HomeMy WebLinkAboutBldg Permit 05-0007
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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Pink
Yellow
File
City
Applicant
I PERMIT NO. 0$.000 '/1
(Please tv}H! or ,rint and sism at bottom)
ADDRESS
I1Lf33
J()~~ Ji2u
-. U
ZONING (office use)
LEGAL DE ;CRlPTION (office use only)
LOT b ~OCK /ADDITION
(
OWNER
(Name)
(
IOfl/~e(V
/ J-rP--
prIdS - </0'7- DU ~ - ()
4~
l}b1t1e~
(Phone) {W,'1.,-d-Lf:l- 091.'1
(Address)
BUILDER dJ' '" I ~ I f - /
(Company Nlme)J1LJnn~,~e.
(Contact Nane) K~H AJ/lltafits
(Address) ~) OJ '] lJocJckr red.
Rew.()1ek
(Phone) gs.1-q9t./-)~'1ts-
(Phone) qO' ;:)QO- 0
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TYPE OF W'ORK 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding MLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc. ^
CODE: I'ilfu .C. DI.B.c.
Type of (funst uction:
Occupancy Gr )UP: A B
Division:
I
E
II
F
I
I1IIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify tha I have furnished information on t application which is to the best of my knowledge true and correct J also certify that I am the owner or iluthorlzed agent for the
abovc-mentlO p 'opcny an n III conform to all existing stale and local laws and will proceed in accordance with submitted plans I am aware that the building
otlicial c yoke 11is pe more, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections
dong.3/c; /)-)g-~,/
Contractor's License No. Date
x
Signature
.b
I Permit Valuati~ n "L/oOO.IJO I Park Support Fee # $
I Permit Fee $ 17. 2., I SAC # $
I Plan Check Fe, $ I Water Meter Size 5/8"; 1"; $
I State Surchargt: $ 2...00 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee&m-r. $ '1111t! tJ I Water Tower Fee # $
I Mechanical Pel mit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace ~ermit Fee ILl 0 . $ I TOTAL DUE I'JhAW /2 . W .04- $
1
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This AppHcatio I Becomes Your Building Pennit When Approved
~~
BUlldll .!! 0Hicial
-Lz/~?',Io <L
Date
I Paid
Date
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/d'1- J./.
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I Receiet No. L,lx-o 5 0
I By /.'
r
ThiS IS to certify tha the request in the aboye application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the :ity Planner consmutes a temporary Certificate of Zoning compliance and allows construction to commence Before llccupancy, a Certlficate of Occupancy must be
issued
Planning Director
Da~e
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 UC/- /~t./7
Basemen! Finish or Imerior Alter:J.tion to Single Fam.i1y Homes
3Y: ~~
legal: L
b
B
/
Date: ! ~ _ ;;<. {?- 0":/
PID: Zoning:
//};:~~i'"1:j::;~tL
Building Permi! ;#
Site Address
~.risting structure@r NO
=ONFORIYIS TO ZONlliG
) RD D'L~J.'l" CE
'{ES
NO
; s this an expansion of the exi~ung foot;Jfwt or
I uilding heigh!?
YES
Refe, to Planning
NO
I J s the property located within the fleod plam?
I J )oes the altentien include any additienal ki!cher.s?
I )oes ll:Le oro1Josed alte:ation mclude an'! outside
. . "
e ntrarlces othe:- than patio doers?
Refe:- to Planning
tJo
tio
rJ{)
Refe:- m Pla:oning
Refer to Planning
No
I i the proposed use of the iinisb.d S]lace or
3 ~te::ltion for anything Ol.i.l.el" l~an a nOG:3.1 sing1e
f lrnily home (oftc:::, group home, day C2.re, e~c.)?
Rete:- te Plarmmg
No
'j HIS CRECX1.1ST MUST BE COiYIPLETED ,",-,W INCLUDED IN TRE BGlLJlING PSRlylIT F1l.E TO
,y ..lJl'fTAE'1 A RECORIJ OF nrE REVIEW.
'---:-':\/I~T j,:-=' J. ~ -~"'.:r!' '"':CC:
PRIOR LAKE
INSPECTION RECORD
191./!J~ PeerFie,/d, /)r
NATURE OF WORK ~ .L .
USE F BUILDWG ~ F' ~
PER IT NO: (')=:(,000_7. .
CON RACTOR . PHONE~' "02SS'
NOT .: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
DEPARTMENT OF
BUILDING AND INSPECTION
INllPECTOR
DAlE
,
1/.2~5/
/ /2-6/0..r-
//.,2 ~J;s/
//~ /tJ~
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUlL liNG
ELECTRICAL
PLU,BING
HEATING
DO NOT
/VI ~/24:;'-
.;z/2?/OS-
7q ..;2/..?4~~
~ ,.-244vS-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
'fihls card must be posted near an electrical service cabinet prior to rough-in Inspections
s ~d maintained until ail Inspections have been approved. On buildings and additions
\! here no service cabinet Is available. card llhail be piaced near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE ~ L "/.'
INSPECTION NOTICE SCHEDULED ..,2/ZS7o.r
/7:/S'3 deA;j' a
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNOA TION
o FRAMING
~ULATION
~ ~~~L
o SITE INSPECTION
~8/lENT~: ,
?/-eG 1'J/tC~ /
/I /
CONTR.
PERMIT NO.
o PLUMBING RI
[J MECH RI
o WATER HOOKUP
~RHOOKUP
L !J:lIMBING FINAL
:;.p'MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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INS/'IOTl
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~~~~FACTORy.PROCEEO
^ ~ORRECT ACTION AND PROCEED
o CORRECT Wl}R~~~REINSPECTION BEFORE COVERING
Inspector: Y ~/ OWner/Contr:
/
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CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!