HomeMy WebLinkAboutBuilding 04-0701
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~
~ 30.otV
White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 0 tf. 070 I
(Please at bottom)
ADDRESS
5/00 e;rrJ/ OrlK- ~/. 0/<"1 vb"
ZONING (office use)
/t,/
LEGAL DESCRIPTION (office use only)
/3 J4-'/ 15"'
LOT "BLOCK ADDITION Oe:z:;:Je..fle:;l--O /O'7"H"'
OWNER
(Name)
~R rk~ T7;vV
/,vc
PID Z~- 4-0 I. 033. ()
(Phone) 95%-15- 7~)
(Address)
Z08lo KeA/&r;Z/,L)
BUILDER
(Company Name)
(Contact Name)
kerfr If;0p rr/ew/l-/ i/1YvLIS.(A;~-S
/ C>LV. .K'c..~./L::/II
/ A.'L
(Phone) 7(;3 27'/'2~ 7~
(Phone) 612 -zz.~-" c67
(Address)
S1 A/LA/
IZ <.R:: ,R, "e-e /1"1 A/ SSJ 30
9720
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Mise.
CODE: OOI.R.C. DI.B.c.
Type of &;"nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $ 31,t)OeJ
(excluding land)
I hereby certify that I have htrmshed Information on this application which is to the best of my knowledgc true and correct. I also certtfy 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 r' -r'i~ J~us' - .thermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty tD perform needed Inspecl1ons.
X ~./. ~ ~ -Z8"-() i
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check 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
~~
l3uildllll! Otlicial
2/9/i>Y
. !'late '
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 lA1 A.on 1./'-'.04- $ 8t) 7, t:t I
~~~ ~J;:ti
I ~~ceiPt~:7 ~ ((17
ThIS IS to certify that the request In the above applical10n and accompanying documents is in accordance WIth the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
issued
.:r I' zt~<I
Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
The Ctn'~r of th~ r..kf Coun.ry
Whitp - RII~rlin~
C Canary - En ineerinCl'-.
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(:,?/?~,;;:71'.!. /k'&',,e" ;>'7-/6 ;[::;.;/ !,/' c::.,,l'J,A./O,Sr.f~"::; /,:.'6.5-
APPLICATION, RECEIVED
/' ~;?''> r. q'."'''
ij~! ~ -:.:; t... ~ {..i . ---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-- -)
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v,.rr.J. f
/1,,4
C,/ IT Y
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/.. (, I /',.,' I
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f_. '1("~' I .. C-.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Date:
7~ '6 '~Oi-I
Comments: See Reverse Side for Additional Infnrl11::ltionJ :
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."
hite
Ca
Pink
- Buildin
meering
- Planning
The Crnlt'r of 'he Llkt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ql2e71/ /VO~,e41/ ?/rIv'OseA,oES
(C;. 30, 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
6/& 0
e:J9S/ O/T/G P()/~ Dte/Ve;
Accepted With Corrections
/'
Accepted
Denied
Reviewed By: ~ y~ Date: 7/~At./
/ /
Comments: ~ ~ ~ 7-~'-'\.., ~'t.~
d-,n~ ~ I ~L..) ., &.Rt P ;3"., ~
~A20~~ ~ ~ ~., At<c~-
~v P
~~~~7~~~
~ ~ r ~,...-I-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."
White
C
Pink
- Building
ineering
- Alanning
The Ct'nlt'r of the I.ake' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
9// t~ )/.//. /' / //1.:.:, / \./ /. / i/'v /j , r'l !./L _~
APPLICATION RECEIVED
/ :'?f (Lf-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~_._,: //
....~-_.. / '-.....
/'- I
/
( ".....,/ /{
--' ._._. ~--
/_. I / I I
/v'-- I ~e
Accepted -L
Accepted With Corrections
Denied
~a.~
Date:
1-'1 '6J 6L
I I
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 SI '0 5:Hsr OAJ::. m l:tlJj/c-
TYPE OF WORK R&"'ilUl~ uJ/fUS-
USE OF BUILDING S,R.
PERMIT NO. (7.0101 DATE ISSUED I' ~
BUILDER ~~ ~ OS"~ PHONE # 4/2. z'ZI-, ~d"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
M 'BA~ ~~ wll" ir ~ ~ C!JSi"-),SPECTOR
FOOTING ~:J4 () Z0'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
C1V6!1Z
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
(,M
FOR ALL INSPECTIONS (952) 447-9850