HomeMy WebLinkAboutBuilding 02-0164
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White File I PERMIT NO r f
2 Pink City . 0'1. - 0' (,.
J Y cllow Applicant
~
ZONING (office use)
iii
\L1\IS
LEGAL DESCRIPTION (office use only)
LOT tv BLOCK
ADDITION fJ.,..
OWNER '"
(Name) C- \.....~... ~
(Address)
'-\1";.
BUILDER
(Name) 5w-...L
(Contact Name)
(Address)
PID 2S:ct2~~oo -6
L-'
(Phone)~ \ d-. ~ ~.~ I 0 (P (1
~~
(Phone)
(Phone)
TYPE OF WORK
ODeck
OPorch
ORe-Siding
o New Construction
,,*-ower Level Finish
o Misc.
ORe-Roofing
o Fireplace
OAlteration
OUtility Connection
OAddition
PROJECT COST IV ALUE (excluding land) $
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 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 the property to perform needed inspections.
re
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
.60
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
es Your Building Permit When Approved
;2 . 'JO--cJ7-,
Date
Contractor's License No.
Date
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 $ 8].2C;-
I Re~fNo. 41 237
B~
Paid
Date ~ -2D-o "t.
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
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
Planning Director
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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
By:~g.
Date: <. - ~ .. O-'L-
Building Permit #
Site Address ,~ 175
PID:
Hv~b:~
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? X
Is the property located within the flood plain? Refer to Planning X
Does the alteration include any additional kitchens? Refer to Planning X
Does the proposed alteration include any outside Refer to Planning X
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning X
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED A.i~D INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A. RECORD OF THE REVIEW.
L:\TENfPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4/75- ffu/1rJ/IJG;15/~ cT-
NATURE OF WORK L u vV E~ k LE Vt:. L--
USE OF BUILDING rc/E-s /1 / J!::-
PERMIT NO. 0 2- - () / & 1- / DATE ISSUED 2- ~ 2 0 - OL-
CONTRACTOR /'1 U~ crJ H ~~ e/tl::-. / S PHON E 233 - lOG 0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1- I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
IC
FRAMING
INSULATION
ELECTRICAL
)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical s~rvic~ 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Chris Mulcah~
952-233-1060
p.4
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Plrase t\'pe or print and sign at bottom)
I ADDRESS
Date Rec'd
I Whif('
Pin/.;
y",illlw
File:
City
AI~f11j':i1Il(
PERMIT NO.
"
ZONING (uffice use)
LEGAL DESCRIPTION (olliee use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Conract Name)
/- t:J;";";'"
"'C\
,.:...""
;',:~ -: 0:
(Address)
j ~...
"'
-'
'. .1,,'-
.~
-...,'\
_,~. -- J" ...,.. .Il>'j'-'.~'-;-..
(Phone)
(Phonc)
TYPE OF WORK 0 l'CW Construction OOeck OPorch ORe-Ruofing ORe'Sidin~ o Lower Levd I'mish 0 l'lTer1ill"e
DAdJillon Ot\lteration OUtilit)' Connection 0 Mi,e,
\
CODE: DLR.c. Dl.B.c.
Type of Conslmction; I II III IV V A B
Ocmpancy Group: A B E F H I M R S U
Division: I Z 3 4 5
PROJECT COST IV ALUE $
(excluding land)
Ill~rl'hy l'l:rtify that l have ti..lrnishc..;1 mli1l'mfltion on this appliciltion which is to tilt' 11<.'.'\t flf my knowlc(il-:c (fUl' im..1 CUl1"r.:cr I alsll n:nif)r rh.lT I am [he owner nl" autlhlnzed agent ft.u tlw
.111flYl'.ml'nllllnC'd propcrty and that .11l consI11Icrion will CllnliJrrn 10 all cxi~tlnt: statt.. ;ll,d rOl'~d bw~ allll wi:1 proCl:l:d In i\CCnrd.llll:C with \iubmittcd pl..:1.ns. I .im aware thilt rhe building
nl'1"'(I;,1 can rC"'t)Kc tlu~ pnmit'fDf JLlit C.ll'f.'it', F\lr~hc.ln1urc. I 11l~rch~' .1J;U'l:l' thoU (ht.' eH)' olTiriid PI" a d,,'Slg.nCl' may cntl'r upnn the propt'llY tn perflnm Dl.'l'dt.'d II1spl'ctinm;
. "": . ..,,~., --,,' ".,-''(' , " .
, "
s'i~n'lture
x
Permit Valuation "
Permit Fee $
I Plan Check Fee S
i
Slate Surcharge S
Penally $
Plumbing Permit Fee $
Mechanical Permit Fee $
,
Sewer & Water Permit Fee $ I
Ga~ FIreplace Perlnlt Fec $
This Application necOInes Your Building Permit 'When Approved
;,-,
,.' l
IlllJl,hn~ Ullie",1
();Ilc
)i./
Contractor's License 1\0.
Dale
Park Support Fee # $
SAC # $
Water MeIer Size 5/8"; ]"; $
Pressurc Reducer S I
Sewer/Water ConncctlOn Fee # i $
Water Tower Fec # $
Builder's Deposit $
Other $
TOTAL DUE $ ". "
., .'
Paid
Dale
l;ceiPt No.
ThIS IS to ct:rtify that thl' Il't.lunt m. tht.' aho\'l: applic.ltJtlIl illlU I.l(c\Jmpjlnyin~ uOfumt'1l1S b In accordance with the City Ztlr;in~ Orlfinal1n' .md n~l'f pl't)C'cl.'d tl~ n:qUt'sll'd ThiS document
whl.'n si~n4..'l.I by [h~ City PI.lnl1t'r cmlsfllutt.'\i .1ltmpol-MY C(:'rtilic~li.: DrZoCllllg l,)mphill1n i\l\d illJnws ConslnlCllllll III comnll'IlCL' fkfnn.' l)cCllp~ncy. i\ Cr.:rtllic;ltl' ilfOccur-,H\CY mmt ~
Llo;SU(,.'d
Planning Oireclor
SJ'Cl=i",1 Conditions, if ,my
Dale
2~ hour ulltice rill' ;111 iUSI,,'ctiuns 19~2) ~~7-'J8$O. r,,~ (952) ~~7-~2~$
16200 Eagle Creek Avenue Prior Lake, MN 55372
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372-1714
April 18,2005
Chris Mulcahy or Current Resident
14175 Hummingbird Ct. NE
Prior Lake MN 55372
SECOND NOTlCE
RE: Building Permit Number 02-0164
In review of the building permit files it was discovered there is an open building permit for basement finish. The
City would like you cooperation to provide access for a final inspection. Please call for an inspection by April
28,2005.
To Schedule an inspection time, call 952) 447-9850. If you have any questions feel free to call between 8:00
and 8:45 AM Monday through Friday at (952) 447-9853
~erelY
p~a~
Building Inspector
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245