HomeMy WebLinkAboutBuilding 05-0590
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
522-7
c;qs / () 17 t:::...
Date Rec' d
&.22.05"
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05 osyo
p()/ tV I 04V'&"'
ZONING (office use)
12/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25'". ~ol. (J "'d. 0
OWNER. 1//\/
(Name) (in: t'-y
,DG'T \r?:M
(Address) J-..,
(Phone) 3.s2 -GJ-1() ~ 4:SS7
(Phone) 1'524U1- i5/ c4
(Phone) 4:4 'Z~7Z3-?-7/ S-
//;U/
U~J
TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing ORe-Siding ower Level Finish o Fireplace
OAddition OAlteration o Utility Connection / Uf-
CODE: ~.R.C. DI.B.c. o Misc.
Type of onstruction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certifY that I have hlrnlshed InformatIOn on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorIze,l agent for the
above-menlloned property and that all Cllnstruction wII conform to all eXistIng statc and local laws and will procccd in accordance with submitted plans I am aware that thc buildIng
official can revoke tillS permIt tl)rp::;JatlSe Further .c, I hereby agree that the City official or a deslgnce may entcr upon thc property to perform needed Inspections
X / /~ __ C{:, - 27 '('6
Signature Contractor's License No. Date
Permit Valuation /000.00
Permit Fee $ 3.f-.75"
Plan Check Fee $ -
State Surcharge $ ,50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
k:B'U;:dingp=Z;0;'
811i1dlt1~ Ofticial Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ J 5, z...5
Paid
Date
35 Z S-
{.,. Z 2. to ...-
Rece~ fl.j9Z
By' _
/
ThIS IS to certify that the request In the abuve application and accompanYIng documents is 10 accordance with thc City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonll1g compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must bc
issued
Planning Director
Special Conditions, if any
Datc
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
oC
..
Residential Building Permit Chedilist
Basement Fmish or Interior Altentian to Single Family Hom~
BY:~
-
~Iv
Date: 1.o/2."L~ S
Building Permit #
Site Addr~s 52 Z 7
PID:
[1~ ~
Zoning:
~~
L~:L
B
Subdivision:
E~gS~cmr~rNO
r CONFORvIS TO ZON1l'fG I Y"ES f l'1-0 I
o RD Il't~'f CE
YES I NO
Is this an e."tpansion of the e.~g footprint or Refer to Plamring
building height'? t00
Is the pI'Ope:-='f located within the flood plain? I Refer to Plamring I fJ() I
Does the alte::lrion indude my additional lCtchos? I Refer to PlaI:I:ing I N I
0
Does the orcrcosed alte:':ltion inciude any outside' R~f::- !O pl~,.".,mg
. . .
e:ltrmc:s othe: than patio deors? rJ()
Is the pro~osed tlSe of tile furisned ~ac= or R:::: ~e Pl~T"""" , g
alte:':ltlon for anytbing other .h:rT'l a nor.nal single rJD
fa.-rrily hor.:e (acc:. g:ro~ hcce. 6y c:!!':. e~c.)?
Tms l..c...::.CXI..1S"i :YlUS"i BE COM:?LETID A...'fD IT'fCLUDED IT'f T:-rr Bt.1LD[;'iG P=:R.'ilTT P.U: TO
:'YLlJNT.-\1l" A RECORD OF Th'"I REV"[E\V.
"
"
.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5227 ~S/ QI'tIC- P,
NATURE OF WORK LOWE-It: t..eVE;L
USE OF BUILDING t2eS fll/C...-
PERMIT NO. Os; 0590 DATE ISSUED &'. zz... os-
CONTRACTOR :E f B PHONE tt:1IPy. .3/04-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,..... I
~ _____ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
- . .
~-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BWLDING
ELECTRICAL
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