HomeMy WebLinkAboutBuilding 02-1434
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOT_?i BLOCK ADDITION L../fCbI (O& ;P /C~
OWNE~c,
(Name) t: U, ,J
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LAKE
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
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Date Rec' d
; ~i~i~e ~:~y I PERMIT NO. OZ. / I,l.?) f L I
3 Yellow Applicant , - ,. - L
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Z~ING (office use)
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(Phone) 7:)L.- L{ '-(7-0:;"0 "]
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(Phone) Cj;)2- -4 [/7 -0:J03
(Phone)
TYPE OF WORK
ODeck
ORe-Siding
o New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
DPorch
ORe-Roofing
~ration
OUtility Connection
DAddition
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the p op perform needed inspections.
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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 Permit When Approved
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Building Official
/()U-z.--
f Date
Contractor's License No.
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
, ()., 0 -Oz..,- $.~
I ~;ceFtM~/5
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid Yf I.~f %b
Date - 4- if-
This is to certify that the request in the above application 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 Certificate of Occupancy must be
issued.
I D {) e) .(;:.9
Date Special Conditions, if any
hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Building
Canary - Engineering
Pink - Planning
Th... ('("nft'r (If Iht' I.ah Countf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/.(e-u; /L) J~ 0 I!pJ
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~!,6-d. L6<P~S/9!6 nt6
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Accepted
Accepted With Corrections
Denied
Comments:
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Reviewed By: ~
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Date: I (},6r;{ 2---'
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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."
W.O. 229-76 6/71
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SUNDE LAND SURVEYING
9001 EAST BLOOMINGTON FREEWAY (35W) . BLOOMINGTON. MINNESOTA 55420 .612-881-2455
I hereby certify that this survey, plan or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the laws of the State of
(~ Mi nneso~.
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~~ ~Cb Edward
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Surveyor's Certificate
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PRIOR /:/
LAK~/;,/
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LAKE ELEVATION
OCTOBER 13, 1976 : 899.15
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EDWARD H. SUNDE
REGISTEREO l.ANO SURVEYOR
Survey For: MR. STEVE GOODERUM
PROPERTY DESCRIPTION
Lot 38, LAKESIDE PARK, according to the re-
corded plat thereof, Scott County, Minnesota.
NOTES AND LEGEND
* All elevations are per mean sea level datu~
* Proposed front House entry elevation = 934.
* Proposed rear House entry elevation = 926.0
* 119.00 PLAT denotes distance of lot line---
as shown on record plat.
* 112.79 MEAS denotes distance measured on
site by field crew.
* "0" denotes found surveyors iron monuments.
CL~. ~
H. Sunde
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Date:
Oct. 19, 1976 Reg. No. 8612
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PARK
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS __lkJ S Z- LI\/LES (DG' Av/;'.
NATURE OF WORK lA~DE12- 'Vev~/~OF 6Jo~ ALT~^Trh~$l.
USE OF BUILDING S.F: b'.
PERMIT NO. 02-/434- DATE ISSUED ( o/2.8(o~
CONTRACTOR j(Evi..J tsOTiN PHONE 952..-'/1.(7 -02.03-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING V ETLi Fr s, '2-t ~ ])e-prk I SI+ I 11"'/~-O d--
~IL ABOVE HAS B~EN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING cv,~~'A.a,,~l9\l'< I\-tl-JIZ'J.-(.
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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