HomeMy WebLinkAboutBuilding 07-0149
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Ree' d
3-2.1.07
1. White File I PERMI
2. Pink Cily T NO.
] Yellow Applicam .
07. 0141
ZONING (ollict USt)
r
Sf;.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER lIV\ r'
(Name) -f...L/ i ~ V" I ~\.
(Address)
~e \ +2-
(phone) 752-1-/4'1'- &7rlr
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 Ntw Construction ODeck OPorch ORe-Roofing ORe-Si'
OAddition OAlteration OUtility Connection 0 Misc.
~wer Level Fimsh
o Fireplace
CODE: fi?RI.R.C. OI.B.C.
Type of ,to~ction:
Occupancy Group: A B
Division:
I
E
n
F
1
m IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V AL~ S
(excluding land).,
~071
x
. n on this applic lion which is to the best of my knowledge true and COITCCt. J also certify that J am the owner or authoriZl'd agent for the
ction' rm to aU eXISI!'!Il state and .local Jaws .and will proceed in accordance with submined plans. J am aware Ihat the building
gree thau&e City offiCial or a desJgIlee may enter upon the property to perform needed Inspections.
.' /-.- .2tJc;:J9C}i/1,. 7 i -3 ~ 2{,-o 7
Contractor's License No. Date I
,50
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pennit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Buildlnll Pennit When Approved
~~
Buildinl!. Oll1cial
3/21 fa 7
, Date
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 requcsted. This document
when signl-d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cl'rtificate uf Occupancy must be
issued
P1anDing Director
Date Special Conditions, if any
24 hour nolice for all inspections (952) 447-9850. fax (952) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~~
Date: 3/2...( ((:} 7
Building Permit #
Site Address /73 7 'I
PID: Zoning:
])tt:7G. Fi 62.D j) re., 5 * r::- I
Legal: L
B
Subdivision:
Existing Structure: @r NO
I CONFORMS TO ZONING
ORDINANCE
I~I
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? rJO
Is the property located within the flood plain? Refer to Planning tJO
Does the alteration include any additional kitchens? Refer to Planning No
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? NO
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single NO
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
SITE ADDRESS -' '7 .3 7L/ D~~~. Sf ~ .
NATURE OF WORK c:;L, f=:i t-JI
USE OF BUILDING . .
PERMIT NO. 07. O/~ DATE ISSUED 2.. 07
CONTRACTOR ~ W,~Qt...j'_ PHO S2,- -1'1t.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
< "::""'1..
,.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
'-1 - )()\
EATING
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