HomeMy WebLinkAboutBuilding 02-0059
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1- /!~() 2-
3.3/Q
W~o.o
D U (!,j::::..
PUO
LEGAL DESCRIPTION (office use only)
BLOCK 2- ADDITION
IV I ~o.s
$,;-\/ !i""(LLki
Date Rec' d
1. White File
2. Pink City
J . Yellow Applicant
OR-.
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PID ,2.5-33 -
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PrIor
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
ORe-Siding
o New Construction
~Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have furnished information 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 above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope perfo~ needed inspections.
~
o Misc.
x
Permit Valuation 4-/ 000.00
Permit Fee $ e;;7.25
Plan Check Fee $
State Surcharge $ 2... .00
Penalty $
Plumbing Permit Fee $ 4tJ. 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ +-0.00
mes Your Building Permit When Approved
/-/5-0'2-
Date
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
Contractor's License No.
Of - D 2-- {)2-
.i' na.e
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 CAt.AEO 1- (lD-OZ $/foCf. 2.-5
ffr1t~7t
Paid
Date
Receipt No. 411 IP5"
By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ('t"nler of the Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
JOtiNso tJ, GtEO~b
1--14-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
331q \'\IOOD DU~k- (2g.
Accepted )<
Accepted With Corrections
Comments:
Denied W
Reviewed By: j;ptS..~
IZ6AV lHG L,(J~V~ LBV6L,.-
FI NI~'i--lr!tNDOUTS
Date:
1-1'5-o""L.
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tht ("tn1tr of Iht Lakr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
:<Tr f-\ :. " ,I" (\ I ,r::j;:- (
',"" " I I '.) ,-",' , ....; ".... I v '-.,.,.
I I / /" -'-)
I -.- ~-r- - G L--
I ./' r~
f_... ':.1 c.:"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--:-s I (' \' ',' / l', \"") f) i ;' f / ./
'---'" '---_/ \j G '-...-11/, v '-.....
C)~ .
Accepted
)I
Accepted With Corrections
....+.
Denied
Reviewed By:
"'\
: .
Comments:
/2.E'/II.J
F II\! ,-~rt
qlG
I, ; l/'~' .
, '.' J I' ,'"
'......" I... c .~. -~
Date: J Ie...') '2-
l- t \ t L---.
&...
J j.' /" ' ,,' , r-r-I (
1/ 1'.1./'/\ .~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
ByijJ$.
Date: /-/4 - () 2-
Building Permit # Pill: 25 -.537- ()fs~O Zoning: puG
Site Address 33/ q NOOD DUel:'- DR-
Legal: L -7 B 2- Subdivision: Hi II-D5 3 ~
Existing Structure: G) NO /-.----"
!
CONFORlvIS TO ZONING
ORDINAL~CE
NO
.'1')
. ft,.
II
"~~:
4t, .-
.
~
..
I YES NO I
Is this an expansion of the existing footprint or Refer to Planning
building height? y }.,
Is the property located within the flood plain? I Refer to Planning .... ,
y ..,
'"J
,
Does the alteration include any additional kitchens? I Refer to Planning I 1- .
,
L
Does the proposed alteration include any outside Refer to Planning ~.
entrances other than patio doors? 'fA'"
Is the proposed use of the finished space or Refer to Planning :J
alteration for anything other than a normal single ~
family home (office, group home, day care, ecc.)? .-""
:.
THlS CHECKLIST MUST BE COMPLETED A.NU INCLUDED IN THE BU1LDING PERlvI\T F1!E TO
MAINTAIN A RE CO RD 0 F THE REVIEW.
L\TEvfPL.l... TE\AL TCHCZ.DOC
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 33tq WOOD OUC!-~ DR-t0G
NATURE OF WORK LOW~ L r;::;v ~
USE OF BUILDING tGt$ AIR-
PERMIT NO. 02 - 0011 I DATE ISSUED 1-(<:;-(') 7 _
CONTRACTOR -=rDHNSQ PHONE 22&- 331t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
JIl IV- ~I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
JA ~ a_ 1
1-
. . ..
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
DOl.
\t\.
~
o~
~PLACE-'"
.GAS LIN~ AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~.~..,....- .~..;:...,..-=:~..,:_.- ..
BUILDING
ELECTRICAL
PLUMBING
u-~
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850