HomeMy WebLinkAboutBuilding 03-0897
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7. 8.03
White File
Pink City
Yellow Applicant
PERMIT NO. ex:? - oeq 7
ADDRESS
ZONING (office use)
R. / SD
/4- ~50
8~Oct:..- /e1?Jt!1C
~/L-
LEGAL DESCRIPTION (office use only)
LOT 2/BLOCK I ADDITION (!FIKKlrlCiC II/US 2AJP
PID 25 - 28(P - 02-{- 0
OWNER
(Name)
~co+ +
c; \):^
(Phone)
qS~ - .)c~){;- i ~4 D
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
)(Lower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
DAddition
DAlteration
OUtility Connection
DMisc.
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 prope to perform needed inspections.
..~.~~
Contractor's License No.
7 /4 /~")oo .)
. Date
x
Signature
Permit Valuation 4- t {J () (i C
.'
Permit Fee $ 67-25
Plan Check Fee $
State Surcharge $ 2.UO
Penalty $
Plumbing Permit Fee $ () .--
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$ i.((), --
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other e /e-G $ / -00
TOTAL DUE $ /'70 ZS
Date
es Your Building Permit When Approved
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
V L Basement Finish or Interior A..ltenrion to Single F3.m.i1y Homes
B'i.lj Y '- Date: /. 8. () f
Legal: L 2- I
/4&50
B I
Pill: z-r. 2-Bb. 02-1. 0 Zoning~ ~/...r p
fSe4 t:J C-6 /&I t::J G C ~ I t.-
Subdivision: tJq~//-? G-6 H/U/S2 t<LD
Building PerIILit # 03~O 81-;
She Address
E.risting 5(TUcrure@r CiO
CONFORLvIS TO ZONJ:l"iG "i-:ES NO
ORDmA-,-~-CE
YES
NO
Is Lhrs a.."l. ex:panSlOTI of the exisnng fooqmm or Re fer co P l3..."'1I'2J.-:g I
buildiL1,g height? I
Is eb,e proper:y located wiu.'lln ehe ilead pbin? I ReIer to PlaTh-Th-:g I
Does eb,e alteration include any additional k.:,(cnel1s? I Refer co Planning I I
Does u'1e proposed al:eration iLclude any om.side Refer to P13:rning
e:1.lI3.!"l.ces othe-: thaTI patio dears?
Is the DrODOSed use of the E.."1ishei swace or Refer (0 PlarL."'Ulg I
' . .
alte::lrion for anything Cu,1C7 cb.3...TJ. a ;:J.oTI:1al single I
""oilv '~"---'e (I if c~ O"l"Qun , d::l:l c:!:-~.~~c.)?
L_ '__, ,.Ul... J J.l ~, c:- _ nOG1~l
ThlS CBICKL1ST )il'ST BE COMPLETED ,.I,.J.'iU I-:'iCUjUED IN THE. Bt;lLDi~G p~RynT Fll.E TO
.YL-IJi'lT.-\.I~ A RECORD OF THE. REVIEW.
~ -::-;0.,1-= i .:. --:' .~__=- ~,=:-:'::'~.-= (I =
83/17/2885 13:47
9524925885
GLOWING HEARTH N HOM PAGE 81
L U ,:)1 VI 1',--\ I \~ '1' lA
'CITY()li"'~ '.
HE, A..T.,"",T~<~~IIl\,.~".~f';le'r.N.D.. I ..,
.., :n.U~'~!~!~""V ".,
".LAKE
'-, mREPLAtet:F:ERMIT
Dltel:Rtt'd
~: e;:.. ii~t)~ttJmIT N0.03. Q~q1
..-.., ,
ZONlNG (office use)
1 fad f\\{: --:PrIor tote. rn f\)
LEGAL DESCRlPTION (oftiuu,e only)
LOT BLOCK
ADDITION
.
PIP
=R ~toH EI~ IN .. .."7) (Phone) qsci. a 06. IS Lj Q
\(1~56 b(\Q Ie "Bl'~ ~1(OtL Nt:..yfIDf hok
(Address) ...,
APPLICANT r · I l . L I l
(Name) ~ low IYlt II eo r-\-.t- "'... l"\()rne. - .
(Address) \ DO E I d Oi 0. 0. 0 J) (\ v€._ J' Of(' 0 ~)
()~ddress) /
(ContactPerson) . Il~ s~'0"€ t ~
~PLlCANTSIGNATURE /" . lro
APPLl€~lHPliEM~,CGMPLE"mBEl1(j)W
(Phone) YS:L - yqa . q ~1l,
f'() N 5535~
(City)
. (Phone) j q a. qa, 1-"
(ZipCbde)
,.";,"'.',"" ...
DNEW,CONSTRUC:rIGiN o REPLACEMENT D,AL TERAl'IONS
FURNACE MAKE ANDMODBL FUEL
FLUE SIZE R:BTURN"OP~NmGS INPUT OUTPUT
~.O:FSYS1'EM HEA1nN(ffORPOWER PLANT
OWAn1'\ AjtPlllt1tS DStcsm .. PLEASE NOTE:
DGl'aV,lty Cl Hot-Water Air Conditioner Units
[lMethllhidil c:rRadillfi~n Cann~t Encroach into
QAir. Coliltlitioning CJ: Sfleci8.1,'~(::v,i~~s Requi.tedSide Yard
QVcnt. SySl'eln 0: othll!,J)~vil:c$ Setbacks
FIREPLACE MAKE AND MODEL . ""
Industrial. Commercial&. Ml1lti-Fmily
$39.50
Residential, Heating -& NC (New Gon.~trueti()l'l)
Re.~identinl. Heating Only (New COn!lrUction)
ResIdential; Additions & Alterations
Resiaential, AC Only
$39.50
$39.50
Estimated Cost $
BUilding Permit #
HEAl'INGPiRMI!FEE
STATE SURCHARGE
TQ1'ALPERMrrFEE
$
$
.$
:) ~,5 a PAIDWITH
:sfJ3UILDING PERMIT
40. ~o
,omCfVSfOuty)
BuildingOmeial
I Ptid .
DattMAR J ! 2uu~
Dltl! .
24 hour notlctCor aiUl:19pediong-(:952) 441-98S0,t'ax (952) 447-4245
lfi1:00ll:ligll!CreekAveliue, Prlor'LakC!,MN 55372
j ::~ No
Thb Applitl11onBecomes Your Building J>~..mlt When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /4~S0 8/eiO~ ~/06e ~/t-
NATURE OF WORK OW51C 6c5V6L--
USE OF BUILDING S r1 ~
PERMIT NO. - () 8 7 DATE ISSUED
CONTRACTOR EL.VI PHONE "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DePARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~~ I !
~. .. _ _ . _ ,ro ._. .- - -- ..1..\1 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
_ - _ _" I It..
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
r ___
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
..~
- ((rdK
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