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HomeMy WebLinkAboutBldg Permit 01-0971 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d e--P (Please type or vrint and sign at bottom) ADDRESS 1. White File I PERMIT NO 2. Pink City .01 ,0 O-t. J 3. Yellow Applicant -LV _~~29 SY{!;C}fr7()/Zt5 //~ ZONING (office use) ~/ 5LJ LEGAL DESCRIPTION (office use only) ADDITION AZt-S H33 LOT BLOCK PID 2S - /O~- tJ07- 0 OWNER (Name) T ,-,'c...,",- ~~ (Phone) q ~7- - ::l:2 i,- 9 to ff' (, (Address) "3 '3 ;2. ~ S VtA n-u:y< 71Q1'L 5 u> , BUILDER I I (Name) k/t>~/-e.d~, ~c (Contact Name) / ~e'1h 1"5 lc.r~15~ (Address) '1117 ~~(.()~/ /3~h 5f (Phone) (Phone) t,,; 3(.,'7 ~S?'3 '3 ~~-;; ~~;.. 03B/ ?If-(/ /IoG€ 55"373 TYPE OF WORK o New Construction OLower Level Finish )1f'eck o Fireplace OPorch ORe-Roofing ORe-Siding OAddition OAlteration OUtility Connection o Misc, 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 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 exnter uponthe prope~ to pe'1:;:' needed ~ns. ~ - /~ ';2..0'( fe:> ,~ tf-;l7-DI Signature Contractor's License No. Date I Permit Valuation I Permit Fee $ I Plan Check Fee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas FireIJlace Pe~it Fee $ (7, . /It,wBuil7r;?;; iI ng4!flf#1 D.t< f- U # $ $ $ $ $ $ $ $ 50, CJo .<~-QO , 8~. z.c;- 571. If f . L:;"c) Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other W/l1 v/3e OF $v,eve v' I TOTAL DUEtAuel? ,?-(" 0'/ $ /gg. e ~ ReceM' Ar15"..5tJ BYr- # I Paid I Date /e;g pI:? 6....10 '0 I ) , , 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 PRIOR LAKE INSPECTION RECORD SITE ADDRESS .s&;t q S'~ ~ (j,:-. TYPE OF WORK ~('" k~ 18~1 ~ --; USE OF BUILDING 5:'t::{:) "'" PERMIT NO. 6/-09'7 / DATE ISSUED > --c- - 2o-a( BUILDERK;6V~ ~ PHONE # 752-892-gg( NOTE: THIS ISvNOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTO~ I FOOTING I ~I 111 010) I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~ I I DEPARTMENT OF BUILDING AND INSPECTION DATE , FINAL /1 fh, , / 1/ 1 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 , 16/g/fJ I I PROPERTY OWNER: ADDRESS: -r;, 'c..,'-. (;oc~ '332-0/ ..st/~/VlO~ 7X& 5Ul TELEPHONE NUMBERS: 9s:;l.- ;1?(, -1bfff.., I SIGNATURE: I LEGAL DESCRIPTION: ~. /~ ,e~ &-. ~. .:1133 I PID NUMBER: 2-5-/01'0- 007-0 A request to waive the survey requirements will be accepted only for the construction of decks. Prior to the review of this request, the property owner must provide reasonably reliable evidence in the field of what he/she believes are the property boundaries. This request must also be accompanied by the following information: 1. The deck must be drawn on a site plan to scale, The site plan must identify dimensions of both existing and new structures, and the distance from any lot lines. 2. The property owner must sign an agreement, prepared by the City, holding the City harmless from any damages incurred if the deck is placed inaccurately on the site, or of it irifringes on any setback requirements or easements. 3. The property owner shall pay a $50.00 fee for the staff review according to the adopted fee schedule, Once a request is reviewed, the staff will schedule a field inspection and review all available information. The Planning Director and Building Official will then make a determination of whether the requirements may be waived. For OfJiceUse Only ACTION )?( APPROVED 0 cl,MMENTS: ~uJ~.Alj -'PY\d ri-~,^ ~ app=~ +0 re,Jfesefl i-r I I BY: ]: \hflndp,uts\\Vaixer .do(f., 16200 Eagle ueeK Ave. ::>.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245 AN EQI !AL OPPORTI !NITY EMPLOYER SCHEDULED J CJ.S (Q I , ~'l~, (j CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 33 2l} OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP .0 PLUMBING. ~.F.'I.J.. '.' o MECH FINA,' :./1 COMMENTS: 1)tt.f' - ~f~ r-'U ~ , ,/~j: DATE TIME 1'()~"Je elf-9ft o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o !OWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspectoc ---:~ ( Own.,lCootr CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED e--z9,O/ 4. T. ADDRESS 33ZC; 5YM1'-10~ 'J7U-. SW OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDA nON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: W~/t/r?/& OF Su/ZV6V I ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~ <.-\ ~ Owner/Contr: CALL 447-9850 FOR TH: NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI