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HomeMy WebLinkAboutBuilding 02-0593, Plmbg. 02-0593 ~ ~ ::! 8 tl r" :>ll r" lC S :>ll ~ ~ ~ :l>. :>ll r" ~ :>ll C5 ~ ~ c ~ ~ ~ 51 Roo ~ ~ "-l ~ (') > r- r- t ~ CD 0> 01 o "TI o ;:u -I J: m Z m >< -I Z CIl "tl m (') -I o Z t..) .... J: o C ;:u CIl Z > C < > Z (') [Y1 :l (fl "0 (1) n- o :-! o o ;:u ;:u m o -l :E ~i ;:u ;:u !!! 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Yellow Applicant t:- ~ L d ZONING (office use) ,::./ /72 fs;4- o6Ce.~/6L-.o j)12- SC LEGAL DESCRIPTION (office use only) LOT 0 BLOCK / ADDITION f}~ rl 2#0 PID -372- - 01 a-o OWNER (N ame) P..-1 V Z 'Z> ,;t', If IJ~..clf/~' (Phone) 7">'2 . yytl - jz.> -f Y (Address) BUILDER (Name) (Contact Name) (Address) (Phone) (Phone) TYPE 9l) YJO~ . J '3 ~~ew Construction tJ1IJ )iLower Level Finish o Misc. / ~y~r o Deck OPorch ORe-Roofing ORe-Siding o Fireplace o Addition o Alteration DUtility Connection PROJECT COST /V 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 u~?._~.~.12.r . --_..~- -MA-d inspections. J~2 )/I'~Z- -~~ -..... ~ -.". _h<'_., Signature V Contractor's License No. ' D.ft"e /7 Permit Valuation I; OOtJ.oO Park Support Fee # $ Permit Fee $ , ...3 -1-, 75- SAC # $ Plan Check Fee $ Water Meter Size 5/8"; I"; $ State Surcharge $ ~O Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $..Jr. ~J 5' ..z?--<='Z Paid Date .:y ?5"' -ZJ' O~ I~# 4-U'{!JC! s Your Building Permit When Approved 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 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: Date: .5- 23- 67-. Building Permit # ~z --e> 5"73 Pill: 2~~ - ~72 0/0- 0 Zoning: .e. I Site Address /72-tP4- p~EZ:O Legal: L /0 B I Subdivision: LJ6GefiEt-O 2 N'LJ Existing StTucture:@ NO I CONFORlvIS TO ZONING ORDINAl~CE YES NO YES NO Is this an expansion of the existing footprint or Refer to Planning building height? \(. Is the property located within the flood plain? Refer to Planning )L Does the alteration include any additional kitchens? Refer to Planning .,L' Does the proposed alteration include any outside- Refer to Planning f- 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 '-C' family home (office, group home, day care, etc.)? THlS CHECKLIST MUST BE COMPLETED ANTI INCLUDED IN THE BlJILDING PERI'llIT FILE TO MAlNTA1N A RECORD OF THE REVITW. L:\TI?vlPLA TI\AL TCReZ.DOC PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /'7204- O?EX-RbLO D/C'- J(;:: NATURE OF WORK L{)~VD2- L-el./EL-- USE OF BUILDING Ct3-f /J1~ PERMIT NO. t:)2 - o.5-~<; , DATE ISSUED -5 - 23- 0 L- CONTRACTOR R-/ 1/ ~ PHONE 4It/-C - so24 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~ I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE -z-- 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 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850