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Home My WebLink AboutBuilding Permit 04-0309 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIl I. White File 2. Pink City 3. Yellow Applicant Date Rec' d 'I-~ /-0'-/ PERMIT NO. IJ'-/- 3o~ v . (please type or print and si~ at bottom) ADDRESS :;l Cj ~O 15oh-r- rr \( 'l y.!-, G:-" Ic:;;;t-,' "'-~ P .e. v-r 111 . It- r . ,Ii=- a 5 -~ LEGAL DESCRIPTION (office use only) LOT Ji'BLOCK I ADDITION 1A e t'tI. 1k >~ '-<.-1"t.... OWNER M I. (Name) /'Ie..r /lfh b?/b (Adc;Jress) TYPE OF WORK ZONING (office use) R/ PID :;1G"' - 31'z -t1/~-<:J (Phone) ~"'c. (Phone) '15:' z. - ~ z6 - t.d Z 2- (Phone) 6/ z- -7s-/ -7~~ o New Construction o Deck OPorch ORe-Roofing ORe-Siding ~wer Level Finish 0 Fireplace DAddition OAlteration DUtility Connection o Misc.fJt.dr,zJIYI J fJa:tJ, ~ /Ml/y PROJECf COST/VALUE (excluding land) S .;l 0.. C) 00 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 :ter upon e roperty t perform rr)f)#ons _ Sl~ Contractor's License No. Date (!))~ ^ Ikht-$ t;~ p~ rk~yst-Oh e f)y,' vP_ BUILDER JJ1 /1/ J / (Name) 1'1 e Y /7 I-... {/ 70 J-. ff~ /;Ne.c:. (Contact Name) /J1 e V 11-11-- eJ I S-JP ~ (Address) b 7 / ~ Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee ~ J- Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee TOTAL DUE e~:v 4--. 1. , . ()~ ..,.../ ;' J ~ ,I ~" II {p / C:;,L. "J li Receipt N o.'-{ b V'O / 1;1- A..~- 0 / By (J--l 1I~t),fJO $ ?L/.7S $ $ $ $ $ $ $ Park Support Fee SAC # # Water Meter Size 5/8"; 1"; I ' S-o Pressure Reducer City SAC and WAC Water Tower Fee Builder's Deposit Other # # 40 , Of) This Application Becomes Your Building Permit When A........~... led ~~ Building Official ~Z-I /tJ~ f I Paid I Date Date , $ $ $ $ $ $ $ $ $ 111I. Z=> 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 bour notice for all inspections (952) 447-9850, tax (952) 441-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior _~teration to Single Family Homes c;? "'.. '-1_ r /J ~ \ B'l: ~ ~ Building Permit # Site Address Pill: Date: LI'~. eX / -0 ~ Zoning: 0J960 i30locaf T ra )'& Legal: L B Subdivision: E~tingscrucrur~orNO CONFORlvIS TO ZO~lNG o RD IN" A.l'{ CE TIS NO YES NO Is this an expansion or the existing foo~tJ.L~t or building height? Refer to Planning Is the property located within the flood plain? Refer to Planning ~o ~O r!O Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside' entrances othe:- than patio doors? Refer to Planning JJc Is the proposed use of the finished spac: or alteration for anything other than a nvuJ.J.al single family home (of:fic~, grou'9 home, day care, e~c.)? Refer to Planning \10 THIS L.t1..t!:CKL1ST l'tIUST BE COMPLETED AJ.'fD INCLUDED IN THE BUILDING PERJ.'tllT mE TO MAli'fTA1N A RECORD OF THE REVT.E\V. i .\'T'"'=-:\,I:JT j, j::"'.j. T 7,~;~r.( ~cc PRIOR LAKE DEPARTMENT OF ," . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS i9S0 ;10JJe:.47--r;. NATURE OF WORK L L- USE OF BUILDIN~F ' PERMIT NO. (;) - E.. DATE ISSUED q..~;J.- oy .r CONTRACTOR " CJ/St:)W PHONlJ,1. w. zs:.';I NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE kflU) ETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) fl6 - ~ Ih COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS ~ ,4 , \ rf . \'J ') ~ )X"I : l,.r/ y I ~ ~ , ~ ~ ( ,) _<\r" , - ~w 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 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si~ at bottom) ADDRESS ;;l C) ~O !5ah-r r;- \{ 'l \( c!.' Date Rec' d i/ -d, 1-0'-/ 1. White File 2. Pink City 3. Yellow Applicant PERMIT NO. IJ4- 3o~ V . ~ x. ~.' "-ry P .e.. 