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Home My WebLink AboutBuilding Permit 04-0925 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ~ONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please ~ or orint and sim at bottom) ADDRESS Date Rec' d I. White 2 Pink 3 Yellow file City Applicant I PERMIT NO. 0 I.j -09$ S~t(~ P~_4/./~ 4Z~~ - ZONING (office use) r E III rv H r 2 3 V M 4 LEGAL DESCRIPTION (olliee use only) . d-- . LOT/(l BLOCK l/ ADDITION ~ I(I~ r:JAJ PlD.:2S'-~LJ;<-Ot1L1--C') ~(l~(}..~ ~ \)(}j"'f)flll. Cn\~ (Phone) 9S2~4lJOrSl(5f OWNER (Name) (Address) BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone \ A R S ~ower Level Finish 0 Fireplace I BedyOOJ1"\ PROJECT COSTlV ALUE S (excluding land) TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding DAddition DAlteration DUtiliry Connection 0 Misc. CODE: 'ltiI.R,C. Or.B.C. Type of eonstruction: Occupancy Group: A B Division: II F 1 B S U 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 prope od 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 r it for just cause Further ore, h eby agree that the city official or a designee may enter upon the property to perform needed Inspections. J q - 1'1 -01.( , Contractor's License No. Date x I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water ~ermit Fee Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ fr. 'If)~,DO ~,7~ - .5"0 pplication Becomes Your Building Pennit When Approved '~ ~f-J Building Otlic'iaJ ,It r joy Date I Park Support Fee I SAC J Water Meter Size 5/8"; 1"; I Pressure Reducer \ Sewer/Water Connection Fee I Water Tower Fee ! Builder's Deposit I Other e: I~e-- I TOTALDUE~ q,'4-.0~ # $ $ $ $ $ $ $ $ I~OO $ <%.2-5 /) ~~ Recei1ft b(o. .,,-,1 CI4 By ...J?-. () # # # I Paid I Date J~ .J_r f. l,s"_,;;-- ThiS is to eertify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Ccrtificatc of Occupancy must be issued :"f1anning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Aveoue Prior Lake. MN 55372 . Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY:~ 7~~ Building Permit # Site Address PID: Legal: L ~ L.j B Existing Structure~or NO CONFORlv!S TO ZONJNG ORDINA1'l' CE Is this an expansion of the existing footprint or building height? Is the property located within the flood plain? 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 alteration for anything other than a normal single family home (office, grou'Q home, day care, etc.)? rp- / if - oC; 5&C/3 15=~~ tJ. Subdivision: ft:J...t.el,,, "J ;2Jgo Z Date: YES YES Refer to Planning Refer to Planning Refer to Planning Refer to Planning Refer to Planning NO t--J'b f0l\ ,.JO fJo ~c THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BtnLDlNG PERJ'y(IT mE TO i'flAlNTA1N A RECORD OF THE REYU:W. T .\T1''vfPT. n:\ALTC:HCZ.DOC NO .....-_.,.._--~~'"-'---~.' ..-." PRIOR LAKE INSPECTION' RECORD SITE ADDRESS ~''{J PA~~ lit&"; t.J~E NATURE OF WORK I.CIJDL ~...,#'W USE OF BUILDING ~. ~ PERMIT NO. Otf.o,&.,r pATE ISSUED !1iL!f8f1' . CONTRACTOR DwAIM r~.\A ~V PHONeJn.~4.,"U"I NOTE: THIS IS ~RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION IISPECTOR DATE I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED GH . INS . ~ ~ . FRAMING /~ /~?z: INSULATION I. 19 l:tJ...... ELECTRICAL /# / ';;9/o~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUlL ELECTRICAL /'JP? , I 'f t IfjoS- L/ /k/~( . . A //I/;r . . . , OCCUpy UNTIL ABOVE HAS NOTICE J , il/ /5 /oS- , . BEEN SIGNED . This card must be !fosted 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 ~~s-nME / , ,\b~..? A/j(._N'e~ C;Jr CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. D FOOTING D FOUNDATION D FRAMING D INSULATION ....-"l'iNAL D SITE INSPECTION CO~NT~: B-ccrr. c...1 SCHEDULED CONTR. PERMIT NO. D PLUMBING RI D MECH RI D WATER HOOKUP D SEWER HOOKUP D PLUMBING FINAL ~CH FINAL hJe- / c1c~ -- #t'~~~ h;'~ / &f!)tf ~/ r/~/ ur( o~-~- D EXlGRADlFILLlNG D COMPLAINT D FIREPLACE RI D FIREPLACE FINAL D GASLINE AIR TST D , / ~/?;/~ ....----- ~ // /'// ~~)) ~ (___/tSJ-€- /-r/e...- ~ ~RK SATIS~ORY. PROCEED o CORRECT ACTION AND PROCEED D CORRECT ~J~OR REINSPECTION BEFORE COVERING Inspector. ~L--- Owner/ConIc. -- CALL "T.9850 FOR llIE NEXT INSPECTION 2. HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI ....."