HomeMy WebLinkAboutBuilding 05-0992
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1"- t./-S-
File
City
Applicant
PERMIT NO. 05. 09CJ2
White
Pink
Yellow
at bottom)
u,
;\~~
-SPf.tJ.J& ~~
~.\;J.
LEGAL DESCRlPTION (office use only)
LOT --f BLOCK I
i 'S:!:- A DDAL,
Cl+fl;t~\~
ADDITION
PID
OWNER ~
(N ame) " D 1'\1, -+
BD+\-or-J
(Phone) (4SZJ 22 b - I ~l~
(Phone) C) 5 z - Y't l- ~ I 0 ~
(Phone)
c;' S 3 S---z,
A1-"\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing
OAddition OAlteration DUtiJity Connection
ZONING (office use)
~/50
..
I~Y~ 004 IJ
ORe-Siding OLower Level Finish 0 Fireplace
CODE: ~I.R.C. DI.B.c. ~.Misc
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
~M()Db"l MPrfJ--J L~I
PROJECT COST IV ALUE $ ~ 0 . L~ 0
-
(excluding land)
I hereby certify that 1 have hlrmshed mformation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent I,)r the
above-mentioned property and that all construction will conform to all exist10g state and local laws and will proceed in accordance with submmed plans. I am aware that the buildmg
official can revo thIS permll for ca Furthermore, I hereby agree that the City official or a designee may enter upon the propel1y to perform needed mspectHlnS
x
Water Meter Size 5/8"; I";
Pressure Reducer
Signature
lO""SZD .~ 5'5
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
() {)oa, 0 D
77.00
75,(JS
'2.o.QO
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE ~ IO.~.o5"
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
I BlIildlllg Oflicial
I (J 10$"(0 s;-
f Date
JD-I-cS-
Date
$
$
$
$
$
$
$
$
$
ThIS IS to certIfy that the request m the above applicatIOn and accompanymg documents IS 10 aCCllrdance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
iSSU~ ~ 1{Jls~r ~ ~ ~ ~~g
Planning Director f Date Special Conditions, if any
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~e - BUi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1J~'~....
/0-4-5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i~bopose9 at:
<3/33 ~1 bzv/Le J2J,
Accepted
Accepted With Corrections ~
Denied
~ '111 ~ Date: /tJ/5"~S
Comments: (l{!~ ~ ~--<--'--~ ~ ~ ~
/'
~~f'~' ~ a.L/ ~~~_
{
Reviewed By:
"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."
'STY
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t ~,. '.' " '.
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iIYE,. ..;A"tti"''''~t~~:~'''~, .,'I)lli'pL.'
~', ;rt't.,'lj'~~_\~9'iA1JMI~m:W.~:J'i,J:I' D . )Ll';CJ' ~.
REQUEST FOR FINAL
INSPECTION SENT TO
lease;' e,Qr,rint a:il.d',si:a:tbi:iJij-,:, H 0 MEO WNER 10-06
ADDRESS '.',-- . . . ..-
~\3~ S.~'{\n \C\k RDO(\'~(I,",~
D.tei'~~C' d
Pink
Green
Yellow
ITN~.05. /Ilpft;
LEGA.L DESClUPtt&N(oflh:e-llseonly)
ZONlNG(office use)
Y'ntJ
LOT BLOCK
AiDDITJON
PI~ Z::;. t&8, 004-.0
OWNER D L i
(Name) . (HSf'~ Cons\. (~c.lQ.N
(Addte,ss) \ 0 () O. ,~.}.A t\-E'f~ \\. 'LQf'.f0
';:',~"(:.:.~'~:'~~':;'~-" .
(Phone) 4qo.50b~
,""'>"" ~ ,I." ; ..".,-'-"".
':;r,.':;_.
", ,:"..' ,,-,;~, '. . /;,....'..... . ~. .
~;~ ~~\1~i~~~11ht~J~ ... ..,
(Address) .'. . .... ..'...._ .......... ,.,]:),~ '.
(A'tlfftes$) ,
{Contact Person) .. . --r tin ~h~r0e\;~ .. ...
APPPiJ~_SrGNATI1~ ..... .L'r'0"~,, :~.t
.. "":r~"_'}~I!>:.' ,
~l~6~4~~q6100505:+
(City) (Zip Code)
'(Finne) 1..+ ~ d . q () \ l,
'PA_TE \ Ie). \ 05.
P,~..,...
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fJNEW'CONSTR:..', ,-,f1f:,...... ...,'.~Ji;~~E' /' :~T"" .', 'D~L TERAllQNS'
FUlWAnllMAKEA~MOj)jjt 5l1~Qt€,;' ,lpi ......' FUlL ,.. ... W,s
FLUE SIZE ' EETURN'~R~ij:S: ,,)JNPUT0tJTPUT
~E,~FSYSTEM HE!A~$:~R,POWER PLANT
O~~~~~s D~~~
Q;Gti(,'dtf .' '. ',;fIoi\Yi\if~t
C1MdCll~~ltl .. . }attort
OAitCo.ttcftli(.JtJing .
OVentS&;~m
FlREPLACEMAKEANmM<i)nEL
,PLEASE NOTE:
Air Conditioner Units
CannQtEncroachinto
Requited Side Yard
Setbacks
.- -... :". .~'
Industrial,COhlhlerciill& Multi"lNirrlily
Residel1:tial, Heating'kAle (NewCbnsti:t\(iti'on).
Residential, HeafingOrily(NewCon:stfu(:tiofi~
. {~*,iS'mmD]:J'I;E
J%.'()f;j(j-p'~(j'.sf Resi'derttial;GlasFirepiaoe
$13'9 :$&fuiirl'wiini
$9M;O Residential; Additions & Alterations
$64.10 ReSidential, AeOnl}'
$39.50
$39,50
$39.50
Estimated Cost$
I 0 to a, 'C) Cl
r . . ',"
BuildingPertrtit#
FIEAt'l1.N6'FERMl'tFBE '$
~~=& ~
.50
4a. 00.
'lice U,eOidy)
Tbis,'APpliCllti&tf:.Become-s .:'fQu;rlJui.Jding'~~e"m.Jt'Whel1A'PPtoYed
IhilJdiiig:Ofiiclal
Paid 4-0. (i()
Date lilt;,. C f-
Receipt No. ~sZ6
By
Date
24'h~urn()iice;tQl"aiIJn$p~ctiotis{952)447 .9850,'fax (952)'447-4245
1'()2l)Q'Eagle'C~l:~Av.ellue.Prlor.'Lake;.MN' 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3 SPflit.J I...A S.W'
NATURE OF WORK tU H ,If" IlCIKO oe '-
USE OF BUILDING , /I:; #
PERMIT NO. OS ~9Z . DATE I&SUED If) s, 'iJr
CONTRACTOR~Ak\6 ~~i~ PHONE'S& -"",- S1eJ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUltDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
FRAMING
INSULATION
ELECTRICAL
/~ 0 ~
/G ,,-
~ (5-
/~~/~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IH'tJ('l~ I~I.NII~ 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