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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3 / /
/1/02-
$-'5-0
FUL.bR..4 HT [=11(
White File
Pink City
Y cllow Applicant
PERMIT NO. 02- - 02-50
ZONING (office use)
12/
LEGAL DESCRIPTION (office use only)
LOT.26BLOCK I ADDITION ORK /2/D(i6 eJ.
IN-
PID zs -t) 83-
'0
~~e~R [6 120-1 1-+ G / l'1 '[5 1lOC-/1T-
S Iff}! ~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
/NL
LI1N^ltJN 56ILv'1L~~)
P1 It U-- LJ4 N N ()4-(
I 7 ~ ()S- fJ.1U5#~~
1)
(Phone)
(Phone)
(Phone)
'-/47- 3?"t)"3
un 32.)'"- 2'/0 '-/
TYPE OF WORK
ODeck
OPorch
~dition
ORe-Roofing
ORe-Siding
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $ 17 tJt7t;' .-
o Fireplace
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 prope to per rm needed inspections.
~."-
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
:3- (p -- 2~o
Date
OAlteration
OUtility Connection
LOL-5"lLf~
3/'/()z..
I Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 4// tJ. Z&/
I ~;cei~ ,h<;.;,"'fp
Paid
Date
1-i~ 1-'
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 signe 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.
Director
(~/8:>/(g~
Dare
~~k~~~~~l
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht Ctnltr of Ihf Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L/1~ON ..5Vco
.z I /07.-
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
57..s-0 FtJ/-,/3,e/ qHT (!/ IC-.
Accepted Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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
Canary - Engineering
Pink - Planning
The Cronin of the L.kf ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i.
.'
APPLICATION RECEIVED
____, I
I i "7
. t...--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---.....' ..
L. .' (_d.'" I ,I / ~ ;'/
..
!
." / t-
Accepted
Accepted With Corrections
~
Denied
~~~
Date:
3/tlJ/tJ1--
..
Reviewed By:
lJ
"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."
, - f~: .q . - _.
.~,-..
ThC' ("C'nlC"r or IhC" 1..kC' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,L4/Vr;'-{/V SVG-5
3 II 07--
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments .11,ave reviewed the building permit
application for construction activity which is proposed at:
57S-Q FUL-i5e/'(?Hi'(!- / e.
Accepted
X'
Accepted With Corrections
Denied '
Reviewed By:
A4'113
Date:
3-/3 -0<"
Comments: See Reverse Side for Additional Information!
t;r"vc.w~r j-<> Jx no 14r~r -j-t,r.'l ').1{' , L..J/rA< 41- ..p~c)P(/{.'f 1,'"s
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
4t"
CERTIFICATE OF SURVEY
ror: LEROY HELMBRECHT
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~APPR ED
. ENGINEERIN OF
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Scale: 1--30' Pa e 2 of 2
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James R. Hill Inc.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..5"7 so' trJ{~ 0-,
NATURE OF WORK Net...J C6::.~.~~ .4Rc1V\
USE OF BUILDING 3'E(")
PERMIT NO. ()Z---OZSO DATE ISSUED ';>-~-o:(
CONTRACTOR ~ Sv..~ ~ PHONE {,IZ - ';52.7', -2VCJ(/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FRAMING
INSULATION
ELECTRICAL
I -lD
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l
T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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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 ha've" bee'n approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850