HomeMy WebLinkAboutBuilding 04-0510
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5-4-0/
Ult/ T&JV /V I ~ L-
LEGAL DESCRIPTION (office use only)
LOTS BLOCK I ADDITION
Date Rec' d
5/1. {)'1-
White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 0 tf. () 5/0
ST S6
ZONING (office use)
Jet
ST
PID 25: 1~3 003.0
~'::e~Rk/1q~/ .5;-'4 FA /~vlj~ c/-
(Address)
(Phone) (i~ z) y ro- Y 7 i',J
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-R~ng
OAddition OAlteration OUtility Connection /" Misc.
CODE: ~.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
I
E
V
M
4
II
F
I
III
H
2
IV
I
3
B
ORe-Siding OLower Level Finish 0 Fireplace
/l1S"Vi: cqf2t.'i.JI""'.::J jOt't'i.- tu/ ~e
PROJECT COST /V ALUE $
(excluding land)
A
R
5
B
S U
I hereby certify that I have furnIShed mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed agent for the
above-mentIOned ro cIty nd. tha~<:~,:,~tion will conform to all existmg state and local laws and will proceed in accordance with submitted Pla.ns. I am aware that the buildmg
~licial revo ~?7C Furthermore. I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the property to perform neede nspectlons.
Signature Contractor's License No,
Permit Valuation 2/500,00
Permit Fee $ 74- /1-s
Plan Check Fee $
State Surcharge $ .57.7
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
~11iCial
sfi- S-~ r
,
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 $ '10.00
,
~~;;-()<I
I ~;Cciet ~MLfl
Paid
Date
ThIS IS to certIfy that the request m the above application and accompanymg documents is m accordance 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
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
---
lhf C'fnler or thl" tlke ('ounlr~"
r'BNCE r::c-1"2 ~I\ (T
O~uL
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.;4-{/ C (: f../ I E" t./ IV 1;,,-1 L-. T
('- ,.--
c
Accepted t
Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
Date:
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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."
--~
lht' (t'nft'r of lht' I ,akr ('ounl~'
({'hlte- - Buil~
anary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
SCflWr-JNf3E~ ,
I
6. 19.64-
/36JeN A et:)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-01 e,&}J7EAlIII/Al- 57 SE
Accepted
Accepted With Corrections /
Denied
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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."
./
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 54ft) I ~#/V/~'-' ST: S:E:
TYPE OF WORK A8'v~ GbM~1O Ii~, I DelL, ~
USE OF BUILDING ~f:: ()
PERMIT NO. ~4, o5/D DATE ISSUED Sfl~ /Ill{
BUILDER~~ S!1I1J14~ PHONE #1Sl-4f!#"'1/1f1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC MENT
t.L.S ~ S
FOOTING ~"- c. 6 "
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ~
~ . - ~/M- 7lJ 1Htn;:1L
FINAL
E/'Eer(Li(!A~
FOR ALL INSPECTIONS (952) 447-9850
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