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HomeMy WebLinkAboutBuilding Permit 03-1171 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please ..!VDe or nrint and sism at bottom) ADDRESS 50S ~ PbV\ll<. &.tqL LEGAL DESCRIPTION (office use only) LOT d-BLOCK / ADDITION Date Rec' d ; ~;~: ~:~ I PERMIT NO. f)- --:2-1/7/ 3. Yellow Applicant V Uh0 &~K~ VlttdlrY\l V hDVM.oq-l1 f, bt; '\ P~lit<,. (dq<-- OWNER (Name) (Address) BUILDER (Name) (Contact Name) (Address) 14415\) ~<-v ~lll TYPE OF WORK o Misc. r~L-h.~ ZONING (olliceuse) PID ;:]5-3Cf1- aJ J-(J La Vlv (Phone) "1<;1. -2.2--v -2-245 (Phone) cts 1- - 4-+0 - lIS () (Phone) ~ 1..l-ItV\"vllt~ P b,v'" , D New Consnuction ~ o Fireplace OPorch OAddition ORe-Roofing DAlteration ORe-Siding DUtility Connection L,6bD 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 a are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;ter upon e ereo needed insp,ns. 2-D 7-l u> II 0 ~ - 'l. _ b3 ature Contractor's License No. Date I Permit Valuation I Permit 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 DLower Level Finish PROJECTCOST/VALUE (excluding land) $ - $ ~~~ ~ $ <'<?'d~ - $ C::;U-II, I $ /;C;O I $ t $ I $ t $ I This Application Becomes Your Building Pennit When Approved Building Official Date I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer t City SAC and WAC I Water Tower Fee t Builder's Deposit lather I TOTAL DUE I~X~ . -:ic.C) # / d ' 0 I Paid I Date # $ # $ $ $ # $ # $ $ $ $ !,~>?' frb I ~y ih.+f5' 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.................,,' Cenificate 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 g -(){)r,S" (Please ~ or 'Drint and si2D at bottom) ADDRESS 50S3 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT PCI/I/ Of GDCFj t::;, LEGAL DESCRIPTION (office use only) I. While File 2. Pink City 3. Yellow Applicant Date Rec' d '1 ,f. 03 I PERMIT NO.o3"---,f 1/ ?/fAl& LOT Z-BLOCK I ADDITION D5Gtu:1 G GO 871t PID Z5. 3'19. OOZ. 0 I ZONING (officeu,,) ,e./ g.':e~R Form()~ \)Ic~d; mi ~ r:, La nCl- (Phone) 95;-:<~6-JrJ Vft (Address) 6-05?J Pbndsedae_ Lane Sb P,IOf- r/aY--e 553 ~~ BUILDER y{ - , 'je/'" ,Jj, ~ (Name) A ,'v UeY (J.JY~~ (Contact Name) . ,::J'D.![f~, ';"',-J .l.,t""~'~ . (Address) /~'J~a LV 2. lYY't./~1 ,0 ~ ~vv /,y}1r' ~Af:-" . rt TYPE OF WO~ 0 New Consl1UCtioo ~eck \;) OPorch OLower Level Finish 0 Fireplace OAddition o Misc. (Phone) (Phone) ORe-Roofing PROJECT COST IV ALUE (excluding land) $ OAlteration ORe-Siding OUtility Connection 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 constnlction 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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the prope~ to yerform. needed inspections. lr Svr~OJv'\Cl- 9-L{-()3 Signature 'Coo- Contractor's License No. Date Permit Valuation Pennit Fee Plan Check Fee State Surcharge Penalty I Plumbing Pennit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee *~OOOI 00 $ ~:r~ ,'Zoo'S $ 9-1. " $ '."&0 $ $ $ $ $ This Application Becomes Your Building Permit When Approved ~ :J..ruP- Jh.163 Building Official Date $ $ $ $ $ $ $ $ Q.5.03 $ /3a.B(P I Rece~~o. 45Z,!'b BY4 ' o Park Support Fee SAC # # 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 L..r~.""'J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Water Meter Size 5/8"; 1"; Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE l'Jl1MJn I Paid /1r. d (, I Date 11 /z,lJ ( 1 # # Date Special Conditions, if any 24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ".- .. -<< PRIOR LAKE DEPARTMENT OF . BUILDING AND INSPECTION . INSPECTION RECORD 5DS3 "~NDS~E ~.e NEAl ~ r ~U!Jiiu s.F: D.. J ss~'rf' -1/!I1, '3 BUILDER , PHONE #CJSZ- ZU-ZZ.,S NOTE: THIS IS N T PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE 'FOOTING I ~ I fO-O-(/) ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I I 'FINAL rd I 4iJ"/o.r , / FOR ALL INSPECTIONS (952) 447-9850 " CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS So..r-.]' OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ".....w1!iNAL o SITE INSPECTION DATE TIllE SCHEDULED ~~4s" A....d..c ~ ic .0 ~'"-e ~ - </ - CONTR. PERMIT NO. C) ?-//,7/ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS:, '/ _~,;: ~7?~ HO'-l::r.1'-'..,........,.._ ~'7. ;t ~LJ JOY- -/),,,Pr l' C. ~ u~-~ - <J~/' ~d, COx-/;....dk ~kh4d~/ t/~_ f- A~h --0" '2'd.v'P~/ r/,;.~iUL<; O,./)v~ I"""'/?'_~ /:r, ~ //..o=-- -1/;.,;, cy?d6#'r.<. t'YL_ A6~n' U'- /4 hd #'?) '7froik - ) - -II ~/;t. k ;;....a-c r' ~r .2 LL.J/h. ~ UeL ~ ~ /'~/' :J'~/ A / - c:.:::-r.o; r~ /---" /e ..-/ AWOR~FACTORY' PROCEED =------- o CDRRECT ACTION AND PROCEED o CORRECT ~~ ;A~~ REINSPECTlON BEFORE COVERING Inspector: /~ Owner/Contr: ~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! uaNOTI