HomeMy WebLinkAboutBuilding 07-0084
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
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Tr <fY\Cl1t
1/1/ <- ;V W'
Date Rec' d
Z L ;,' (7
1 White
Pink
Yellow
I PERMIT NO. 07 c D f>4--1
File
City
Applicant
!h'~
ZONING (office use)
t. I 5lJ
L~h
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
9~)' )}b')-f}j')-
OWNER (\ !'\ ---(
(Name) ---.Ut?-I\I e- J.
(Address) J Slit-II fr r"'fI/l,)
L~I) L
&L '--
/l/"/
BUILDER
(Company Name)
(Contact Name)
(Address)
PID z..s-, 241. 0 14--. 0
!r/~1~
L c.,k c-
(Phone)
(Phone)
TYPE OF WORK 0 New Constr~^on oOeck oPorch ORe-Roofing
oAddition ~lteration oUtility ConnectIOn
CODE: MI.R.C. DI.B.c. 0 Mise.
Type of B;;"nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding oLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hunishcd mformation on this application which is to the hest of my knowledge true and correct. I alsu certIfy that I am the owner or autllOrIZcd agent for the
above,mentlllned property and that all mnstructlOn will confnrm to all eXIStIng state and local laws and Will proceed in accordance with submItted plans I am aware that the buildIng
~f1Clal can rev lke 1lS permIt fnr JU~.~_~::crmore. I hereby agree that the CIty official nr a deSignee may enter upon the property to pert(lrm nee:;;.: ~:;;r3t:)~7
Signature
Permit Valuation /,000,00
Permit Fee $ /'L/ -
~.:J ~ I:';;
Plan Check Fee $ -
State Surcharge $ <"c'
I Penalty $
Plumbing Permit Fee $ /Ie O()
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
~~
Buildll1g Ufticlal
d(~3167
i).fte
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 I $
Other $
TOTAL DUE $ '!-7 2(
I
~i~ 2~;;7
I ~~celP~~-Z-8'~4
ThIS IS to ccrtrty that the request 111 the above applicatIOn and accompanymg documents IS m accnrdance WIth the CIty Zoning OrdInance and may proceed as requested. TIllS document
when signed by the CIty Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancv, a Certltkate of Occupancy must be
I issued
Planning Director
Date
24 hOllr notice for all inspections (952) -t-t7-9850, fax (952) -t-t7--t2-t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
~eme~h or I~te!:.ior AlteratiO])to Single Family Homes
BY: ~ ~ Date: c;.7/d-3~ 7
Building Permit #
Site Address / s- ~ ~ I
PID:
Zoning:
~ ~. 1J.l<J.
Legal: L
B
Subdivision:
Existing Structure~ NO
I. CONFORMS TO ZONING
, ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? NIJ
Is the property located within the flood plain? Refer to Planning
tvc
Does the alteration include any additional kitchens? Refer to Planning }JO
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ,.10
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single ;Va
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:\TEMPLATE\ALTCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARtMENT OF
BUILDING AND INSPECTION
f
SITE ADDRESS /5 q 1-' / cf2€:-:t-1OlJi /h/t; .
NATURE OF WORK Her
USE OF BUILDING /(LJ /-1f~
PERMIT NO. 07- 0.084- DArE ISSUED z, 2-3. () 7
CONTRACTOR Lt::Nz:; PHONE zz.(P. 2-83 S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I
~ I
PLACE NO CONt :RETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTon
DATE
- --------.-
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABO"E HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
<o--()~
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~ '17-9850