HomeMy WebLinkAboutBuilding 02-1521
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
//- 2 Z- 0'-
99- () /22-
at bottom)
White File I PERMIT NO I
Pink City . 0 z. "" /5 Z ,
J YeHow Applicant . .
ADDRESS
1-(; tJ I flU /7 n I IV q If / ,eo
/{Ie
-;?i;~ / L
ZONING (office use)
tC-/
LEGAL DESCRIPTION (office use only)
LOT / BLOCK I ADDITION
KII/(JIS Hft.-c.- 3 Je,O
PID.z5-3'19- 00/-0
G-ra t 2-
(Phone)
OWNER
(Name)
D t{ U,'(J
95;- '143- 971/ D
7(/3 .- 7~S~q-33d
(Address)
?;/I
("-
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Roofing
o New Construction
DDeck
DPorch
~ower Level Finish
o Fireplace
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
DUtility Connection
ORe-Siding
I hereby certif'y that I have furnished information on this application which is to the best of my knowledge true and correct. I also certif'y 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 roperty.J:p perform ne e inspections.
x
Contractor's License No.
Permit Valuation :5, {J{)(),Q ()
Permit Fee $ "... . I, -. "vl. 2-
Plan Check Fee $
State Surcharge $ -.I. jd J.
Penalty $
Plumbing Permit Fee $ ....
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 4-0..00
Park Support Fee
SAC
#
#
s-
D
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~~
Building 0 clal
/ ' vz..--
1\11.--'L/eL
Date
11- d.:J- 02
Date
$
$
$
$
$
$
$
$
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 b the City Ianner constitutes a temporary Certificale of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~{ll-J-!o1- ~_~ ~~5
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
.-----_____.,____,._".c..~~..._~,~"..._ .._~.,~~..."..~_._'" ......_.. ".,..__
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date:
--?
II ? 2 ~t "--'
Building Permit # 0 Z -/.r' Z. ( Pill: 2- C:'~&l~c.'(f /- c:) Zoning: ~/
Site Address ~& () / r/ t/ /"? n //1/4 L> / ..eO
Legal: L / B / Subdivision:
Existing Structure: "'YES or NO
I CONFOR1VIS TO ZONING
ORDINAl~CE
YES
NO
YES
NO
Is this an expansion of the existing footprint or Refer to Planning V'
building height?
Is the property located within the flood plain? I Refer to Planning ,-t'
Does the alteration include any additional kitchens? I Refer to Planning I V
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? V
Is the proposed use of the finished space or Refer to Planning y
alteration for anything other than a normal single
family home (office, group home, day care, e~c.)?
THIS CHECKLIST MUST BE COMPLETED .-\.J.'ID INCLUDED IN THE BUlLDING PERIVlIT FILE TO
lVWNTAlN A RECORD OF THE REVIEW.
L\TEv(PLA TE\Al TCHCZ.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4-6CJ/ /-It./f1fv1/Nq t?/R-o~
NATURE OF WORK L-Ci {,i/ 671- &C:V~
USE OF BUILDING /Zg-...s. /I~'--
PERMIT NO. 0 Z - / 5 2- I DATE ISSUED / I- 2 z . (" "'Z-
CONTRACTOR 17/11//.0 ~k'rrrl=:- PHONE +ti3- 914-d
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~.~ I
I f'~ Itd- laII4.. I... 1..- An dmll) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
c
FRAMING
INSULATION
ELECTRICAL
~L
HEATING (if required)
F:IRll h ~O[ ~'~j- STlJ V6
/l /R- .,ZS--r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
HEATING ~ / 'oS-
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