HomeMy WebLinkAboutBuilding 07-0216
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, 1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-.(S 07
1. While File I PERMI
2. Pink City T NO. 01." It-
3 Yellow Applicant <- !!2
ZONING (office usc)
I ~;~r~[;:u:~ (i^-
n( niL
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ~ ADDITION AR.. \?, NAt.-
Tit-,
PID 2.S-3Z-Z -()(o-o
OWNER
(Name) /L
(phone)
7 5'Z- 22~- a;
(Address)
(phone)
(Phone)
C( 'j2--16f5crt - ~'ioo
772- fJ9'~6' Icrlt
1!J/,
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing ORe.Siding ~wer Level Fimsh
OAddition OAlteration OUtility Connection 0 Misc.
o Fireplace
CODE: OX.R.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST /V ALUE S
(excluding land)
I
E
n
F
1
ill IV V A
HIM R
2 3 4 5
x
to the of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
aU eXlSlin e and local laws and will proceed in accordance with submilled plans. I am aware that the building
e city official or a designee may enter upon the property to perform needed Inspections.
--..-" 2 &(J&tJ {Z -7 ~'- 111 c;J 7-
Contractor's License No. Date
I hl...eby certify that I have furnished information on this appli
above.mennoned property and t cons' .
official can revoke this perm"
Permit Valuation 000. - Park Support Fee
Permit Fee S ?'4,7<; SAC
Plan Check Fee S 0 Water Meter Size 5/8"; I";
State Surcharge S Pressure Reducer
Penalty S Sewer/Water Connection Fee
Plumbing Permit Fee S Water Tower Fee
Mechanical Permit Fee S Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee S TOTAL DUE
#
#
#
#
1 C/fLj
$
$
S
S
S
$
$
S
S
s~.~~
ThIS .s 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 signl-d by the City Planner constitutes a temporary Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a Cl"l'tificatc of Occupancy must be
issued
Pllullling Director
Dale Special Conditions, if any
24 hour nolice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
'1
PRIOR LAKE
INSJJECTION
RECORD
I
1(0 -~ I \ V I (,Fdl.-\4-
L. L fuv SIt-
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. 0;-7- IG DATE ISSUED _1 13>
BUILDER 0r4..-~ ~(0- {/l//UIV-J PHONE # C.1r)L--bcll -34w
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT~ONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~II"& I _
PLACE NO CONCRETE UNTIL ABOVEJI~ B'EN SIGNED
I FRAMING I }/V //' J
INSPECTOR
DATE
I FINAL
~MI
FOR ALL INSPECTIONS (952) 447-9850
. .
, 1
BY:
Date:
Building Permit # (77., tIp PID:
Site Address 10 3/1 tIi CJZfL t4-
Legal: L B
Existing Strneture&o
CONFORMS TO ZONING
ORDINANCE
Zoning:
Subdivision:
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning ~
building height?
Is the property located within the flood plain? Refer to Planning y
Does the alteration include any additional kitchens? Refer to Planning y.:
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? /'
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single
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