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'" 0 ~ ~ J: ;n m ~ 0 0 c 0 t~ ;n < , 000000 en m :i! z ;:0 G)"'."om () > z >;o;oo~ Roo c G) ~mm3CG) t) ~ ~ _"'ll"'ll"'ll~ ~ ~>!;!;c --1) ~ Z >ooz:;; 0 ""l !"1 _mm-l_ ... ~ ;n"';n r -1-- , i enz z m -I~ G) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 3. I L C6 ] White Pink Yellow File City Applicant [PERMIT NO. 08. OM?I 141(P4 ZONING (office use) W DO b CUvc...k- LOT BLOCK LEGAL DESCRIPTION (office use only) OWNERn (Name) ~t~, Nt>"\ (Address) ADDITION PIDZ:C.41)4-. (), f. U f> rl. f.S C<> IT (Phone) i BUILDER I (Company Name) KAKIC.t...J I (Cootact Name) ))~:tN I (Address) 140')0 '.,...... (Phone) (Phone) f>R , c>e. "~Z-l{~7-S2e7 ~12- 328-b2VY A-lc- TYPE OF WORK 0 New Construetion ODeek OPoreh ORe-Roofing ORe-Siding OAddItion OAlteration o Utility Conneetron ower Level Finish 0 Fireplaee CODE: rlJI.R.C. OI.B.C. o Mise. Type of Constmction: I II III IV V A B . to. Occupancy Group: A B E H I M R S U PROJECT COST IV ALUE $ ~..t:.oc>.";:: Division: 2 3 4 5 (excluding land) I hercby ClTtlly that I have furnIShed 1I1filrmatlon on this applicatIOn which IS to the best of my knowledge true and CllITec!. I also certJfy that I am the owner or authollzed agent fin the ah<lve-mcntlOned pr<lperty and that all mnstructlon will Cllnform 10 all eXlStmg state anl] local laws and will proceed m accordance with submitted plans J am aware that the build1l1g offIcial c n rev<lke thIS permIt for Just cause Furthermore, I hereby agree that the cIty official or a deSIgnee may enter upon the pmpeIty tD perform needed 1I1Spectullls Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace PermIt Fee / <1-07 Contractor's License No. 9-II-oR Date Park Support Fee # # $ $ $ $ $ $ $ $ $ SAC Water Meter Size 5/8"; I", 15(<) Pressure Reducer Sewer/Water Connection Fee # # 0, (10 50. () 0 Water Tower Fee Builder's Deposit Other This Application Becomes Your Building Permit When Approved ~ ~ I' ( ~I , I k /t..l~ . 'f-e.-,<-el2~ 3/ i / / OJ' Btllldlllg Urticial {),!te TOTAL DUE - TIllS IS to certlty th,It the request 111 the above applicatIon and accDmpanymg documents is 111 accordance with the City Zoning Ord1l1ance and may plllceed as requested. TIllS dDeumcnt when signel] by the CIty Planner Cllt1StItlltes a temporary Certtlicate of Zonmg compliance and allows constructtOn to commence. Betllre llCcupancy, ;1 Ccruficale of Occupancy must be ISSlICd Planning Direc10r Date 24 honr notice for all inspections (952) 447-91150, fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372 Special Conditions, if any 4646 Dakota Street S.E. Prior Lake, MN 55372-1714 January 28,2009 Shannon Prescott or Current resident 14164 Wood Chuck RD. Prior Lake MN 55372 RE: Buildjng Permit # 08-0097 Second Notice In review of older building pennit files, it was discovered there is an open permit for a basement finish. The last inspection was April 23, 2008. The City would like your cooperation to close this permit. Please call for a progress inspection by February 9, 2009. Ifthere has been no inspectiop by February 92009 the City will deem the permit abandoned and invalid per State Building Code R105.3.2. 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 SAI-J.../~ fK/~. Paul BaillI4artner Building Inspector www.cityofpriorlake.com Phone 952.447.9800 / Fax 952.447.4245 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes r ,. BY: &~J'-<--C c;ze~/-; Date: ~_-:5;'l / ,A f Building Permit # Site Address / </ / & Lf PID: j)J6-&r!)(~JL Zoning: Legal: L B Subdivision: Existing Structure: ~r NO I CONFORMS TO ZONING ORDINANCE I~I NO I YES NO Is this an expansion of the existing footprint or Refer to Planning building height? !UtJ Is the property located within the flood plain? Refer to Planning )./0 Does the alteration include any additional kitchens? Refer to Planning I Ijd Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? /LId Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single lJu family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLATE\ALTCHCK.DOC PRIOR LAKE INSPECTION RECORD " t>a DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. ~. Oft: E ISSUED CONTRACTOR ' ~ PHONE NOTE: THIS IS NOT A PERMIT-OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~J J J ~ i -; _ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE , ' , ~1 , 'if! FRAMI~G INSULATION ELECTRICAL PLUMBING HEATING (if required) C/ L 'Z~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ] I FINALS J I BUILDING 1.--. f ?::LECTRICAL H. F. :lUJMBING 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