HomeMy WebLinkAboutBuilding Permit 03-0861
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ 701
t'iJx -J-~(
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ia' FINAL
'0- SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TillE
10.').1..(-0,">
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II St."
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC.TY'IRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: .,f . Owner/Contr:
CALL ~7: 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Il'iSNOTl
(Please type or print and sign at bottom)
ADDRESS
3707
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File~ ~i~i~e ~::y
3 . Yellow Applicant
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LEGAL DESCRIPTION (office use only)
Wel\.::>~
LOT 4 BLOCK \ ADDITION
OWNER
(Name)
(Address)
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Dr- j~
\~~MO..rUI\.
180\.5 ~\~
BUILDER
(Name)
(Contact Name)
(Address)
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~ o...'S ~,p
Dn..l R ~~
TYPE OF WORK ~ew Construction
,I OLower Level Finish
o Misc. \2 X /2.- ~tl.C.....
G\.M
pelt'\"-.' f
Date Rec' d
&~ J7 ,()?J
PERMIT NO. D?J -" g'to J
0,"" to
n~- 4~5.
:3rJ
ZOpuG Uffice use)
PID ..::2 S -~ 9 ~ - €X) <..:/
.
(Phone) @S w
~(\ IY\~
,;:leD
(Phone)
(Phone) q s.;2.
ODeck
~rch
OAddition
o Alteration
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
'-lex - '-(!JoO
4'10 - '-I Sg7
ORe-Siding
OUtility Connection
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
;t:~~:ropertyR:erf~tiOns. 14 S R c:~o ~ _
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
tf'dtJa. ()tJ
fin 7. 2-~
/oK', "
Lf, $"0
This Application Becomes Your Building Permit When Approved
~~
Building Official
7/1.~ :$
'( f 'Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
utJ. ~
7. VI,~ I
# $
# $
$
$
# $
# $
$
$
$
f1
. Receipt "tjo.
By / J-.
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2-90r'~'
fso7/
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
:"";i"'e:: p~mp- crnmrn;/'~i~:P- rod _,=-,"oo 00 S'ee"NfaiiiFITe ID,,'b,
Planning Director ' , Date 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
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White - Building
Canary - Engineering
cefrik - Plannlfflt)
Tht" Crnler of Ihf' L.kf' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
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Date:
7//( 103
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Comments:
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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."
~~
~hite - Buil~
8R8')' -Engmeermg
Pink - Planning
Tht ("tRier of the t.kr ('ouRlry
BUILDING PERMIT APPLICATION DEPARTMENT CHEC
NAME OF APPLICANT
APPLICATION RECEIVED
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&- d-7-0'3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .--
8"707 /ox~~
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Accepted With Corrections
Accepted
Denied
Reviewed By:
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~
,
Date:
7//,~9
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."
Ii.
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Th~ (""ftl"r of Ihe Like eounlry
White - Building
y::anary - Englneerlng.-')
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.
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NAME OF APPLICANT (~l.J i~//t!Aj./
/<:,{;~Ti:>7. c/~/'
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
^
Accepted With Corrections
Denied
~L
Date:
,/':J ( O~
. .
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."
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