HomeMy WebLinkAboutBuilding 06-0536
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
y"/
00'~
LEGAL DESCRIPTION (office use only)
LOT 0 BLOCK :3 ADDITION &~.
OWNER
(Name) " ')/j'7/'C~ ~
(] /e.......l'J/j <;
Date Rec' d
White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. oro - s ~4
r/Jdb
Isr-
PID
ZONING (office use)
-'" '--,
(Address)
)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
DAdditlOn DAlteration DUtility ConnectIon
Lower Level Finish
3 IfYI!S.
CODE: ~I.R.C. DI.B.c. o Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
/lie ~ p.
x
I hereby certity that I have hnnlsh . 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
abllve.mentJOned property an lat all construction will conform to all exisl1ng state and Illcal laws and will proceed in accordance with submitted plans I am aware that the buildmg
for Just cause Furthermore, I . >by agree that the City official or a designee may enter upon the propelty to perform needed 1l1specl1ons
~{l"'-~ /-
Permit Valuation .3/000.00
Permit Fee $ 7 t1. 7S
Plan Check Fee $
State Surcharge $ /..sv
Penalty $
Plumbing Permit Fee $ 40. () 0
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Y OUT Building Permit When Approved
~
{eJ2;-
~//t(oh
Da ~
Buddin!! Oflicial
(';.)
Contractor's License No.
Park Support Fee
SAC
#
#
/ 9' -C'~)
Date
$
$
$
$
$
$
$
$
$ / 1(,. ZS
Planning Director
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThiS IS to certify that the request 111 the above applIcatIon and accompanY1l1g documents IS in accordance with the City Zoning Ordinance and may proceed as requested. TIm document
when signed by the City Planner constItutes a temporal)' Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy mllst be
i.sslled
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residenti3.1 Building Permit Checklist
BJ.seme:J.t Finisb or In te:-:or Altentiou to Single F:mlily Homes
-'2 .
BY.~
~
Dace:
0' (9-{)?
Building Permit ::#
Sin~ Address
JIcJ-; LJ
B
PID: Zonin0:
(!oC~df/n1(~ i-~
L eg1.l: L
Subdivision:
KJisting srru.c:ure@r NO
COr-fFOR'YIS TO ZONBG y--.E S NO
o RD ill AJ.~- CE
'lIS
NO
Is dus an e:<:.?2IlSlOn or dle e;Gs-wg LOoq;m::.c or Rer":,:, co P 12.IL.-:rrl g
building heig:b.t? JJO
Is d:J.e pTope:cjlcc:J.cei N-lU'lffi -h~ Bocd pram? I ReI:'::- co Pla.-:..-ring I rJCJ I
u.'-
I Does w.':e al [er2tion illclude any additional ~C[che::s? I Rere:- co Plar:nffig I NO
Does I:b.e ~ro~ose:: aite:-:J.rlcn ir:clt.:.de any OUGi.c.e Rere, co Plar.61g I
e:1cr:mces orne:- thar: ::Jacio doors') ~(j
Is tt:e pro~os~d l.l.Se o f:b. e - . . Rere, co ? l mr.::: g
G:C..lSi1e-:: 5pac~ or
alter2ccn for an~rc.t:ffig l)chr::- ~~m a c.oGJ.2.1 5~ngle tJ6
c-aI:1l iv nou:e ( ocee, g:-GU~ , 1~2.~! (:2.r~. ~:,:.r')
GOGe,
Tms CREC<l.lSl' .'I[1jSl' BE COlyLPLETED AJ.'fD [NClUDED Ii:'( T:-rr BL1LD[i:'IG ?~RlY[IT FILE TO
l'fL-Vi.'lT.-VN A RECORD OF THE REVIEW.
"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS '-I~/'I e~~A, IJ
NATURE OF WORK L..:.. Ti"dl~ ~ ~ O'~ /
USE OF BUILDING -SE = 0
PERMIT NO. ~-. fr~t pATE ISSUED ,. ·
CONTRACTOR ~h~~ 8,&:'1. 1.,.;- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
1- I I
~II
PLACE NO-CONCRET . UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~
HEATING (if required
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.1 I
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