HomeMy WebLinkAboutBuilding 05-1235
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CITY OF PRIOR LAKE BUILDING PERMIT,
Tr~)JPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILiTY CONNECTION PERMIT
Date Rec' cI
\Ath'll~
P:"
Vel.oW
hIe:
City
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!i'ERMIT NO. Os. /23 5J
irlc'l~;e t\~~ prim and !,igQ at pOl(l)m)
tlJDRESS
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337. 003 oJ
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I LEGAL DESCRJPTION ("l1ic~ use 'JIll}')
LOT BLOCK ADDITION
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P lD ;2.5'_
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: O;NNER"'J " ' I) r r ,.. ,"\j I I
I ()\; ameL_.~__f l I ;fl.~O.cLI:: (l) VI, Dill V1 n'1
! (Address) ~Jy(ft:.L v\J(~QcidJlc..K. Dr.
(Phone) -9.51~2(c. \5 I. t
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(phone) C{S'2. ,-\.4 D ' "7)313
(Phone), ~52..'+1Z.. 3~ !
BU1LDf.R~ ' I _ ~ -V..... . ,
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(Contact N:une) 11 r-Y1(, p ~ 1~~lJD.l(i nn
(AtldrC'ss) 'P O. tx:.Jf 1\+
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TYPE OF WORK 0 t":,:v.' Con~tI1.Kticn
ORC-$1dinE; \
OU,;t,,, Cc"ne~'" I
ODeck
OPorch
ORe-Roonng
r'v.'l..o\l:er Level f.U\i.if1
7\ 3 ~.s'.
o Fi!'l;pl.1Cl~
DAddttion
D..\I!~-ri!IlIJn
o Iv!:>,
PROJECT COST/V ALUL (excluding land).1. .i:J...~?
r I hCf!'by c<rtiry ;h;1J I h~',,~ itJmisbci ,nf:)rmaLion on Ll,i~ application which is to the best (Ii my knowiedgc trUe and correct. I ,d,o cenf" thlt I am the O'.\TlCr;)r
I aUl.nc:':"1L"d ,1gC:1[ for thr: "bo.-"n,"nr.it)r.od prope.r.y ;111.1 tb~1: '111 con~rrucli'Jn will conform r,1 all existing st,\te and loe"llaws a.nd will prnceea in accord.me<< 'x'ith
, sdlTmr::,j P('~~lf. 1 am ~w~U'c I),J[ th,~ huildL'1g offical c.ln revo)b~ tlllS pelm\l for JU5t e'luse. furrhcrmnre. I hereby agree that thl:' C)I.Y (JIIlCi.JI Qr" dc.<i;:rcc m,'y
1 enter upC~~.. ili"t: j:.T~f~~.,{-,~~14 nC6kd inspc:ct1on..s.
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i 'Pf.l11!i,.";'~,~n - -3, 0 0 o. (l () I Park Suppon"Fee t; -----rs-- ~
rpm;;;;y,,- i ' .74' 1'~ SAC #: I S - ,
Fbi Chc 'k rec'~ 'Ware!' M<::ler Sj~e 5:8"; 1"; ~
i S":'S":~ --~-7~- . P""ill,R'ct;~I' I
ren-air.:- i S I Sewer/Warer Connection Fee:ll: $ I
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l',1:ccb;.l,:JI PerCll[ fl:c S I B11ildcrs D,~pO$it ~. .~l
s.,"\'vc~ & \V;,:rCT Perm.it Ft:c -j S ~,r I .JJ
LG.,;:-jOi~i)h(d'e;111~tF~e S i 'fOTAL DUE CAU.,CV /2 ZB.()~ \ s J / s-; 2-S _
//,'5-. 7. ~
/Z, 30.05
iThi, :\pphc;;,)1l Be.:"~", Your BUilding Fermi, 'Jiben Approved
i~-.~ /~P~S
I :;u1lCJng OrhClal Da.t~
P;ld
Date
No.
50849)
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Tnl! ,~ "'> d'--cL'o' tn.Jt ,h~ rqwos: i~, :i'.~ .lb", < ~Vl:\i,:,)rj.~!C "!CJ ;,~C')r!1P~'1y:nR d')c:.!ffi.e:1l< is in lCCDrCli!l"C w,:h the Cry Zcni:lg Or6mance '\""111 n-.ay prxed :" rcquostd. TlIi., d,),:'.),""!'!
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24 !lour Dl)(jZtr.':~;]1 im~...di(;n> (952) 4-t7-985\l, fax (952) .'U7-4245
16:{j() r:::,~,1.: Cr'~.:k A',~nu~ F'nor L:lkc. MN 55372
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PI~.lJ1Jt\1\:~ Dir,:ct'.ir
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Eames
.
BY:~~
Date:
/dr/~~ s
Building Permit #
Site Address 30 '7 ~
PID:
tJ~~ DfC."
Zoning~
Legal: L
B
Subdivision:
E~tingscrucmr~rNO
~
I CONFOR!v!S TO ZOi'Hl'iG
ORDIN".Al'{CE
NO
YES
NO
Is this an ex-pansion of the existing footprint or Refer to Planning I
building height? NO
Is the property located within the flood plain? I Refer to Planning I fJe
Does the alteration include any additional kitchens? I Refer to Planning I NO
Does the proposed alte:-arion include any outside Refer to Planning
entranc:s other than patio doors? tJtJ
Is the proposed use of the finished spac: or Refer to Planning
alteration for anything other than a normal single /Va
family home (offic:, gro~ horne, day c:u-e, e!c.)?
Tms cm:CJG..1ST :vn:ST BE COMPLETED AND INCLUDED IN THE Bt'1LDIi'iG PER'YfIT mE TO
MAli'iT.-UN A RECORD OF THE REvrrW.
..
.
T .)'"l""':;'\.f"OT. . -r-;:", \ T Ti't;c<"nnr
PRIOR LAKE
INSPECTION RECORD
~ OtJD OU It.
DEPA~"MENT 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
---- I :
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
E~ECTRICAL
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