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HomeMy WebLinkAboutBuilding Permit 04-0265 O~ PR/O", ... ~ "" ... - :>: u '" 4,'lVNESO~" CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d White Pink Yellow File C'ity Applicant I PERMIT NO. oq..... d&S1 (Please type or nrint and sism at bottom) ADDRESS &~ 4p~-~ qrY OWNER ~ 14 Ycd- ~ ~ (Name). '/' /ftIJ. 'it'M 4tuI/flfl:j~d!t ~~ e Ncril (JI/t../ ~scz '- <) ~ '-/ -'-/ LEGAL DESCRIPTION (office use only) LOT /q BLOCK / ADDITION ~ PID~')-q~ - 0/9-(; ZONING (office use) kd-.- (Phone) r:1fJ5:~- :1:J.6 -/& r/-6 (Address) , ~ //!LI./ BUILDER (Company Name) (Contact Name) tJ (Phone) (Phone) (Address) TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing DAddition DAlteration DUtility Connection 0 Misc. CODE: MI.R.C. DI.B,C, Type of l,"nstruction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ORe-Siding j:3Lower Level Finish PROJECT COSTlV ALUE $ (excluding land) o Fireplace x I hereby certify thai I have furnished mformation 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 [0 all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg otTIcia! can re e th's ermit for JUS use Furthermore, I her ee that t ecity official or a designee may enter upon the property to perform needed mspcclions. , . ."~ " -;I-/~--tJc,L Signature Contractor's License No, Permit Valuation Permit Fee h-c:9t!KJ, 6 d $ 7<1.75 $ $ /.S-eJ $ $ I/tJ ~ $ $ $ TOTAL DUE Park Support Fee # # SAC Plan Check Fee Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # State Surcharge Penalty Plumbing Permit Feejl.vlJfr. Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ~O pplication Becomes Your Building Pennit When Approved - --- Ill.?, 0< ,') L/" I/::;-OCI ~ 1i1.t~ /01 Paid Date ~ Buildinl! Otlicial Date $ I $ I $ I $ I $ I $ I $ I $ --I $ / I tp ~C7-5 I Receiot No.L-I(~ Ii &;.:-/ I By ,/' I ~ ThiS IS to certify that the requesl 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 al1ow$ construction to commence Before occupancy, a Certificate of Occupancy must be issued Planning Director Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 Special Conditions. if any Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ~~ Date: + /s-o?/ Building Permit iF Site Address Pill: Zoning: Legal: L /9 B / SUbd!w~L/q ~6~cj2 J~/ :;.tb ~ Existing strucrure:~r NO CON"FOR.yIS TO ZONlliG ORDINAl'fCE '{ES NO TIS NO Is r.bis a.""1 expansion of tte ex:i~.....ng footprint or building heigh!? Ref:::: to Pl.anr~i.g I Is the proPer:-f located "iiliin the flood plain? I Does ,,'le alteration include anyadditionallc!cnens? Does ,,'te pmposed alte:-ation include any outside encrmces othe: than patio doors? Refer to Pla-wing iJ() tJ() t--lu No Jo Refer to Planning Refer co PlaTh.-ring Is the pro1Josed use of me fjrTisiled. spac: ar alt::"'lnoT: for 3.."1.ythi..,g Qc.b.e: man 1 l1oG:.al single famil~( home (office, grOU? hooe, d2.Y C2.n~, e~G.)? R~fe:- to Planning THIS CHECKLIST ;y!1IST BE COMPLETED ..I.l'fD INCLUDED IN nIT BtnLDING PER'II1T Fll.E TO ylAli'lTA1N A RECORD 01' THE REVIEW. . -:7\,(;:Jf..!. -:;",..:.! -'~"''';I~'~ ,"":(,(--: PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~ /.J1I.1f .D ~eI' ~, e IJ t:l: ~ NATURE OF WORK L.J;, . USE OF BUILDlN~~ . . . PERMIT NO. n, - DATE ISSUED y. I.s-"'~ . CONTRACTOR ~Y5~~ PHONE>>" -",- 'I' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE ~ I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) V/IP till( / (,/ - J. Jroft I/I-~ rUt! - 1Il1'/ _ t?v;v l.+ n-()bl i/N- ). t'1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT- 7/1/0,/ t /~f(a '/ 6/ yfi/ h /Y-PY . OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE .#14- . //t'+- ~4 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 piaced near main entrance. FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS S-~~y OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING _~llULATION ~AL o SITE INSPECTION COMMENTS: ~:9:~~.o; / DATE TIME SCHEDULED ;7~~~ P~dC7 CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ./1 ~_4/ (//1 Lk~ tfj/f'- .2:;S- o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~k~Y- t' ./ / I 7 J /J.;:?~ 0/ ~._~ (;r/c '- ~~. )\ \..L7v~s<;; /.' .J ~ ~ORKSATISFAC~U"I:I:LJ o CORRECT ACTION AND PROCEED o CORRECT Wl$VR REINSPECTION BEFORE COVERING Inspector: r 7"'---- OWner/Con!r: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ""'"'''