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HomeMy WebLinkAboutBuilding Permit 13. 0246 _ z / k ■— § E vv � < ki POHL >lb 1 kz 2| S M \ _ 0 \ w z 0 �1 M M < § .6 0 § 0 I t o 00 � _ . o g 0 N . E § ts t § w ' ■ 0 0 w cae §3m � ■ U a ■ Iw ■ I o o0- Z o - M © - § _iU w w x k _01.1 $ ■ a� �� 92U. 2 2 . 000000 r § 2 § ILI a a U.§ & § ] 2�� n + k § ° S 2. §§ § w g cs- kZa� -� a kILI k J� �© -•E■ u _ 0QO2 2 0 a 0000 C.) X CD CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3 ?` 3 AND UTILITY CONNECTION PERMIT 0 i. white Fite PERMIT NO. -.,)----3----0? 3 Pink Apt Iv., .( 3 Yellow Applicant Attype or print and sign at bottom) DRESS3 g Gtjf 'J ix AiC K /✓ ZONING(office use) Pr-iti,-- 1. etXe AA Ai .53-37Z.-- LEGAL 5337vLEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID WNER Name) Ma ){el�z 7 /hone) ll/I �- `> 3 y (Address) 3'.), 5-c--, Cko O i' &L ck GA A),/,/ Pr 'O e Lc I(p /lil/✓ 553-2 L BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK 0 New Construction ❑Deck ['Porch ORe-Roofing ORe-Siding 4 Lower Level Finish 0 Fireplace DAddition ❑Alteration ['Utility Connection CODE: ❑LR.C. ❑I.B.C. 0 Misc. Type of Construction: I II III IV V A B PROJECT COST/VALUE S Occupancy Group: ABE F HI MR SU (excluding Iand) Division: 1 2 3 4 5 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 t at 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 s : itted plans. I am aware that the building official can revoke this permi for Just c use t• rmore, • I hereby agree that the city official or a designee may enter upon the property to perfo ( needed inspections. — s-- f 3 ature ® Contractor's License No. _ir ate Permit Valuation doe, C)o Park Support Fee # $ Permit Fee $ iqf 7S SAC # $ Plan Check Fee $ - Water Meter Size 5/8"; 1"; $ State Surcharge $ /. j'Z' Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ 5-1. ro Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ , Gas Fireplace Permit Fee $ cc/ Sl TOTAL DUE $ j 5 Z This Application Becomes Your Building Permit When Approved Paid / fY Z- R eipt No. /ts' ii Date 3, Z c/ (3 Building Official 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 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 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit Checklist asement Finish or Interior Alteration to Single Family Homes BY: Date: _1 - Y r (3 Building Permit# /3. z 5"(-- PID: Zoning: Site Address ;/ 416'6' O 7") t.'L%- 1)4)__ . Legal: L B / Subdivision: Existing Structur . YES- )NO CONFORMS TO ZONING S „/ NO ORDINANCE7 YES NO Is this an expansion of the existing footprint or Refer to Planning / building height? l/ Is the property located within the flood plain? Refer to Planning L./ Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single family home(office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLATE\ALTCHCK.DOC R 'OR LAKE DEPARTMENT OF F BUILDING AND INSPECTION 0 INSPECTION RECORD SITE ADDRESS 3 z aq L O1i1� NATURE OF WORK LO USE OF BUILDING " -71 AVii." PERMIT NO. DATE ISSUED CONTRACTOR PHONE fra NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS I3ELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 1.1111011111111 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS RAMING 43'2M 7112.9/(7 INSULATION z9` ELECTRICAL PLUMBING HEATING (if required) FIREPLACE (9✓,j�, Y) GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING A 4a 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