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HomeMy WebLinkAboutBuilding Permit 07-0544 :;- } (') oJ-i 0 0 0 "0 0 > -0 III ::J: ~ 0 z_ -0 0 en -"T1"T1"T1 0 0 ~~ g CD s: ::::jz~~OO 0 51 0 z m ;U mo > 0 ;u !: m> c:0 m ;u m 0"T1 :-! 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LA\Zf; ) ZONING (office use) Ie i $;J:) LEGAL DESCRIPTION (office use only) LOT G BLOCK /0 ADDITION O/fU/IA/O 'pcJ:'r(!-I'-t C;r~ PID 2- C;: /4-0. 0 C' 8 . 0 OWNER (Name) rYIaf'l3.e We:tt to 1/0 ~ustiG ~ S& (Address) (Address) (Phone) q~2 - 4110 _ "7lD (Phone) 952 - q1t!- U<6 z..... (Phonep-elv 952. Z2-I. 30C' (. rY1N t.?S3Y (0 Lib Eden A I rle TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition ~eration OUtility Connection CODE: ~I.R.C. OI.B.C. Type of &nstruction: Occupancy Group: A B Division: B S U ~ -'CE ~(~N(" B~ PROJECT COST/VALUE $ Of 1Jt5O (excluding land) o Misc: I E II F I at 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 roperty and that all constru io . conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building his per 't for 'ust c se. F rm e, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. (.'302- (p-Z (.-Or x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ill IV V A HIM R 2 3 4 5 Contractor's License No. Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee # # .00 Water Tower Fee Builder's Deposit Other ~~ Buildinl! Official C:, / z-Co II) 7 , Date' TOTAL DUE ~ This Application Becomes Your Building Permit When Approved Date $ $ $ $ $ $ $ $ $ I 3 I 9. 8E) tNo. 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. ~ ~~ &/;Z~A7 , I Date M!_~ JUiL(#~ ~, Special Conditions. if any Planning Director 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering cillnk - Planning:> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED :' Co'/ I _..~.."'-""'" " /' .1 . \ c. , // / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( ! .' :__J Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ Comments: ~ ~ ~ ~ ~~~.No~~ tr\...- ~.&rn ~~O~~~ V~~:~~~OL~ Date: fa I z-ro I () 7 . "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." c\Nhite - Building":) Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,~dMt<</Zrlrc-L \:lb/. / G:,. 22- 0'7 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (PliO p~~ R~,Jr; Accepted Accepted With Corrections / Denied Reviewed By: ~ ~ Date: to,/z.~ 7 Comments: .f?t1~ ~ >' "j~' ~ drdL~ ~ ~ ~~ ~ &-e ~ ~ ~ r-- re:oi"V ~ ~ '/~ o/~) ~ .:,~ t..--/ ~-r""~ ~, "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes Building Permit # Site Address , 7/0 Legal: L 8 B I~ PID: ~;:;t~ Date: (,,/z. (, /c 7 ~. SC; Subdivision: ~A L/~ IJ Af'_ , /~ C/~ ~ ~#J fJfI Zoning: BY: ~~ Existing Structur~r NO I CONFORMS TO ZONING ORDINANCE YES NO Is this an expansion of the existing footprint or building height? YES Refer to Planning NO Refer to Planning Is the property located within the flood plain? Refer to Planning Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside entrances other than patio doors? Refer to Planning THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLATE\ALTCHCK.DOC Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I~/c,. ()J ~. ~~~ ~!~ I PERMIT NO'OJ.. 05~ -I 3 Yellow Applicant , .., , ZONING (office use) &7/0 {U./...J77 C!- /C-e) ~ D LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID I OWNER (Name) (Address) (Phone) APPLICANT ~ ..- (Name) \/~r:P ARil/~'/ (Address) I} 7 .? S s- /jA j) V 0 A r ZJ/<. (Address) / ----- (Contact Person) '-;;-E./;J-- 4~../J/Y- / (Phone) fJrc2 C/9J c:?/c/~. C;J/lS-/d9 ~/V _~.J'/~ (City) (Zip Code) (Phone) C-d'/C2 -?b' C/: 5""")/8'% APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture / Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Z Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector / Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler t't../ Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum <7'/ ~ ~ t?9- Estimated Cost ~ ~ ~ . Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOT AL PERMIT FEE $ (Office l:se Only) This Application Becomes Your Building Permit When Approved Building Ofticial Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~. ~~~ ~. NATURE OF WORK ,./L ~ tJ J L USE OF BUILDING ~ D. ,. PERMIT NO. {n 0544- DATE ISSUED J.li.~., CONTRACTOR ~1fM. l,T:. # PHON · ...~, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION -.s INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED OUGH - INS . -- -- --- FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN 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 cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850