HomeMy WebLinkAboutBuilding 03-0967
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7. 2-2.0;
by,'v{.
)g)
arlwood
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK 3 ADDITION
; ~i~r ~:;y I PERMIT NO. 0 3 - I? / --}
3. Yellow Applicant . '1 G? ~
ZONING (office use)
3rd
OWNER
(N ame)
~)C
uh n '5 -/-O }) J" e r'
,
t../-S8/ Petr k.wo 0 e{
s
hr
(Address)
PID)- ~/7- C>
,
tiT
0tk...e
(Phone) c; 5 d. - d.;Q lY -- 'I!>;). S-
),IAN ~r-172-
BUILDER
(Name)
(Contact Name)
(Address)
,/lBa lit
SAMe-
As
(Phone)
(Phone)
TYPE OF WORK
ODeck
ORe-Siding
OUtiIity Connection
o New Construction
I)(ower Level Finish
o Misc.
o Porch
o Addition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
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 pI s. I am aware that the buildin official can revoke this permit for just cause Furthermore, I hereby agree that the Ctty official or a destgnee may
~ter Up' th~ ro. e t erfOjee Inspections 7/2-.... /0 1
Stgnatu e Contractor's License No. I €f;;i
Permit Valuation ~..Do
Permit Fee $ fa 2- . 2..-5
Plan Check Fee $ -
State Surcharge $ 1.00
Penalty $
Plumbing Permit Fee $ 4~r (JO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ iL4JA
Building Official
/4-'-;;'3
, Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other e-I eL- $ / -00
TOTAL DUE $/04-.2b
I ~;1 ~5lJ9O
Paid
Date
/ ~47:tfy
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
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
March 7, 2008
Christopher Fox or Current Resident
4581 Parkwood Dr.
Prior Lake MN 55372
RE: Building Permit # 03-967
In review of older building permit files, it was discovered there is an open permit for a
basement finish. The last inspection was dated October 3, 2003. The City would like your
cooperation to call in and schedule ;1 progress inspection. Please call for the inspection by
March 17,2008. If there has been no inspection by March 17,2008, the City will deem
the permit abandoned and invalid per State Building Code RI05.3.2. This will be
recorded in the permanent public record. Any additional work will require new permits.
Feel free to contact me at (952) 447-9853 or to schedule an inspection (952) 447-9850
~
Paul Baumgartn
Building Inspector
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 . 2 ~ oj
I. Blue File
2 Gold City
3 Yellow Applicant
I PERMIT NO. O?J-q 0~
(Please
ADDRESS
Lt ~ ~l
ZONING (office use)
11tr'k WU00.
by
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~~~R CAln'\-'-bp~ler' f
(Address)
hx.
(Phone)
'/ ~,') -).;2 "I - L/-!;,) ~-
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
By
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~gO~ l~f3
Paid
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY ~ i~ Date
7- ? J--- ()3
Building Permit #
Site Address
PID:
Zoning:
P/~V5;{~
1!5 cf I
Legal: L B
Subdivision:
Existing Structure@or NO
I CONFORJ.\'IS TO ZONING
ORDINA1~CE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? rJO
Is the property located 'Nithin the flood plain? I Refer to Planning I ~Q
Does the alteration include any additional ki!chens? Refer to Planning I rJO
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? 10(0
Is the proposed use of the finished space or Refer to Planning
alter-arion for anything other than a normal single NO
family home (office, group home, day care, e~c.)?
TillS CHECKLIST l'ilUST BE COMPLETED .-\J.'fD INCLUDED IN THE BtnLDli'lG PERl'tIIT FILE TO
~WNTA.IN .-\. RECORD OF THE REVIEW.
T .\T'=-:\,r;n .l, T';\A LTG-i"GZ.DOC
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION 11<)UJ
INSPECTION RECORDO:'f''\\'
SITE ADDRESS ~ ~ 8/- ?~..vocxJ D r LJ
NATURE OF WORK _ t. L
USE OF BUILDIN..G ~D.
PERMIT NO. 0'3" ~ ~~ "7 DATE ISSUED 7- ~O ~ _
CONTRACTOR cJh".. S FOX PHONE ~~-l/SdS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~-- -
_.--
-~
r
IO'~-6 .,
102-0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- -- .. -
r=--- -
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