HomeMy WebLinkAboutBuilding 06-0071
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
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s4.
Date Rec'd
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["ink
Yellow
File
City
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I
PERMIT NO'0~- 1-f Il
ZONING (omce u~e)
sr.;.
Ie. 2-
LEGAL DESCRIPTION (oflice use gnly) ,
1:1-.;<9 (J.//(
LOT BLOcr ADDITmN
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I \",....- -'
OWNER \ \
(Name) \J ~(',-\~'"
(Address) '1 .., '3
\f"\ ~l ^,y, \!..,.., '>
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BUILDER
(Company Name) \M d VII.
V''\ HL R..
C (T()'S-\- 11 vi C-t 10 c\
If' 0 I~ '" h <;,
"., 'iT C J> Cl
(Contact Name)
(Address) \....\.0/0
E:::: ~ '-'\
ORe-Siding OLower Level Finish
o Fireplace
PID 25.32-7. C 2-70
(Phone) k{ '-.f "..- 'C <:.0 ..$1
-1
SG.._ -
(Phone) CoI c.. <<~'/--
(Phone) 5 '" ~
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TYPE OF WORK 0 New Construction ODeck ~orch ORe.Roofing
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~.R.C. OLB.C. ~X~ t'j
Type of ~stnlction: I II III IV
Occupancy Group: A B E F II I
Division: I 2 3
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A B
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PROJECT COST /V ALUE S
(excluding land)
( hereby certIfy that I have nlfntshed mformallon un this applicatiun which tS to the best uf my knowledge true and correct. I also certIfy that I am the owner or authurtzed agent for the
abuve~menlloned property and that all con~tructlon wIll conform to all exi~lIng state and locallaw~ and will proceed in accordance with submItted plans I am aware that the buildmg
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Signature Contcactor's License No. I I 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 Permit When Approved
~~
13ulldln!! UniClal
1/3{id(D
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; ["; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOT AL DUE $ ]-) I,(,d
ThiS IS In n:rtlfy that thl' lc:qUl'st In the abuve application and accumpanymg documents is 111 .1ccmdal1c(' with the City Zoning Ordinance and nMY prncred i\S requested. TIns document
when ~igned by the City Planner constitutes ,1 temporary Ccrlltlcate uf Zonlllg compliance and alll1ws construcllon to commence Bdme occupancy, a Ccrllflcate I1f Occupancy must be
~~
, Planning Director
!jg <~at::
24 hour Itnticl' fnr all insp"Clion, (')521 ~47.,)S5n. fax (')521 ~47-~245
16200 Eagle Creek ;\venlle Prior Lake. MN 55372
Special Conditions. if any
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H ?';vI CONS-ne.
/. z4-. {) to
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4378
p,e/oewooD 51. 5.5.
Accepted
Accepted With Corrections
~
Denied
,-
<7) _ . u .: r-/A _ _(}LJ
Reviewed By: ~ ~
Comments: ~~ ~. ~
Ml L;f~ 1 ~ t.l/.n-TNL<-l ~.
~ &.r. .:t: ~.. ,-1 ~~ ~ ,t'
~.
Date: Ilsc.h ,
I
"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 - Building
cana~ - Engineering
nink - Planning::>
,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, .<
I / / (
/ ;'
i
/ /"- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~". ~~,.
I
"..-"",- .
I
Accepted With Corrections
./
Accepted
Denied
,..
Reviewed By: ~ ~ Date:
Comments: ...~ r 3-~
~ ~! ~~'
//..?afi ID
, ,
~~
~
"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 t.371' B2.J=D _~r. r.E.
NATURE OF WORK - JeA~,J ~ tNtr Ht!1I'I:
USE OF BUILDING -::!. /).
PERMIT NO. ~~ '1.. ~~ATEJSSUED ~3/~
CONTRACTOR Ot c7'7"jtI PHONE Z ..,n-~I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
-:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
!lldllg iN~ I pjj I .o/7ht-
"FINALS /
DO 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