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Home My WebLink AboutBuilding Permit 04-0140 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd File City Applicant PERMIT NOO// I 7- YO I. White 2. Pink 3. Yellow e or rint and si at bottom woodu~ elf- 7;1-71 LEGAL DESCRIPTION (office use only) LO<:.3 BLOCK / ADDITION C5-t td- PIIb?& J d. 0 OWNER a /1 '# (Name) <A <I;' .;;,,'" (7 ,/ (Address) (Phone) BillLDER a ~~ (::7a~N~e). .l~~;:ff'~~ (Address) 5. Zc;2!iNG (office use) ,;;&:;16 - ';?'399 . (Phone) (Phone) 9~-,;1--j/,ty- '-/~ 7$ y~- ~- ;At7.:l-dHd13 5J~ .#- TYPE OF WORK o New Construction ~ower Level Finish DDeck ORe-Roofing ORe-Siding DPorch DAddition DAlteration o Fireplace o Misc. PROJECTCOST/VALUE (exc1udingland) $ DUtility 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 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 enter upon the eIty perfor needed inspections. '3 J"N /os- / I A't' - /">71/ , Contractor's License No. X Permit Valuation I:'~O.Oll Permit Fee $ 07.:;"5 Plan Check Fee $ State Surcharge $ Z.D<!:> Penalty $ Plumbing Permit Fee 'd. do Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ Park Support Fee SAC # # Water Meter Size 5/8"; I"; Pressure Reducer City SAC and WAC Water Tower Fee # # Builder's Deposit Other TOTAL DUE 3b~-/'~ !Date ' $ $ $ $ $ $ $ $ $ Z- 110-1&- pplication Becomes Your Building Permit When Approved Paid ~ Date' ~. 0 -F-- Sit ~/o 'I , Date Building Official 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 16200 Eagle Creek Avenue Prior Lake, MN 55372 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT tf.~.o4- or rint and si at bottom 1. Blue File I PERMIT NO ~ 2 Gold C", .~. ()/ ] Yellow Applicant ~_ ZONING (office use) Nood 1/"'",, IfflvtllT LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIDZS. ~q~. OOJ~ () I DWNER (Name) (Address) (Phone) APPLICANT (Name) (7,J ~,,el/'-c~s. (Address) c;;?/</tfS- l11o-./fe-'€-1' /J ve_ (Address) (Contact Person) t! A n:_ ,t- APPLICANT SIGNATURE (Phone) 7'S-'::<- ~~(-:5~l?/ LtZA-:-1/ ;L/ C' S:5d.e/~ (City) (Zip Code) (Phone) DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture I Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner I Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residenlial. Additions & Alterations $39_50 Estimated Cost $ Building Permit # 0 if . 0 )4-0 ~ { triO ) f t5vO (f/Sl/t}- ~D $ --- $ _______ .50 $ .../" - PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date By 24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245 t6200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 TO: City of Prior Lake 16200 Eagle Creek Ave SE Prior Lake, MN 55372 FROM: Jason and Jody Rich 17271 Woodview Court Prior Lake, MN 55372 RE: Lower Level Finish of our home We guarantee that we will not use this area as a rental space. It will be solely for our own private use_ Date: '3 - /5. 0 L( Signe~ ~~ ~ Jason Rich Date: ~ -I 5"'0'-/ Signed: ich Residential Building Permit Checklist Basement Finish or In!erior AlteratiOll to Single Family Eomes BY: ~ ?~",Ll~ Da!e: LI- f5-DC/ Building Permit ':# Site Address Pill: ZOlling: , /-?~7/ U--oO~ Legal: L B Subdivision: Existing StTucrur@or NO CONFOR!.'rIS TO ZONING 'r:'ES NO ORDJNA1'{CE Is this an expansion of me e7..isring foorprillC or I Refer ~o Planring building heigh!? I ,fa Is the properry locared within the flood plain? I Refer to Pla.-'lIling I jJO Does the alteration include any additional knchens? I Refe: ~Q Planning I fJo Does the proposed alteration include any ourside Refer CO Planr.ing entr3T.c~s othe:- than patio doors? 00 Is t.~e proposed. use of che firjshed space or Refe:- co Planning ,.pi ~ alte:-::.rion for anything otb,er t.b.a..:. a Clor:nal single ~~1~1 rarrjlY home (offic~, grou'9 harne, day care, e-:c.)? pu~ /H.s65 I 't.." ...,..., (/ ns NO L-. t!.--. TillS cmCCLlST M15ST BE COMPLETED _~'t-n Ii'!CLU-nED Ii'! nIT Bt;lLDli'!G PERMlT FILE TO i'iL-\li'!T.-\.li'! A RECORD OF THE REVIEW. ~ .-:';'.,pT j, -:' -'. ~ -,~.,....:-(~( -:(~c PRIOR LAKE INSPECTION RECORD . SITE ADDRESS /~;J.;~ _ NATURE OF WORK '- USE OF BUILDING .~ PERMIT NO. ~- if''!:> DATE ISSUED 3 -/S-,/ CONTRACTOR 1- wa. Ll PHONE~ NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR OATE ~ I I ~II PLACE NO CONCRE E UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if re ,- '2t!J 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 CITY OF PRIOR LAKE INSPECTION NOTICE #~TIME U/oedVL 'e <.-- (' ~ , SCHEDULED ADDRESS /7.,,27/ OWNER CONTR. PHONE NO. o~-/s/'c) PERMIT NO_ o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ...-8':I'LUMBING FINAL ~ECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMM~T~ ' L ~ 7d. p-t::'_C // C~ / ~ / (:)--r ~ ;;/0Y 4! ~ ~ /' Un.6, y rP7c. A/~Ck~ A7 / dhck/s oJ ~ / /" <? ( OK , / / I' 0/'--- CY~ ~/ ~ -Ke' , WORK SATIS PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~OR REINSPECTION BEFORE COVERING Inspedor: . . Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY! uaNO"