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Home My WebLink AboutBuilding Permit 04-0079 (Please type or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT cJ -I/]-~ PERMIT NO.O tf - (J07~ I. White File 2. Pink City 3. Yellow Applicant 5/)3'1 /11, GJez r IP-f h ~ LEGAL DESCRIPTION (office use only) LOT I BLOCK I ADDITION !.1?-A"h'nfM /iJ-p:.- '~ ~=e~R QAJJA ~!rct+BZ._ (Address) Date Rec' d ZONING (office use) ~/ PIDaS- tj()/. ()()/'--(J (Phone) 3t?-z-m-~~~ BUILDER , (Name) E? 3 g C'~""'Tgk~ (Contact Name) ~M ...::->t2...:1 <-40 (Address) q, go 117-ND > T W. LAlLJ51/1 LZ/l: TYPE OF WORK o Misc. x I Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee (Phone) qSZ'-~-~1- (Phone~/2--'Z~~ -~7.J' o New Construction ~ower Level Finish ODeck o Porch ORe-Roofing 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 inspe . s. ~J . ,l (n'??\ Signature o Fireplace OAddition OAlteration PROJECT COST/VALUE (excluding land) $ ,~ 7b3"~ 2.1 ... Contractor's License No. $3000 ~ DO $ 7'-/. 7$ _ $ $ $ $ $ $ $ Park Support Fee SAC "'N ater Meter Size 5/8"; I"; I, '5' c:J Pressure Reducer City SAC and WAC .J.!t).- ..-'" BlI J Y tI ~ 1r~ower Fee I Builder's Deposit Other TOTAL DUE ----- ~/aIot/ Date I Paid I Date " j<"" J { " '<:TJ ~ - ~L)-D4 This Application Becomes Your Building Permit When Approved ~~ Building Official ORe-Siding OUtility Connection -z. -I,.J~~- Date # $ # $ $ $ # $ # $ $ $ $ / / V .]"b Receipt N o!/J 'lff ~/ Bv ~ 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, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File 2. Gold City 3 . Yellow Applicant PERMIT NO. '-1- ~1 (Please tyPe or Drint and sign at bottom) ADDRESS j03t( k~ ~~_;f ~J ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT (Name)-4/f(1:l tffl"t-t-r<'tW-I j1Li/;11bl.416(phOne) L/~ I J?l!4t. (Address) c,~O , ~ t..).-~O '5"[' tv~# 5/-<.J- ~~~ (Address) (City) (~ip Code) (Contact Person) (f (/f/l 4/ Y ft (1' (phone) 3-11). }. ~ ;,l 1'1 t t. APPLICANTSIGNATURE #.c.- ~ DATE "?~;1 (jJ CJ , 1 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compal t..uent sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Type of Fixture Quantity , Rough- ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other I 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 $ I ~ Building Permit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERl\'111 FEE $ $ .50 I. } $ -/fV/ Paid b1 {j Receipt No. (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Date3_;< --{)'1 By 4- 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 AJteration to Single Family Homes BY:~ uP Date: ~ - /?- () !/ Building Permit # Site Address PID: ~ ()3tj Zoning~ /A/ OulC PI- f)~ Legal: L / B / Subdivision: ~J /(j''f<.. Existing Structur~ 6jS)or NO CONFORlvIS TO ZONING ORDINAl'fCE "YES NO I i Is this an expansion of the existing footprint or building height? Is the property located 'Nithin the flood plain? YES NO Refer to Planning No Refer to Planning tJO Refer to Planning ~O Refer to Planning tJC) Refer to Planning ]'JD Does the alteration include any additional kitchens? Does the proposed alteration include any outside' entranc~s othe:- than patio doors? Is the proposed use of the finished space or alteration for anything oilier than a normal single family home (offic~, group horne, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED A.J.'ID INCLUDED IN THE BU1LDING PERLVllT FILE TO l'tWNTAIN A RECORD OF THE REV1E\V. T .\T=-:\,flJT .j, TI\A LTCHCZ.DOC PRIOR LAKE INSPECTION RECORD SITE ADDRESS 6a31.( l.JiL5, ~'" ~.,- ~jVE · NATURE OF WORK '-"~ ~ Fii-a,'s'H USE OF BUILDING $,nA. PERMIT NO. Oq., . 0 rJ7 Cf D~TE ISSUED Z/JS.I.A-~ CONTRACTOR ~ CO~,~~q, LLC PHONE~.-zn"~"S NOTE: THIS IS NOT A PERMIT FOR Ar(v OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 1/1(/ J ~ J'()~ INSULATION rt# ~ -' 6( ,(Ji, ELECTRICAL PLUMBING M~ ~., :!rcJl1 M/ .~, 3~~i COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUlL ELECTRICAL PLUMBING HEATING DO NOT /1 //1/1/ LI-t- 0 v nlf/ L( - t---()~'I r It\f ~( . ~ . () vf 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 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED ?/-)-aLI ADDRESS ,~14 WI' OaIL ({1 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION I J ~FINAL vr( t.,... , o SITE INSPECTION CONTR. PERMIT NO. t-{ - 7 r o PLUMIBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP .2(,P)J1MBING FINAL ,YMECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ ~ / /' /.r~, ( (----+ f..b'L ~ ,,. -- --- '" -. ~ 1:1 '\ rl~ ) ~ ~ -;JWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT W7;f7RK. CA OR REINSI:2ECTION BEFORE COVERING Inspector: 1 Owner/Contr: f CALL 447-9850 F(.>~ THE: NEXT II"SPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,rNSNOTl