't?" '" " "',' .#=- t13 -~ ZONING (office use) 1</ LEGAL DESCRIPTION (office use only) LOT JfiLOCK I ADDITION 1A e ttl.1k >~ k.'f""-. OWNER M I. (Name) /'Ie" /'1h.. b?lb (AdQress) BillLDER (Name) (Contact Name) (Address) PID ;;1G'" -5)72. -t:JIK--eJ (!))C<;J" Ikht-$ t;~ p~ rt.~""St-ah e Py,'V-P (Phone) iii e Y' J'1 I-.. tJ / So 1- #0 hv2-c.. IJJ e vi ~ ~ eJ / S-JP ;I-.... , b7/~ (Phone) "5:" z - ~ z6 - I.tJ Z2- (Phone) 6/ Z -7~/-7~~ ~wer Level Finish o Misc./jo..Jrt:tJ/J1 J jJ a:t-J. ,~(MaC; PROJECT COST IV ALUE (excluding land) S .;2 0.... 000 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 :ter upon e roperty r perform rr~ons. _ Si~ Contractor's License No. Date ~~OfJI),fJO $ '/4. 7 S $ $ $ $ $ $ $ TYPE OF WORK Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee ~;-I-r- Mechanical Pc.uuit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee o New Construction I ' S-o L/o,oo This Application Becomes Your Building Permit When A....t'&... led ~~ Building Official ~Z-I /IJ~ I Date ~,,",c. o Deck o Porch ORe-Roofing ORe-Siding o Fireplace OAddition OAlteration OUtility Connection Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ City SAC and WAC # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTAL DUE t~1J 4-. i L O~ $ / / fl. Z => ~ / J/ / ,,;("" Paid II {p / OJ... '::> I Receipt No.'-{ G::2.YO / Date J,,/- A..~- 0'1 By AI- , ~ tJl 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) 441-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior ,Alteration to Single Family Homes c;;? "'... '-1_ '/J ~ \ B'{: ~ ~ Building Permit # Site Address Pill: Date: ~. eX 1-0 '-I Zoning: qJ950 3olocczf T ra J't Legal: L B Subdivision: E~tingSaucmr~orNO CONFORlvIS TO ZOI'1ll'fG o RD lli.A.l,{ CE "'YES NO YES NO Is this an expansion or the existing foo~t-JJ.~t ar building height? Refer to Planning Is the property located within the flood plain? Refer to Planning tJo ~O ,JO Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside' entrances other than patio doors? Refer to Planning ~o Is the proposed use of the finished space or alteration for anything other than a normal single family home (office, grou'9 home, day C3.I'e, etc.)? Refer to Planning \JO THIS l..tl..l!;CKl.lST ~[UST BE CO~[PL.ETED A..i.'fD INCLUDED IN THE BUlLDlNG PE.RJ.v[JT Fll.E TO MAmTAIN A RECORD OF THE REV1E\V. T .\T'=-:\,I::Jr .I. 7='.-\ T 7,~;~r.(' :-)cc PRIOR LAKE DEPARTMENT OF . .~ . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~9S0 ;lDJJt;a.-r- ~ NATURE OF WORK L L USE OF BUILDIN~ PERMIT NO. 0 - N!- AI ~~~~E ISSUED q.;1.;J.- OY". CONTRACTOR " (,JJ"""" PHONllQ. We "lS.,~ NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE -- kflU) ETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) rlb - 1# th COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS .~ ,4J , \&. \~ \'- ,,....- . ,) ~;,..I \'-.i ~ c? ( ,)_<'Y" _ ~w 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 DATE Tille CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~, 1 ADDRESS ::l'i50 ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADlFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: ~.~ R; ,~'^-\~ ~ -ae.. Q b~ ~ 14~~ N~) ~~. ~~ 1\ -::lJ t<)3tL ,/WORK SATISFACTORY. PROCEED I 0 CORRECT ACTI AND PROCEED o CO ECT . CALL FOR REINSPECTION BEFORE COVERING Owner/Contr. C~ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! , .... lol J~,