HomeMy WebLinkAboutBuilding Permit 11. 0611 n ❑ ❑ ❑ ❑ ❑❑ -o a u'v �
N 0
0
0
O cd ' w�' 11 11
o
y znz
m
p
c0 0 -
n
n n m r �° =
0 3 zZ
77 37 P.
► Z73
oa o 71 7 z
b rnn � G � ° o
rn r ` ill i o p
iFV
m my
J I
T n ax
a z 7o II
A T v v qr. ❑ jPj
m o x o / 3z 7nn m m 11 x7 z -D L7) z iiii n "i m
auoo ci
Cz.I 543 m bm 0
m -9 . 0z m
7:5 IA z ; m
T _.
N _
33
OP
c a I
. s ❑ 000 ❑ rn
ti bT 'Tl 0[11y H 21 r�Y} r�TigG�
I.
an0Z -n +
rTi n --i z z m
❑ 0 C) ❑ 0000 71 0 D Eo
V 0 0 N Z T „ „ 0 2 o fl
aPc011)xi tri cii
-1 m O O C 43 6 cn z z ,.
o z- -i Z
m m
D
x
• m z O 0 ►_ �� * DODO t
XZ m m m mr `� Dmr t
y• . m ? m v o �,! �� m °° x27xl °° m 0 / 0
0 0 0 Zzxx z x z m
,�, `� r m 00 00 71 P v
rn — o 5 z � � z ,C-
o z
• p O
O m
C 0 rr
a
N o<m ❑ ❑ [ ❑ ❑ ❑
��w�
o
y 2 73 0 - nm _
mo �c \ m
R. > 0 Nm30
D m >
z nmZT
r n
-1
0
+,.....r`... .::. .. nr '1*.`..ti.:.a.�KaM.s'::.. : �. Y'J1f/.nJ✓.r;.
A
oi PR/04e CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, c• TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x Z'AND UTILITY CONNECTION PERMIT 1 . I . ( I
"'A'lyEgo�� I. White File
2. Pink City PERMIT NO. ifl t (Q //
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 1 i� p ZONING(office use)
d�s 7 wood by `' �U i/'. 1 vAU -L\CL__
LEGAL DESCRIPTION(office use only)
•
LOT BLOCK ADDITION PID
O II �IIA S Ti ' Pc&1/k 1G V- lib (Phone) 9So� L/Ll 7^,g' 9'(
.--
(Name)
r "l vl
(Address) ' S '7 add ht..L1k 1(3y,
I
BUILDER , - 1 (� /� (�) _!� Q q
(Company Name) Flo. &Le() 1J C c.... l.Ul�°tr / (Phone) /6" ( 13`/ -9 ` Q 1
(Contact Name) Qv i vN Ass 1, (Phone)( J' /`Lt 3 cl`010
// 66
/ CD I _A1'e
� _-
(Address)/ (pU
t,v., C1LA) \r ynir L._ l.- t1U—C_ CS'3 to 9
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding kower Level Finish 0 Fireplace
['Addition ❑Alteration ❑Utility Connection
CODE: 6.R.C. ❑I.B.C. 0 Misc.
Type of Construction: I II III IV V A B //�
Occupancy Group: A B E F H I M R SU PROJECT COST/VALUE $ V)
(excluding land)
Division: 1 2 3 4 5
I hereby certify that I have i mished information on this application which is to the best of my knowlcd. -.correct. a so • that I am the owner or authorized agent for the
above-mentioned • operty d that all construction will conform to all existing state and loc. .•• .•_ -•' . . •-a '• ccordance with su. tied plans. I am ware that the building
official can /this p for fust cause. Furthermore,I hereby agree that the city i i 0 •r a designee may enter upon the•• ..erty to perfor ceded spectit s.
X / i ao`goo�/ I , ? )
Signature Contractor's License No. ate
Permit Valuationt700- , Park Support Fee # $
Permit Fee $ �J 7 Z; SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ -Z . Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ c5-0 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ 54-. '70 TOTAL DUE 6474/go -7, u./// $ /7 [J,
This Alf Icati,n Bit. . e '/ r Building Permit When Appr ved Paid / '/, Rec'ipt No. 343 e)
/ �.( iallisimp Date - Zrd/ By -
Building Official ' Date _ /
This is to ce hat c re.ie: in the, ve application and accompanying documents is- acco..ance with the City Zoning Ordinance and may proceed as requested. This document
when signe. . the tt ity Pb r Cl •(/rtes a temporary Certificate of Zoning compliant and al rws construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
i • X47 7 r z 0
'lanning 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
Basemef Finish or Interior Alteration to in le Family Homes
BY: / J ►,- Date: -7
f it
Building Permit# Zoning:
Site Address � btjav itiocee
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING YES NO
ORDINANCE
I YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? 4�
Is the property located within the flood plain? Refer to Planning
177
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
DEPARTMENT OF
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESSLJ -��- —
NATURE OF WORK 4_;,
USE OF BUILDING t , .-
PERMIT NO. //_ ( // DATE ISSUED 7/(2/1
CONTRACTOR ! s, / 'r" PHONE ./ 43 #...- 7e-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOVV
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
SIMINITATAMPrior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
WER=E# R / SEPTIC
FRAMING ®� 8la/i
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
Prior to Sodding)
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