HomeMy WebLinkAboutBuilding 05-0956
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9 - / Z as-
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()~ OYSb I
ADDRESS
ZONING (office usc)
.'e/J.o
/ /f .301 SI/rft;J'I ,d ~77t:!/1 '/?V-?/ t..-/
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK
ADDITION ~
$ C7Jt!;rf
PIDZC;;-. cJ~
00
OWNER
(Name)
IJA-J
!Jruoy
(Phone) ~/2;'77D-'9.2oy
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
;;It.LJ~~~ L?-.s.."d. ,< :T7".~ /~
. ,
J~~~
(Phone) cf~-.$8'6-~Y69 3
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAlterati
CODE: ~.R.C. DI.B.c.
Type of 6~struction:
Occupancy Group: A B
Division:
eck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OUtility ConnectIon
o Mise, EXAc-T tCdlAcL)ko-lf
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certit)! that I have hlrmshed mformatlOn on this application which IS to the best of my knowledgc true and COlTec!. 1 also certIfy that I am the owner or authorIzed agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and Will proceed in accordance with sub mIlled plans. I am aware that the buildmg
I "tlicial can revoke this permIt for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the propelty to perform needed mspectlons
X C;;~~~ ~ .-/ ,;2c.27t7bl 7'-I2.-0S
gnature Contractor's License No. Date
Plan Check Fee
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 &I/UeV ." z.., . OS' $ J ZZ. lD9
Permit Valuation
Permit Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~~
Buildlllg Official
9/z.?1()~
.
Paid
Date
'g;CoCj
I Receipt N~-OO~
By IO~~-
Date
ThIS IS to certit)! that the request 10 the above application and accompany 109 documents is In accordance with the City Zoning Ordinance and may proceed as requested TIllS document
~hcn signed by the City Planner constlt~tcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
IS~ ~ % i ~A
Planning Director ~2-Y ~~ fx~ ~~~f~ ()JLY
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
cWI1ite - Buil~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H6t--D S701U6
fJ. /2,OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/430 I slMVV I5C~etI "77U--
/
Accepted
Accepted With Corrections
~
Denied
~~
Comments: ~ ~ ~
Xt"~ ~ ~~ ~
Reviewed By:
Date:
9~.s-
M3 ~ J,
~~
"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."
t
White - Building
Canary - Fngineering
c-:Pink - Planr1iii'g:)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/~..." L.~- ~
/ /
. / L
"...-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'I'.'~'~~-'//I/I.: ;'--f'-'/' ,/'i.:.-l
/ 1- -. Lr -- "._ l I
/
;
',7'i-:: '
/ I '
L-
Accepted
Accepted With Corrections /
l'
...
Denied
Reviewed By: ~ ~
~ ~~ ~ o i'lL"'.
~fo ~ ~~~~.
Date:
9 P?r/o ':;
,
Comments:
jJo
"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."
..
PRIOR LAKE
INSPECTION
RECORD .
SITE ADDRESS ~Ol S/jA/:L!L:Bt:N!"H 77lAI"
TYPE OF WORK c.J'Ac.:r IlEPtlfC~t:1Jr "bf,C,/tt-
USE OF BUILDING SF; l> ' ..
PERMIT NO. 05,0950 DATf ISSUED 'J/Z,8(tJS
BUILDER Elm./)srtJ~. t!M4T: /M:-. PHONE #lJz-3I' -'1'U
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
ev"T/~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING I I
C~" ~T ~~..e T,,,,,e::
FINAL
FOR ALL INSPECTIONS (952) 447-9850