HomeMy WebLinkAboutBuilding 06-0084
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
eOIVDS'iDbz. L,,,./
Date Rec' d
e. 7 0(-/
I White
Pink
Yellow
I PERMIT NO. 00 .oOf4-1
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25-. ::; (j'tl. 0 I Z. 0
OWNER
(Name)
SOLIZ-
(Phone) (703) 22 (- i-/7 (:.6
1"-1/\ (( 1""1"
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration DUtility ConnectIon
ower Level Finish 0 Fireplace
CODE: ~.R.C. DI.B.C. o Mise.
Type of onstnIction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
Permit Valuation ?-/ 000.(10
Permit Fee $ €,"f. 26-
Plan Check Fee $ .-
State Surcharge $ 2. .c}O
Penalty $
Plumbing Permit Fee $ 4().D()
Mechanical Permit Fee $ ~O.OU IITA
Sewer & Water Permit Fee I $
I
Gas Fireplace Permit Fee $ .-
This Application Becomes Your Building Permit When Approved
~1i,,1<.(z~ -,/?Lflo
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other EL ~...t"C-./ $ I. VO
TOTAL DUE $ /'70. zs-
ThIS IS to certIly that the requcst m the above applicatIon and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as rcquested. ThIs document
when signed by the City Planner conslJtutes a temporary Certiticate of Zonmg compliance and allows constructIon to commence. Before occupancy, a Ccrtlficate 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
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
..
BY:
~~
Date: c:; /7;0 G,
Building Permit #
Site Address SeJ 00
PID: Zoning:
Legal: L
B
~~~
5 ubdivision:
Existing scructure:c@)r NO
r~1
I CONFORlVIS TO ZONING
ORDIN".A1~CE
NO
I
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? tJCJ
Is the property located within the flood plain? I Refer to Planning I
/JO
Does the alte:-ation include any additional kitchens? I Refer to Planning I
!JO
Does the proposed alteration include any outside Refer to Planning
entrances othe: than patio doors? jJ(J
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single tJtJ
family home (omee, grotr;' home, day c:u-e. erc.)? I
THIS CRECKl.1ST :vruST BE COMPLETED .~'fD INCLUDED IN TH:E BL'lLDING PER'rrIT mE TO
;\-L-VNTA1N A RECORD OF THE REVTIW.
..
T .\T;,-,rtlT ~ '1'"');", ~ T Tr---r.:;r< nnr
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~)I j J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I J J
FINALS
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