDRESS
Zfi 'I L 8(jbCCL -{- Tr;.
; ~~~~ ~!~ PERMIT NO. 0 --1(. Cc (0 C
3 Yellow Applicant U
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 1/ .
(Name) t'\ ef flj 1
(Address) Z,q4Z- gobca;t-
)(V'I '!1-h' ~
r:. uec~
j7-Q,t' ( IV W
(Phone)
PYLdY La..L-€-
APPLICANT
(Name)
s Q.,.vYV2-
CLP a. bove....
(Phone)
(Address)
f<-u.~
(City) (Zip Code)
(Phone) (p ~-, 503 S"b d ~
(Contact Person)
APPLICANT SIGNATURE
PL-
e of Fixture
artment sink
Machine)
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39,50
(Office Use Only)
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $ .50
TOT AL PERMIT FEE $
This Application Becomes Your Building Permit When Approved
~ ~ i2~ ,.).(;Z-~4 7
Buildinl! Official ate
Paid
Receipt No.
Date
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
c-nasement FiniS!)r Interior Alteration to Single Family Homes
BY:
~
,
~
Date: ~//~(J 7
Building Permit #
Site Address ~ 9 .t..j :J.--
Legal: L /7 B /
PID:
Zoning:
~ 7k-J
~ .'/J n 0-4/7
Subdivision: ("t./~ ~
Existing Structur~r NO
I CONFORMS TO ZONING
. ORDINANCE
I~I
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? t-JO
Is the property located within the flood plain? Refer to Planning ~~
Does the alteration include any additional kitchens? Refer to Planning ~O - '-"i"NL
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? N2)
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single WD
family home (office, group home, day care, etc.)?
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
PRIOR LAKE
INSPECTION RECORD
~~TEu~~Do~E~~RK :~rn. ~ ~~~?!t!/-~~. h ~J
USE OF BUILDING .s: ,:: D .
PERMIT NO. ~ DATE ISSUED ..;A.7,As ?
CONTRACTOR ' _ _ U~I>>!- PHONE,SI-StJ, -fN.(),
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
~i
PLACE NO CONCRETE UN~IL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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 fNSPECTIONS (~352) 447 ~~q50