HomeMy WebLinkAboutBuilding 05-1059
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I~ 4/ j".1J.s-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OS. /057
ADDRESS
ZONING (office use)
3+-8(,
WI u,() W PE7JtYt 7lU'I/t--
,e/SD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER A..
(Name) '.JG ,~",. ,. 0'"",\
l-(or~/'~~
(Phone)
9S'd - }iS6?~ $L6' ,~
(Address)
BUILDER
(Company Name) I. ;2
(Contact Name) C,...- ~j
(Address) s::;...s ( (0
c. r
(Phone) """'6:5/ ,.2 (1 ~, ()' If' I
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
~ OOAddition OAlteration OUtJhty ConnectIOn JMISC
CODE: .R.C. I.B.C. ~ t,
Type of onstntction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
D~~~~ 1 2 3 4 5
I
I hereby certifY Ihat I have furnished Information on this application whieh IS to the best of my knowledge true and correct. I also certifY that I am Ihe owner or authonzed agent for the
above-mentlOned property and that all construction will conform to all existIng statc and local laws and will proceed In accordance with submitted plans. 1 am aware that thc buildIng
official can revoke tlllS ~,use Fmthelmorc, 1 hCleby agree that the City offiCial or a deslgnce may enter upon the plOperty to perform needed InspeCliOns
~/~ 1(1//".,/0 .r-
Ig Contractor's LICense No f 6ate
x
ZOOQ.O~
$ 'S
$ 7.9c.f
$ f ,00
$
$
$
$
$
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 ~. Z,/. OS" $ 12 Z-.~_
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~~~ /~~~~-S-- I ~~~. 5tJ01!J
This Application Becomes Your Building Permit When Approved
~~
8uild1l1g Ofticial
/(j/1-( (cD)
, Date
ThiS IS to certifY that Ihe requesl in the above applicallon and accompanYing documents is In accordance with the Cily Zoning Ordinance and may proceed as requesled. TIllS document
when signed by Ihe Cay Planner eonslllUtes a temporary Cerlificale of Zonrng complianee and allows construcl1on to commence. Before occupancy, a Certificate of Occupancy must be
i~~~
Planning Direclor
/d/?'I lor
, Dale
JJa
.
I~ ~ (i;;,rP((I^-l ,
Special Condilions, if any
DCk;'-Di~
~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I'ht' Ct'ntt'r of lhl! l.akl! COUnl'1'
CWhite - Buildiri1P
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/. R'. c. S
/0 . lB. os-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34-6rP W/I//A)W BeAert 7JZh/L-
Accepted
Accepted With Corrections /"
Denied
Reviewed By: ~ ~ Date: /~~I jor
Comments: ~ ~ ~. tUo ~~
'1. rr~. ~ -f"~ I ~-- ~
~ r y.Lk ~~~ ~.
,
"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:
..
The ('fnler or the l..kr ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
)t ,--
NAME OF APPLICANT
APPLICATION RECEIVED
': "'.
.-.~'-'".
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l..,~
Accepted With Corrections
/'
Accepted
Denied
t
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-
I'~",J ~ ~
~~
rJCJ w~ f -I~ /~
--a-z-:r- ~ ~ 0(.... VI~~
Date: I t1 /2../ /0 S-
/
Reviewed By:
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."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 34e0 /;tI1L-v()W /3EJ1{!H ~/L-
TYPE OF WORK ,eo;:;t.-/l~C PO/VY-I P'/t:j ~.
USE OF BUILDING /ZE-J ,e:; / /L-
PERMIT NO. 05./0.59 'DATE ISSUED /O.Z/.OS-
BUILDER I K. C!.-. !:/;. PHONE # ~5/. 2013. (a/S/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
IHSP,croW D~L
I FOOTING I /!41 I /l?~. ,'~'-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL I W I l-t,;rOU
FOR ALL INSPECTIONS (952) 447-9850