HomeMy WebLinkAboutBuilding 07-0893
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
?/, I?jo7
I PERMITNO.07_~CJ5
ZONING (office use)
c.
~r S"D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2~.&f2'()cl./. 0
OWNER ~
(Name) --I Oh
(Address) I
(Phone) 9r) "LjLf\;} -/7 Z}
0, It :1
';1:.
L\&>A'*' n."",f.....,
, r' }- I-I'-IQ -'-I};7 .J
t ,)-- ') /9- 0 s t::J 2..
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAdditlon R'Alteration o Utility ConnectIOn
CODE: ~LR.C. OLB.C.
Type of &;'~struction:
Occupancy Group: A B
Division:
o Misc.
I II III
E F H
Gz
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
~ ~
$ ~. baa
I hereby certity that I have hlInIshed Intilrmation on this applicatIOn whICh IS to the best of my knowledge true and correct. I also certlty that I am the owner (lr authorIzed agent tllr the
above.men lI1ed property and that all constructIOn will conform to all eXIstIng state and local laws and will proceed In accordance with submllted plans I am aware that the butldmg
olliclal ca 'voke II , ,"rmll f, ust cause Furthermore, I hereby agree that the CIty oftlcial or a deSIgnee may enter upon the pmpeny to perflllm needed mspectlons
- -ls~?-716'" 7'-17... o")
Contractor's License No. Date
x
Permit Valuation
Plan Check Fee
$
$
Ole~
.2-S"
57 . 81,
-S-O
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 $ /4 7, II
Permit Fee
State Surcharge
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Y OUT Building Permit When Approved
I~~
i Butldlllg Unielal
? II~/{) 7
Date
~~/~ ~~bl
ThIS IS to certIfy that the requeslm the above apphcatl<l!l and accompanYlllg documents IS m accordance with the City Zoning Ordmance and may proceed as requested TIllS document
when signed by the Clly Planner constllutes a temporaty Certificate of Zonmg compliance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, 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
. ... Interior Alteration to Single Family Homes
-
BY:~~
Date: 9(/ t? I~ 7
Building Permit #
Site Address /S-.>';? ?
PID: Zoning:
~ 8o.N:J. If!..d, S.€,
Subdivision: N t!J~
Legal: L Cj
B
Existing Structure~r NO
I CONFORMS TO ZONING
ORDINANCE
I ((VEV
I
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? No
Is the property located within the flood plain? Refer to Planning ~O
Does the alteration include any additional kitchens? Refer to Planning ~O
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 ~O
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 DEPARTMENT OF
.' BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS (5538 feD 0Ac~ t.tJAtJ ~.E".
TYPE OF WORK ~r'~.... _ _e..M.. ~ ~ 8\1?P DoGe.
USE OF BUILDING s: F=:O~
PERMIT NO. tf?-tlrJ3 DATE ISSUED '1'6/.?
BUILDER PHONE #
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-~~ J I I
PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN SIGNED
I FRAMING I, iI'\( I g-L'(V I
I FINAL I ()c/J I rJ-IIJ--1f7 1
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
-" .