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HomeMy WebLinkAboutBuilding 04-0701 s- o g~ (') o~ooo "'ll 0 )- -0 l/l 0 :I: ~ C z_ oo 0 Ul"TI "TI"TI"TI 0 C ~~ ~ III 0 s: =iZUl~OO z 0 s:l. " Z m " mO )- 0 ~ " . ~ ~)-ci:i~ m " m 0." r- :"1 " m '" zr"">zcz z en ::!"tl m m Ul r- 0 o Ul 9 ~ z ~ ='(;)~Cil 0" t -I -I :.- z- ~ :.- ::! -f m 0 - zO I<::> ..... o z 0 . o Ul en 0" S CD -I "TI -I Z CIl " - :.- (5 ='> ~ 01 ?' o 0 \PI 0 z -I Z 0", "TI 0 :.- 0 mm ~ 0 :.- z ~ 0;- " r- r- C _ ~ -I ." 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() (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: -- -) ,I!':'" //._ /', ~..-r'., / .....t.. v ~;-)f ,.- -"'- v,.rr.J. f /1,,4 C,/ IT Y ,.) ~J ; :; !~---~ /.. (, I /',.,' I / 'li)',J I 1/.":;... 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