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HomeMy WebLinkAboutBuilding Permit 05-1145 o P11% CITY OF PRIOR LAKE BUILDING PERMIT, e ` Date Rec'd a�, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE '� x AND UTILITY CONNECTION PERMIT Z v c -,......."...„ M �..NESO�P I white File (a O PERMIT NO 2. Pink City r „ f.5"... 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) /('OZ4- s%. P#I 't A V6 AJ 5E C4- LEGAL DESCRIPTION (office use only) r ,- LOT B LOCK ADDITION Se_I 7'fl1C -62.5 / DD Al PID 25.003. COZ.. b OWNER JVt/"' f' /�� (Phone) 1110 - 8778 (Name) Phone ) (Address) BUILDER (Company Name) (Phone) (Contact Name) (Phone) (Address) TYPE OF WORK ❑ New Construction ❑Deck ['Porch DRe-Roofing ❑Re- Siding ELower Level Finish ❑ Fireplace ['Addition []Alteration ['Utility Connection CODE: ❑LR.C. �LB.C. ❑ Misc. ��'�� Type of Construction: I H III IV © • PROJECT COST /VALUE $ Occupancy Group: A B E F HI M U (excluding land) Division: 1 2 3 4 5 1 I hereby certify tha hav lrni• ed information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the abo •enti. ed . .cr and tint 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 ot'cial c n ix o . • rmit for ,,, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform need d inspe4fion � I Signature Contractor's License No. Date . Permit Valuation 5cao Park Support Fee # $ Permit Fee $ /17. 7 5 SAC # $ Plan Check Fee $ RD 5Y Water Meter Size 5/8 "; 1 "; $ State Surcharge $ Z . .50 / Pressure Reducer $ Penalty $ Sewer /Water Connection Fee # $ Plumbing Permit Fee $ Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer & Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE , $ /94/ 7? This at on our Building Permit When A t rov : t Paid ,gam Rece) N O. ,5a f'7 Date //, / 7GJ- l Building Official % "e 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. 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 o , PRIOT, a� U M _) White - Building ee fil i nk - Planning The Center of the I.eke Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,r APPLICATION RECEIVED f Q 2 k . The Building, Engineering, and Planning Departments have reviewed the building permit ' application for construction activity which is proposed at: Accepted X Accepted With Corrections Denied Reviewed By: /rig Date: /O' .2, QS— Comments: See Reverse Side for Additional lnformationi , G, it fC u;(GS ®l Woo' r ,' 61,,,,i- 4, h 1-0 S ,• f— r � 1911 Wood / r + , acf. 6,1 c, , lC ,.f, f QOd.00 5Cru11.1y a / i 7 4 r✓©( bc;h Sir7'ed 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 provisicns 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 Pirisdiction shall not be valid." _ /p v m White - Building Canary - Engineering Pink - Planning The ( enter of the Lake ('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT b yey -- • ,/�' �� APPLICATION RECEIVED �-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: Date: 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." P R /0 ,c5 \ White - Building \ Canary - Engineering Pink - Planning The ('enter of the Lake Counin BUILDIN PERMIT APPLI ATI • DEPARTMENT CHECKLIST -,7)9t--- NAME OF APPLICANT # f APPLICATION RECEIVED /0 �j d The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted -/ Accepted With Corrections Denied Reviewed By: Date: w 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." / Pxro /o 4 \ (.4 ,,e7 love\ a3 i „ jl ti -'a Date Received /e %/ s' Date Reviewed Permit # PERMIT REQUIREMENT REPLY DATE Date: /o /zrAS r Date: Request: rit ,.,� -tv '5'r. a,� �� Reply: 0 --v^, ,,,;r Accept �� - - Decline c ' as • a•-A. .2.� ' 4 Date: Date: Request: Reply: Accept n Decline Date: Date: Request: Reply: Accept Decline ” Date: Date: Request: Reply: Accept Decline Building /Planning /Engineering Permit Complete Permit Issued 7 J:\ BUILDING \FORMS \PERMIT INFO REQUEST.doc Sep 15 05 01:05p Greg Havlik 612 -837 -5678 p.1 a 1 ZDa a pp55 (1n0 to 71 Z C C7 b Zcn T ,. s) C-5 Q d - W0 rnQm1 i 1 1 ��pp C O xi c rn �© N I = t o 0 N v IP m erg ► s' -o' i' e M o 0 0 n ❑ b o p 7 O y z ❑❑❑ o 0 o ti� t ,, n m Z� m m nO * D 1 Z �Z O N =�� ■ o O 1 m , -i m p O x tl ° ?C Z -00 0 Z Z Z 73 'n C O p y x r. 0- \ e k o 7C m v mm frrj MI Z x O 0 Z 0 O p x m xi m m r` 00000 0 R p Z 9 v O o `' m� NDmr cn o m 0c 0c :A., C m m o x 3 * n -i -n ,w z ,3 � 03 m 0 Co tr 0 o Z zc xx -Z 73 Z �` _ F' b O ' m r ToO O 3 m O Z m =fix x -i x �� o V 0 r c 0 v v rn x 1 0 0 m Z 73 0000 Z ii O O O T1 T n v < D55 zo > m m m m m M DmmZT y Z i -� r O m l' I N 1 m N E g 23 D r o 0 x � Jyyy� Q' (0 ' Z ^ ■ N N V S LO c r r c; i -i � 0 u 0 0 r X n _ ..■-.� 5 < s I t::) 1 1,.. • w i 1 S ,,..—' ) ..;,. ni Clio* Ifr- ..„- .... r.x. ,. m ......... ,,... „ rn , , ... i I ."' -- t . . . PRIOR LAKE DEPAR O BU TMENT AND 0 N F SPECTION INSPECTION RECORD SITE ADDRESS /(oz/ ST. rIvE TYPE OF WORK __/ 1 /n/i"✓G i✓it� USE OF BUILDING _ PERMIT NO. 6 r 1r ¢ DATE ISSUED 0.17,63-- BUILDER PHONE # NOTE: THIS IS NOT f PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS B EEN SIGNED 1 FINAL Call be'ween 8:00 and 9:00 A.M. for all ins-aections FOR ALL INSPECTIONS (952) 1 47 -9850 4 - 0 0 O 000 7 0 > §e ) A n 0 0 0 0 E$ k C0 m m k m o k / m 7 Cl) m ,� / § 0 z § 9 -o \ \ � • k 2 § eo \ Q P 0 2 § z \ 4, 0 � X - > § N $ r § m 0} j \ % k k A t=i 2 r z r o § m -n 7 ƒ X 00000E Z / \ 2v\ r 0 -4 n 0 $ r m= 5. -t3 n co | 3 k k m _ 0 m « 0 > 0 m 0 s . m % 0 \ } r -n 00 73 ¥ X / ] > cc z r � �m o m � 2. 0 = rn n k k 00000 (1 iN z E 0 3 2 0 I o \ > § §k > ƒ m j § ' \ § - wz — — r c qr § • 5 0 0 1:10000 T 0> En A n / §§ K % 0 § z cn k kk � mZ m � / k / k k § \�� § � Pr § § § �� m ] ] q � ` � 2 m ' z § § Z. § \ 2 } \ . �` � k \ m > n \ mm a 2 E o / 3 2 ® ` \ \ \'''' % X OOO==o K mM r 1.j‘ G '.\. 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