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HomeMy WebLinkAboutBuilding Permit 04-0092 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd I. White File I PERMIT NO 0-'"")1 ; ~;;'~w ;;:;';li"", - '0'1-00 7 0'1- 35(Yj (Please typ~ or print and silW at bottom) ADDRESS ZONING (office",,) Fo X feu / T r--. LEGAL DESCRIPTION (office use only) LOTI () BLOCK d- ADDITION W ibivJ.A1/u~ /5-f-. OWNER (Name) ~epf/eN (Address) BUILDER (Name) (Contact Name) (Address) TYPE OF WORK RI PlD .;<5' ?7t. ^ 0/4"-,0 7 ;(e- D AM I GIC. I (Phone) q >z..-Y'~o - 3.6z.~ (Phone) (Phone) o New Construction ODeck DPorch ORe-Roofing DMisc. /.R..~ ~wer Level Finish ~. PROJECT COST IV ALUE (excluding land) $ 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 local1aws 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 ;terupo~~~n~a.~n~ ' -z-I-z- $ / ~ if ~ ' Signature / Contractor's License No. Date <#:3000, t!J 0 $ 7Lf. 7'5 $ $ $ $ I..!O - $ $ $ J-{O.-- I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee o IP/V e..i-- \ Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fe(Jop(+-. o Fireplace OAddition DAlteration Park Support Fee # SAC # /,50 I Water Meter Size 5/8"; 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE vi e.c.... # # z::;Jec~uilding~~;;;Ved Building OfficiiI I Date I Paid I Date - -- 1'0 '/ '(/./ :)- d-7~ c.-r Receipt No. t../ 5 i 7-1 By J' ORe-Siding DUtility Connection $ $ $ $ $ $ $ $ $ I,()Q 15'1-'/5 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, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Bomes BY:~~ Building Permit if Site Address Pill: Legal: L I tJ B d- Existing Strllctur@or NO CONFORJ.v!S TO ZONING ORDINA1'fCE Is this an expansion of the existing footprint or building height? 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? Is the proposed use of the finished space or altention for anytbng other than a nonna! single family home (offic" groun home, day care, e:c.)? Date: d- 025-01 Zoning: 350'f'- 1-0)( 1-c::k1 -JA. Subdivision: ~ _. . ;.f't- YES NO YES Refe: to Planning NO Refe: to Planning /...Ill r-J6 rJc) Refer to Planning Refer to Planning ,J~ Refe: to Planning tJ() THIS CHECKLIST MUST BE COIl-IPLETED ..>..zm fNCLUDED IN THE BU1LD[NG PERMlT FILE TO iYL-IlNT.-VN A RECORD OF THE REVIEW. r '\~~/rPr ~ T:=\A.LTr:HC-c.DOC PRIOR LAKE INSPECTION RECORD SITE ADDRESS .3 so 9 Eo)( f(J. ; I TV' NATURE OF WORK J- L USE OF BUILDING j F D PERMIT NO. 0 II .;l. DATE ISSUED ;1." S". V CONTRACTORS~.~ Tr~I'.~V PHONE 1/'<<1' !It.~' NOTE: THIS IS Ne:rrA 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 CONCRE E UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING firE!> I 5-7/ INSULATION I I ELECTRICAL I I PLUMBING I I HEATING (if required) I '~ FIREPLACE ~. GAS LINE AIR TEST ~ v-} COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ,1 ff;r-- . - cJ-//c.f /05' - . ~ " c}//'I/oS I I3:v rl//<I105' 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 cabinetls available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 DATE Tille CITY OF PRIOR LAKE ;frfts 5:40 INSPECTION NOTICE SCHEDULED ADDRESS ,..g,)O 9 ~nk1 OWNER CONTR. PHONE NO. PERMIT NO. t) r{ -9z.-. o FOOTING o PLUMBING RI o EXIGRAD/FILLING o FOUNDATION D MECH RI D COMPLAINT D FRAMING o WATER HOOKUP o FIREPLACE RJ o INSULATION o SEWER HOOKUP o FIREPLACE FINAL ~ FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: L,e. F;;V'f/:..S' /I fy~ ...-/) ,.. ~ 'flwoRK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR ;"CALL FOR REINSPECTION BEFORE COVERING {.?- Inspector: ,~ Owner/Contr. CALL 447-9850 ;~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /ItSNOTJ