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HomeMy WebLinkAboutBuilding Permit 03-0905 (Please ~ or orint and sign at bottom) ADDRESS /7254- CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d '1. ~.oy I. White File I PERMIT NO I 2. P;,k C;'y . /'J? - 090' r- 3. Yellow Applicant V.-l ~ t:Je:az.,c1 C. L.-O PK-. S"e- LEGAL DESCRIPTION (office use only) LOT (p BLOCK / ADDITION p(;;;f;/vP I ~ OWNER (Name) (Address) EDWII\J BUILDER (Name) (Contact Name) (Address) TYPE OF WORK o Misc. 2NP PID 2.!S. 377-,06(',0 I ZONlN;;Of!iceuse) I Cor /) Q..C; 5> (phone) 't9--Q3 V-l/?..ti~ (Phone) (Phone) o New Construction \..{ower Level Finish fl-L :3 le/'S. ODeck ORe.Roofing ORe.Siding OUtility Connection I hereby certify that I have furnisbed 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 confonn to all existing state and local laws and will proceed in accordance with SUb~~rans. I am aware that the building official can revoke this permit for jusr cause. Furthermore, I bereby agree that the city official or a designee may ;tl:1 the ,.-t~- Pf~::ededinspectio.. (/7 h 3 SignatUre Contractor's License No. ' .Date I Permit VaIuation I Pennit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ I, () 0 $ 1/7 7.5 I ReceiftNo. -rqt.9(, BU' OPorch o Fireplace OAddition OAlteration PROJECTCOST/VALUE (excluding land) $ $ $ $ $ $ $ $ $ .3 00 0, 0 0 . 1<1.7) I Park Support Fee I SAC I Water Meter Size 5/8"; 1"; Pressure Reducer # # - 1.57) City SAC and WAC # I Water Tower Fee I Builder's Deposit I Other ~1Ut:!/TZ- I TOTAL DUE 4-d.O{) # - I Paid //7 zq I Date' "? e.o"? :J/i1ca7Jr=YourBuildingp~~7ved BUil~ Date 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 sign by the i Planner constitutes a temporary Certificate of Zoning compliance and allows construction to h_"__.____. Before occupancy, a Certificate of Occupancy must be issued. Planning Director 7-r---() :3 o..o(u) ~w... (-evr I Date Special Conditions, if any 24 hour notice for all '-', ..~_..J (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~d6ur . Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: (UA.. ~ Date: 7 1'. oJ Building Permit # 0 y- C/qo 5' Site Address 172 S 1- Legal: L (p B / Existing Structure: ~ or NO CONFORlVIS TO ZONING ORDINANCE PID: 25. 372 .0 or.. cJ Zoning: t:/I L/~f3--0 Subdivision: P /e.- . P6De.F1e;:u::> 2 ~ ~3 NO Is this an expansion of the e:tisting footprint or building height? YES Refer to Planning NO ~ I Is the property located within the flood plain? I Does the alteration include any additional kitchens? Does the proposed alteration include any outside' entrances other than patio doors? Refer to Planning ~ ~ ~ Refer to Planning Refer to Planning Is the proposed use of the finished space or alteration for anything other than a normal single family home (office, group home, day care, etc.)? Refer to Planning L--- THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERJ'IUT mE TO "'lAINT A1N A RECORD OF THE REY1EW. . L:\TEMPU. TE\Al TeHCK.DOC PRIOR LAKE QIiPARTMENTOF -BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS /7l ~ l..( O..~; f', d r1 f),... <;.e . NATURE OF WORK t.d.... F;>'1./S ~ USE OF BUILDING 5:.. F. /-1- PERMIT NO. O"?-.O'/05 DATE ISSUED 7- ?,-Q~ CONTRACTOR ()w,."........ PHONE q~.2. - 'f]'{- 42,1K' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR OATE ,- I , U I ,....-. "J I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH. INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 11 IITI . .. 1/lIP M fIVrl _ !lit"" q. /)..-03 q-!)---v> Q-r003 q'l)r:.'"7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED l I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT M uZ ~ #-ff OCCUPY UNTIL ABOVE HAS BEEN NOTICE ) ?~/oo/ ~//.v"'y' ?/;/"'Y 7//?r SIGNED 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 OATE nIlE CITY OF PRIOR LAKE ... / /, / INSPECTION NOTICE SCHEDULED Z,//d7 ADDRESS /?"Z S-r/ AerIJWr! J1 OWNER CONTR. PHONE NO, PERMIT NO. Os - 9c:7~ o FOOTING o FOUNDATION [] FRAMING ~SULATION ~FINAL [] SITE INSPECTION o PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH RNAL o EXlGRADlFILLING [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLlNE AIR TST [] C~MEIiTS: /~chlcc:,1 LhY~L/ , - ~ - ok-,- / ~k -I ~ ---- /, / /7~Y _/ 0(<- ~- --...... /.,.., / rL:/ ') r /' M(~ /~'/e. / ,,=. .. ------ ~ WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED [] CORRECT WORK, CALL F REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HlULTH '" SAFETY! """""