HomeMy WebLinkAboutBUILDING 08-0432
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please n at bottom)
ADDRESS
/ 'I Z If 7 ;::;:, rl<' U/CI.J
LAue
,
7/1L/f)?
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. Of"-Oc(3L
ZONING (office use)
LEGAL DESCRIPTION ':office use only)
LOT2D BLOCK
J~
ADDITION
OWNERD '
(Name) ~A()<(;
1/ /}') und..56"'t
~ r-k l/ /~ 1-./'
(Phone) 9 52 ~ '1qc -/.SO Y
~V(.. 'ff/or ~k:c.
(Address)
I~
PID 2S'. '-1'$ 7.02.-0. h
i BUILDER ~
I (COmpanYName)~.p(')r'(\/V\.""€:'<" Lb~.str~c..hc...h
I (Contact Name) ~ f\ 1;1{\ -c...-.S ;. VV\ l c:... ~ ~
I (Address) 53Zy H/(;.ti?tJ;;-/Ie- c.+ s..F ?,.ICr- !...+l::.L
(Phone) 952-ljYO~/~{J
(Phone) Q52--Z.QZ s9..s I
M I\J .sJ7
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
ORe-Siding ~Lower Level finish cB.rirepl
t-JO gA~'rOO""'"
CODE: ~I.R.C. DI.B.c. o Mise
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: ~ 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that 1 have tUfl11.shed mformatton on this application which is to the best of my knowledge truc and correct. I also certify that 1 am the owner Of authOrIzed agent for the
ahove-mentlLlned property and that all CllnstructlOn will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the huildlng
offiCial can re ke~h~r:t I," JllS ~:a:;;::~::;e~ebY(~: the City 2;3 d~~ee7a7n7r upon the propeny III perf(1rm =/: O;I~:~ B
Sigllature Contractor's License No. Date
,.
Permit Valuation 1t1f2coa. 0 0
Permit Fee $ ~2,'2S"
Plan Check Fee $ -
State Surcharge $ 'c 00
i Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
:
Gas Fireplace Permit Fee $ 5(),00
I This Application Becomes Your Building Permit When Approved
I~u~
I Bulidlllg Ufficlal
"ll-z-{o?
1)a 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
ThiS IS to certify that the request III the abuve apphcatlOn and accompanYing documents is 111 accordance with the City luning Ordinance and may proceed as requested TIllS document
when signed hy the CIty Planner con~;tItutL'S a temporary Ccrtitkate of ZOl11ng comphancL' and allows construction to commence Before l)(CUpancy, a Certlfi.cate of Occupancy mllst be
Issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) -t-t7-9850, fax (952) -t-t7--t2-t5
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~
~
~
Date:
?p/4
Building Permit #
Site Address / i;;2'/ 7
Legal: L ,;J ~ B I
PID: Zoning:
jJ~~
Subdivision: ~ I ~
Existing Structure~r NO
~
I CONFORMS TO ZONING
ORDINANCE
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? tJi)
Is the property located within the flood plain? Refer to Planning /V~
Does the alteration include any additional kitchens? Refer to Planning j1J()
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? fit)
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single tUtJ
family home (oflice, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINT AIN A ro:CORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
,.,
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
-.s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
7 -(L("L))
EATING if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical s~nrice 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