HomeMy WebLinkAboutBuilding 06-0645
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7./ 8 .O~
(Please type or print and sign at bottom)
\...M;)DRESS
I 1+4-t,f3
I White
Pink
Yellov.'
File
City
Applicant
\ PERMIT NO. O(P. O(p+CS\
ZONING (offIce use)
tAsTlb~~rT& /!lAY NrI
LEGAL DESCRIPTION (office use only)
25.38+. C/Z.O\
LOT
BLOCK
ADDITION
OWNER
. (Name) lilt' roil611 r
Jlj1.t. HI (,.Jri
h
.~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID
(Phone) ~ S 2.. -233-8832.
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofmg ORe-Siding
o AdditlOn OAlteration OUtility ConnectlOn
ower Level Fimsh 0 Fireplace
.:l. ~.f.
I hereby certlty that I have turl1lshed mfmmation on thIS apphcatlon which IS to the best of my knowledge true and conect. I also certlfy that I am the owner m authonzed agent lllr the
ab,)vc.mentloned properry and that all constructIOn WIll confmm to all eX1stmg state and local laws and w1ll proceed in accordance with subm1tted plans I am aware that the buildmg
offlClal can revoke tillS perm1t for Just cause Furthermore, I her' y agree that the Clty official or a deSlgnee may enter upon the propel1y to perform needed mspectlons
CODE: fI.R,C. OI.B.C.
Type of onstnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
L Division: 1 2 3 4 5
x
Permit Valuation 3, 000. (;()
Permit Fee $ 7 +-. 1S
Plan Check Fee $ -
State Surcharge $ /.50
I Penalty $
! Plumbing Permit Fee $ 4- o. 00
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
\~~
\ ~
! Buildll1g Uf!icial
?ltr/dt.-
, Dat~
o Mise -
PROJECT COST IV ALUE $
(excluding land)
Contractor's License No.
"L1.,.il... /IJ ".. )
. .'vatt: .
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
Water Tower Fee # $
Builder's Deposit $
Other e~. $ /.00
TOTAL DUE $ / ilk 25
I
Paid
Date
1~67jf
i Rec~ S7f~9
\ B't '
ThIS 1S to certIfy that the lequest m the above applrcatlOn and accompanymg documents 1S m accordance w1th the City Zoning Ordmance and may proceed as requested TIllS document
when signed by the City PI,llmcr const1tutes a temporary Certitlcate Df Zonrng complrance and allows constructIOn to Cllmmence BefDre occupancy, a Certltleate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 honr notice for all inspections (952) 44 50, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lak , MN 55372
.
Residential Building Permit Che~klist
Basement Fmish or Interior Altention to Single Family Hom~
BY:~~
Date: ;(1 ~ "
B
PID~ Zon.il1g~
~ ~ I-I,WJ
Subdivision:
Building Permit #
Site Address /'1 t-( (0 ?
L~:L
E~gS~crtrr~rNO
CONFOR!.Y!S TO ZONING
ORDm.~'fCE
NO
I r u:s I NO
Is this an e:::pansion of the ~...sring footprint or Refer to Planning
building hdgb.!'? ,Jo
Is the prop~f located within the flood plain? \ Refe:- to Planning \ rJo I
Does the alte:::l!lon indude my additional kitc!:le::s? \ Rde:- to Plam:ing I fJ-o \
Does the orm:;osed. alte:-ation induce my outside" Refer to Planning
. . .
c:ltrmC:S othe:- thm patio doors? ,JCJ
Is the proposed '.lSe of the furislld spac: or Ref::, to Pl~,.."'"'~g
alte:-atlon for anymmg orne:' .j,:m. a ncrr.:nal single Jia
family booce (ace:. groll!' he!:::. d::.y e~:. e~c.)?
Tms c~CK!.l:S'7 )it'S'7 BE COM:PLETED ..I..;.'ffi U'lCLU'DED U'I T:.u: Bl1lD[:'iG PSR.'Il1'7 FU.Z TO
:Yl.lJN'7.-\lI'f A R..::CORD OF T:-rr REvrrw,
'"
"
"
P R I 0 R LA KE DJ:'PARTMENT OF
,^ BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS / 44-~E3 MJ7L6 Grl T5 fl/A/V
NATURE OF WORK L--Ow ae- ~6V6 v
USE OF BUILDING /2&S" /tl/(.
PERMIT NO. 0& .0& +-:.;- DATE ISSUED ""7. /13, 0 ~
CONTRACTOR /-I /l~ H I qlf I PHONE 233. f3 83 L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ !
~I)I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
wG--
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I 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