HomeMy WebLinkAboutBuilding 07-0716
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
l~= beldh
(Address)
LJ ~ r+-k V'-Ov-
BUll..DER.
(Company Name)
(Contact Name)
(Address)
Date Rec' d
8~ 3 07
I. White File
2. Pink Cily
) Yellow Applicant
I PERMIT NO. 07.07/lv I
+~~
ZONING (offic~ us~)
(phone)
PID ZS-. Q30. 0& .0
'752~SlS~hy'91
~'.-~- r l/~bl/
~5'2 ~L/tf6. J9ft
TYPE OF WORK 0 New Construction o Deck o Porch ORe-Roofing ORe-Siding
OAddition OAlteration OUti1ity Connection 0 Misc.
CODE: OI.R.C. OLD.C.
Type of Construction:
Occupancy Group: A D
Di"ision:
II
F
1
ill IV V A
HIM R
2 3 4 5
I
E
o Fireplace
B
S U
PROJECT COST IV ALUE S
(excluding land)
II, LIOh
I
I hl...~by certify that I hav~ furnished information on this application which is to the best of my knowledge Iru~ and correct. J also certify that J am th~ owner nr authonzed agent for Ihe
above.menllon~d pro~ and that all conslruction wi! rm to all eXISting state and local laws and will proceed in accordance wilh submitted plans. I am aware that the building
official can revoke i il ~ . F , J hereb 1 the city official or a design.~ may enter upon the pro~rty to perform necdl'<i anspections.
x
Permit Valuation 2,OOO.(1()
Pennit Fee S (., z. 25
Plan Check Fee S .-
State Surcharge S /. () ()
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Pennit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Yom Buildlnll Pmnit Whm Approved
~~
Build;n!! Ollicinl
P/3/0 7
, Dale
2- (JtpJ thO'/"2-7
Contractor's License No.
7-2-7-07
Date
Park Support Fee
SAC
#
#
Water Meter Size5/S"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
ThIs IS to certify thatlhe r~q\leSl in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~d as requested. This ducument
when signl'<i by the City Planner conslitutcs a temporiU)' Certificate of Zoning compliance and allows conslruction to commence. Befo~ occupancy, a Cl'l"tificate uf Occupancy must be
issued
Planning Dim:tor
Date Special Conditions. if any
24 hour notice for all inspections (9!12) 447-98!1O. rax (9!12) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~
~
Date: ~13 (07
~t-
Legal: L
B
PID:
~bdiviSlon:
Zoning:
Building Permit #
Site Address I '-{ ( 2.. if
Existing Structure:~r NO
I~) I
I CONFORMS TO ZONING
ORDINANCE
NO
I YES I NO
Is this an expansion of the existing footprint or Refer to Planning
building height? tJO
Is the property located within the flood plain? Refer to Planning l'Ja
Does the alteration include any additional kitchens? Refer to Planning f'Jo
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? tJO
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 horne, 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
SITE ADDRESS /4/24 !2,(/rC.,6JC J S';~.
NATURE OF WORK LellA/t.1C- L-eV0~
USE OF BUILDING /2b /-r/,-L.-
PERMIT NO. {Xl. 07/ &,? . DATE ISSUED s- S. 0 7
CONTRACTOR (jRb1T L/ti::.-&_C PHONE 9.52-. .ff-/~7. /7/0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.... :
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
~
- -
i
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
<7Jt -(/7
~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
--
--- -
BUILDING
ELECTRICAL
HEATING I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical s~rvice 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