HomeMy WebLinkAboutBldg Permit 04-0625 & 04-0805
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CITY OF PRIOR LA~ BUILDING PERMIT,
'.' TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.>: 27.04-
.,I
1 White File I PERMIT NO I
2. P;,k C;,y . 0 t/--. 0" 2-5'
3 Yellow Applicant
(Please ~ or orlnt and sim at bottom)
ADDRESS
/~q .t-9
.BA/A/
PA1
ZONING (office use)
/2.-/
LEGAL DESCRIPTION (oflice use only) ,/ I \
LOT 4;:BLOCK ~ ADDITION ~ NOt; f\iu..
~=R L,I9,R.-e 1/ J ,- ,,_.., 1/ ( ~7~E....e
, 1 ~ _
(Address) /4,_"-L9 ~fil/,(/;;:?;. ;;;l,A' L'-,E
~&-
PID
t1. )'~31-t)IZ~
(Phone) 952. -f:!ik. ~
~ -11(2. -1.70 -52. 77
BUILDER '/
(Company Name) ~L..INE AE:r/p-u
(Contact Name) ~F /A-v.//'>'
(Address) Pv2 )?APJ'iW'
(Phone) Q""7.
(Phone) .$..J:i 7-
KA/~Y _ . "_~
. . ~1~,J ~~ h.lrlUZ;~ to1lt".~ "
TYPE OF WORK 0 New ConstructIOn _Deck ~ wJt:'.1\.{JU1lnt W1\.~~ DLower Level Finish 0 Fireplace
~ DAddltlOn DAlteratton DUtility ConnectIOn 0 Misc.
CODE: R.C. DI.B.C. PROJECT COST/VALUE $ ~ 000 qg
Type of onstruction: I II ill IV V A B ~excIuding land) . .
g~:! n~Group: A B E i ~ ~ ~ : S u r~t-FU.T. ~ rz.cbt D.v~'~
4"".7 Z~~O
~~7. z.55l)
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 c~n revok this permit for just cause, Furthermore, I hereby agree that the city offici~, designee may enter upon the property to perform needed mspections.
'" ./ ./ (' pi? ,./" ~ 7. AA .
X ./~.~.( ~- ,20:j~,~5:zA.. ,'~.2~
I ~ ~gri:ture'-"") .'t. Contractor's License No. Date
I Permit Valuation If ZOOt!)./9 0 I Park Support Fee .- # $ I
I Permit Fee $ 73.75 I SAC . # $ I
,.
I Plan Check Fee $ 'f 7. Cj'l I ~lter Mete~ 'l(~Size 5/8"; I"; $ I
I State Surcharge $ 1,19'0 I ttessure'R"educer $ I
I Penalty $ I Sewer/Water Ccinn~ction Fee # ,.$ I
.
I Plumbing Permit Fee $ I Waler Tower Fee # ~~ $ I
I Mechanical Permit Fee $ I Builder's Deposit $ .+.
~
I Sewer & Water Permit Fee $ I Other I $ >*, I
I Gas Fireplace Permit Fee $ I TOTALDUE ~'l) II .l-1. 04-> /) I $ Izz. "", I
. i
11NO ,
This Application Becomes Your Building Pennit When Approved Paid /Z.~r b,7 'r / ;J...J' I '1 )
~~p t./ Z. 'Z../o., Date ~o,o4- By)
B~iidi'n.g atlicial -, 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 requt.'Sfcd. 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) 447-98~. fax (9~2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
TEMPO~~~=~tlfl"ttD~~~CE 1/ /aiDate:;;q_
AND UTILITY C "' I" 1.u:nON PERMIT Ib;;.j;'
! E:. s... I PERMIT NO. tJ4-. 01'2051
f!'Ioeqp..-..---
ADDRIlSS
/-134-<1 K08/1v;2iJ.
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LBGALDIlSCIL.: ;..,.,.1. (_..GOlly)
LOT BLOCK
Au...u.ON
PIDz5: 339. 012..0
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(AcIdIaa) /~q~9 Z8/1l/ A:?J,
BmLDER _ /" /
(ComplUlyN~\ / RUL/A/E /JES/C/V
(ConractName) /n/.R:;E L---,V/C'k.
