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HomeMy WebLinkAboutBuilding 07-0167 :;- ~~ C') 0' 0 0 0 0 "t7 0 )> -0 l/l :t: :E 0 z_ ~ 0 en"TIz"TI"TI"TI 0 Z 0 ~~ ~ 0 n o 0 3: =4zen~OO z m ::0 me )> 0 ;:0 ;:0 3: !!!)>c~~9 m ::0 m O"TI 1 :"1 ;:0 " z"S:zoz Z en ::!"t7 1 m en m 9 en ~ t o )> Z ~ ::!C)~C) 0;:0 -f -f z- t!l -I m 0 - zO fC:) .... > - o Z 0 . o en en 0::0 S CD -f "TI -f Z co - )> ~J' ::!s: >:i 01 o 0 ~ 0 Z -f 0" "TI )> 0 .t' mm ~ 0 ::0 ::0 :< ~ -f "TI "t7 :.... :t: 0 ;:0 ;:0 ~ m ;:0 0 0 000000 z ;:0 0 0 ~ m m m m ~"t7en:E~"t7 >< m m -f Z 0 0 ml~>ml ~ en OC -fOC ~ ~ z ~ "t7 x~ mx~ "t7 0 en ~ en m "TI~;:O;:O;:o~ m 0 0 Q ~ "t7 ::J 0 zZxX-Z ::0 Z :t: ::! m Cll -f >C)OO C) 3: -f m ::t (5 ~ 0 () I"TIOO ;:0 =4 ;tl 0 -f 0 Z -"" - c ~ 0 ~ lXJ zcc Z 1 ~"t7"t7 9 m Z m 0 C "T1 ~ I\,) 0 "., J: ;;0 m ~ 0 0 C ;:0 0 < 000000 -t:-~ en m ~ Z ~ C)"TI"TIom )> Z )>$$O~ ---lnl Ro 0 C) ~mm3:C) ~ < _"t7"t7"t7~ '0 > ~s:s:s:c ~ z ~~ 0 >ooz:;; "'l !'1 _mm-f_ ::: ;:O"TI;:O 1 -f-- 1 enz Z -f~ C) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 3.2B-07 File City Applicant I PERMIT NO. 07.0/&7 I I White Pink Yellow at bottom) ~/~/rJ fdL ffi'lfo ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Ro^4lcl ~ ski Ir LJf3t-T~(S /7 L YG-r/.<<lcI ~ (Phone) Q,)2 Vf? & I tr (;;1z.:-Y~7-'! let 1 (Address) BUILDER (Company Name (Contact Name) (Address) Pt, (Phone) (Phone) MWSS"17' TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing OAdditIon OAlteration OUtility Connection CODE:~ C. OLB.C. Type of ~lction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 5 ?!Sf;',iisC ORe-Siding OLower Level FinIsh 0 Fireplace ~uYv\. A f1"J II- ~~;~_ PROJECT COST IV ALUE $ (excluding land) z... . C;'U <...i / I hereby certity that l have hlrmshcd mformation on this application which IS tu the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent for the abovc-mentHlned property and that all mnstructHln wIll conform to all eXIstIng statc and local laws and wdl proceed In accordance with submItted plans I am aware that the buddmg olliClal can revoke tillS 'mil Itlr Just cause Furthermore.] hereby agree that the City official or a deSIgnee may enter upon the propelty to pert(Jrm nee.~d mspectlons X_ ,~, ~ a7p'39:d/ ~-Z~o7 ' - Signature Contractor's License No. Date Permit Valuation Permit Fee $ Plan Check Fee $ .- State Surcharge $ -57) Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee I $ Gas Fireplace PermIt Fee $ Park Support Fee SAC # # Water Meter Size5/S"; I", Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Permit When Approved I~~ I lluild1t1g UtJiclal 3/U/() 7 Date Paid Date $ $ $ $ $ $ $ $ $35.2-5 S J2.-" "L Tim IS to certIty that thc request In the above applicatllln and aecompanYlllg documents IS III accordance with the City Zoning Ordinance and may proceed as requested. Tim document whcn signed by the CIty Planner mnstlt1ltes a temporary Certificate of Zonlllg compliance and allows coustructllln to commence Before occupancy, a Certificate of Occupancy must be i.o.;SllL'd Planning Director Date 24 hour notice for all inspections (952) ....7-9850, fax (952) ....7-..245 4646 Dakota Street Prior Lake, MN 55372 Special Conditions, if any Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes BY: ~ ~ Date: 3(2g(07 Building Permit # Site Address / 7 ~ 0/' ~ PID: Zoning: ~~I Legal: L B Subdivision: Existing Structure: @'or NO I CONFORMS TO ZONING ORDINANCE YES NO YES NO Is this an expansion of the existing footprint or Refer to Planning building height? jJo Is the property located within the flood plain? Refer to Planning 'va Does the alteration include any additional kitchens? Refer to Planning }J(J Does the proposed alteration include any outside Refer to Planning entrances other than patio doors? JUo Is the proposed use of the finished space or Refer to Planning alteration for anything other than a normal single ;J(j family home (office, group home, day care, etc.)? THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLA TE\AL TCHCK.DOC -./ PRIOR LAKE INSPECTION RECORD SITE ADDRESS /72-4& DC{;I&F!t3-e--p 011- TYPE OF WORK L- - ~ - USE OF BUILDING /l~-S /ll/z- PERMIT NO. (J7. ()/&I DATE ISSUED .3 ~ 2-B. 07 BUILDER /Ho r; PS 0 tV PHONE # ;, I Z . f? i'o 7. 37tj7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION ---- I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~MING I 1f'7 I Vl-1-if 'I I FINAL I J/'v1/7 I 4~(7/tr) I , INSPECTOR DATE FOR ALL INSPECTIONS (952) 447-9850