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HomeMy WebLinkAboutBuilding Permit 03-0397 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please'!vp~ or Drint and sign at bottom) ADDRESS 3221 LJood ducL De... LEGAL DESCRIPTION (office use only) LOT Z- BLOCK"Z- ADDITION 1llt LJll..M 3rto OWNER (Name) .:1: L, J; bAw" ,sfU:l.tt-I!>l!-t-v.s 7....;.,e-. (Address) BUILDER (Namp) (Contact Name) (Address) TYPE OF WORK o New Construction ~wer Level Finish o Misc. Date Rec'd ;-;:;:;~ ~:~ I PERMIT NO. 03-3ar17 3. Yellow Applicant I A ~"LD (Phone) (Phone) (Pliooe}- DDeck DPorch ORe-Roofing o Fireplace DAddition DAlteration PROJECT COST IV ALUE (excluding land) $ I hereby ce 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 authorize agent or the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitt plans. a awar tha building official can revoke this permit for just cause. Furthermore, I hereby agree that the city 07ia! or a designee may :te, u on:: to eded inspections. i .3 / OJ ( Contractor's License No. Date \ I Permit Vallhtlie11 I I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee #1Wn.tlo $ "if7.ZS $ $ $ $ $ $ $ 2.00 4o,otJ qo,oo This Application Becomes Your Building Permit When Approved ~ :t,d~ ~/o:r Building Official Date I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit lather I TOTAL DUE I, I Paid yP I Date 1 i ~0j.j' 1-1- ~-:?-. ZONING (office use) Pu/J PID ZS3~").."4= 1sz. -'f<!O'!b7cJ --- ORe-Siding OUtility Connection # $ $ $ $ $ $ $ $ $ # # # /{CJ q, d.-S I Receipt No. L..f'-lii~ Bv vc.../ 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, ifany 24 hnur notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes r BY:~~ Date: Lj_ '3 -Q 3 Building Permit # Site Address Pill: c;3~d-/ Legal: L B Existing Structur~or NO CONFORl"YIS TO ZONJNG ORDJNAi'fCE Is this an expansion of the existing footprillt or building height? I Is the property located within the flood plam? Does the alteration include any additional kitchens? Does the proposed alteration include any outside entrances othe: than patio doors? Is the proposed use of the fiJllshed space or alteration for anything othe: than a nonnal single family home (office, r-ou-p home, day care. etc.)? WCJOc/~ f)~ Subdivision: YES NO YES Refer to Planning NO Refer to Planning NO NO Refer to Planning No Refer to Planning No Refer to Planning t-lo THIS CHECKL1ST MUST BE COMPLETED .-'..c'fD INCLUDED IN THE BUlLDlNG PERi'lllT F11.E TO MAlNT..lJN A RECORD OF THE REVIEW. T .\j""'l:~/rPT.i IF\A LTr:~C(.DCC PRIOR LAKE INSPECTION RECORD SITE ADDRESS 'Z~) 1P()lcl.d~ NATURE OF WORK L L- USE OF BUILDING SF' PERMIT NO. ()..- -. i!l!1 DATE ISSUED ~- 3- O;J CONTRACTOR' ~~~ PHONE "I/tJ- ~ 70 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION ,--- "--,,or to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE If/JS q- FRAMING 'INSULATION ELECTRICAL PLUMBING . HEATING (If required) FIREPLACE GAS LINE AIR TEST ~ /I b .J, <:.I-llJ tj-J ") COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT I I ~ 11" OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE \'fg I / I /7 / ~5 , t 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 entraAce. FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS :>'Zt \ L.o. ~ Du:~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ilNSULATION FINAL SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIME {~ ~-(.)~'17 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~KSATlSFACTORY. PROCEED o CORRECT A AND PROCEED o CORRE . CALL FOR REINSPECTION BEFORE COVERING Inspector Owner/Contr: ~ .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. """"'TI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/