(Addnss) 4/{,4 2-4,o70/c /2A. End-4A/. /nA/.
(Phone) 952. 49/".. 1)/>4/,.,
(Phone) 962. 467 2550
(Phonc) Q.',,)2 4..~7. 7-:",:''''L)
5.""j /2.2
TYPBOPWOIUt o New .., .:.. 4IbecIt __ ~ Oller.... OLo-~F_ OPiNplaoo
OAddition ~ [Jt1d1it)' c. ... ." . 0 Nile.
~~~I~.~:.[JI.B.C. I n m IV ~rJ f~~~~ALtJIl s.s.H:.. Den ~
c.. 'I' " '. GIoap: A B B PHI M .. 5 U
DiYlIioc I Z 3 . 5
1 ...., catifI IbM I .... .........;..,L 1.... 011I tbiI 'I I' .. ,. wIdl:b ill II) tile ... at.., .. , '" , _ 1nIr'" UD!Ct. I.... ce1ifJ tbat I .. 1br 0WIa or autbcWIIrd .... ... ...
.... _1lIlI......_.._..III-.a_...__...willJIIO'ftdio n. ..,.._" , ....... 1..._IIIItIbt~
oI6dal~7""" ". -', . ..I__.......dIy-...__-_Ibt_..,...,...- ......
x ~ ~~. #203R;QS,24- 5-25-~
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/' ( / C,. ".., LloeaIeNo. Dole
FamilV, ".,..:., 11(1('100.0-0 ll'llt Support Pee /I S
Permit Fee S J~2.S0 SAC /I I
PIon Cbed< Pee I f::l(., . t'1 IW.....- Size 5""; .n; I
StaleS '''~,' ..,!., I 1.00 L......-..:.... I
PeNIty I Sewa'/WalOrC..,...:... Pee /I I
I P1~FamilFee I W....T"... Fee " S
Il\II-ho..v.1 Permit Pee S BuiIder'. Depaoit s
I Sewa'1; Water Permit Pee I Otber S
I Ou PitepIace Permit Pee S TOTALDtJIl fAUAm 1.3o.0+- I 2:2../. (03.....
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_inoOlllc:ioI
7Ba ItJ 1/
. Dole'
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11NO'~
_iltocenlly....lbt_iolbt_, :.". ... n. ",.J,." ., ilio ..., .._1btCllyZaalol~IlIlI_JIIO'ftdu""""'.__
wtlcnaa-d-'" the CiIy...... "', '.,' 'M. '. ". "', CedUlcaa!oIZoDiratn r.I.-aad...... .",. .:.. to.. ... '. JebeOCC'llplllC1..~oI... "',. , '.1 ...._
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16200 BoP: Cnok ,,_ Prior LoIre, MN 553n
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SITE ADDRESS
TYPE OF WORK
USE OF BUILDING ,s.J:: ..
PERMIT NO. O,t. ,O~ Zr DATE ISSUED ..if' ~
BUILDER 7ZuuAJ4 ~IS~ PHONE #!ISZ-'!S7-UKfJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
C:;;:OTING .~ ~~. -iJ!!j I '7%ifl~'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN ~IG.NED
.-liII FRAMING ~ I ;P.d.>~ I
c..--e..-".C ~ -&AUt M! PLlL~A
, FINAL I \./If) I t; ~'2 7
. 0
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
N~4f1E~9AJR~
NEW lLu,H ~~
FOR ALL INSPECTIONS (952) 447-985~f\. 0_"> ",~I
ft9~ +~ lJC rO 0 J~~
.
.
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~ -2.7-oL/
ADDRESS 14~" e; I< 010...... ~
OWNER CONTR.
PHONE NO. PERMIT NO. t./-~v;-
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
o\::. \.6 0I;0~. ~ ~! ~ "
)t(..WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o comRK. CALL FOR REINSPECTION BEFORE COVERING
Inspect .) Owner/Contr:
CA: 7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REAL11f & SAFETYI
INSNOn