HomeMy WebLinkAboutBuilding 05-1149
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(z.) PLANS
(2) S(/1:.~ (/& V.s
ADDRESS
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Date Rec' d
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I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05.//41 I
ZONING (office lIse)
Jet
LO'K.0 BLOC
LEGAL DESCRIPTION (office use only)
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ADDITION !'://t'VFI !.4/JHJ:/J
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OWNER
(Name)
~.r'1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
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~<(?- ~-(;~._y'
(Phone)
(Phone)
ORe.Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAlteration OUtility Connection
PAddition
CODE: ril'I.R.C. DI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV
H I
2 3
V
M
4
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{,rrJ
o Misc.
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
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
-
This Application Becomes Your Building Permit When Approved
~ ~ I!A?/os-
Buildll!!! Onfclal Date'
Contractor's License No
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE IdYl "-1:;7) /1. l~ CS- $ Z. <1 (P, 1<.[
Paid
Date
'~j~1-i ..-- I R"ei~
; - J- () 'J By
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ThiS IS to certify that the request In the above application and accompanying documents is In accordance with the City llming Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certiticate of ZOnIng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
lS~ ,.
~~~
Planning Director
I///r~.>
, , 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
<;W,bite - BuildliiiP
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1/ ~ cJ L3A u E:fC-
-
/(I4-,O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
522/ g,.e.<J?)~J U~c~
Accepted
Accepted With Corrections V-'
Denied
Reviewed By: ~ ~ Date: If(ir/ar
Comments: ~~. ~ jq, ~ o,<~~
o --,
~ ~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."
White - Building
~:n:IrY - Enaineering
Ci "nk - P1anniiib
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J l
{.'., I I. /' .
Accepted With Corrections
~.
Accepted
Denied
Reviewed By:
~
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...
~
Date:
11/;?/oS-
,
Comments:
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"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."
I he{eby certify this site planjs accurate to the best of
my knowledge aDd the C,ity of Prior ~ is issuing
IUs perm~ b8$8d on the. jntormation I taM 1UbmiUed.
I.U responeibiIytar .., inIaandII an this
"1m I agree hi'. fllIIDR11dt tar -"19
uy.sIrucIuria1hat mIy be .lIId inconIl*", with
the "'*"'** of the lofting Otct.1CI.
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~
:ngineering Co., me. ,XIMY
---.-
hone 447-2570
Prior Lake, Minnesota 55372
CITY OF ~RIOR LAKE
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDIN~ AND INSPECTION
~ .
SITE ADDRESS 52 Z l) ~ CI - S. e I
NATUREOFWORK ~"'~~ _ /17()I..). ~~"
USE OF BUILDING . J:": IJ .
PERMIT NO. 05. II~ DATE ISSUED tiS'"
CONTRACTOR 1I/IJ1l1C- MeAt/ii. /'tl, PH NE?SZ - ~ 7. s-, S~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT~ DATE
~ (0":_ /I-]..->-OS
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICA
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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