HomeMy WebLinkAboutBuilding 07-0231
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/'7V{
Date Rec' d
4-.17.07
] White
Pink
Yellow
File
City
Applicant
I PERMITNO.1_ Z.~I
J.6.
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK ADDITION W \ i'-'J
OWNER
(Name)
~kvt ~1.
(Address)
(Address)
Pu~ \"')
D/V &
z~
PID ~-~, Z .ocI4-U
(Phone)
f5~ 9'~O-?ZZ-7-
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectIon
~ 0 b-Misc
CODE: .. .C. I.B.C. ~ 1\
Type of onstruction: 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 ower Level finish 0 Fireplace
g,~~ ~ A~A-
PROJECT COST /V ALUE $ ~ /'Z:? d t:J ttJ
(excluding land)
,ad
x
I hereby certify that I have hlrmshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
ahnvl'-mentHmcd proper and that all construct" n will conform to all cXlstmg state and local laws and will proceed in accordance with submItted plans_ I am aware that the buildIng
()tflcial can revoke th' t'rrnIt for Just cause F ther ore, I hereby agree that the Clty official or a deSignee may enter upon the propelty to pert(lfm needed lIlSpect!olls
, I 1'V'r--~__" V ~ "lid 1"1 ~ '1,.,6) 11
Signature Contractor's License No. Date
Permit Valuation . -:z... C? ex:::>
Permit Fee $ 7" .1;...,
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 40_ -
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee ~
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 103. z..;,-
Paid
Date
fO'~. ?-~
.I r /v\
I ~~ceiPt NO~lt2 S:.>
This IS tu certify thot the request m the obuve opplicatlOn ond occomponymg documents IS m accordonce with the CIty luning Ordmonce and may proceed as requested. TIllS ducument
when signed by the City Planner constttutes a temporary Certiticate of Zoning compliance and allows construction to commence Before occupancy, a Ccrttficatc llf Occupancy must be
issued
Planning Director
Special Cunditions. if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
n :arA~inish or Interior Alteration .to SingllamilY Homes
BY: ~ Date: "1 k7 ~7
Building Permit # PID: Zoning:
Site Address Of - 2-3 \
Legal: L
B
Subdivision:
Existing Structur~o
I. CONFORMS TO ZONING
. ORDINANCE
I~I
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ..p
Is the property located within the flood plain? Refer to Planning f
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \ S ~ Z- 4- c:; c H\'2-vct)cfl-.- (j \1<- N. &_
NATURE OF WORK L . L. ;:= IN, 51+
USE OF BUILDING (Z<ES I"rl tC- ~ /
PERMIT NO. O{ -2 ?) DATE ISSUED 1- ~ 7 /0"7
CONTRACTOR 5tz>>,.,(;;,C7M-r?!::- ~;:- PHONE 1) z- ~ "7 -~ -z. '7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I ~gOrIfJ87" I
I ~IIV~ (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
__u.... ., ::A4ER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-.. ..
AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ". I I
FINALS
rior to Sodding)
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 INSPECTIONS (952) 447-9850
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