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01 PR/04,
�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 2100 /O
d r j ,Se
AND UTILITY CONNECTION PERMIT l
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1. White File
2. Pink City PERMIT NO. i A mj ,.
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
11931 l('h Di I r1 *ci e L�. PVP
LEGAL DESCRIPTION (office use only)
LOT24 BLOCK / ADDITION "14e Co i fe5 of M 4-1, w oo c fhf c itoG7$ PID 46z. L‘. 0
OWNER A , / Ce/(
(Name) ba ? r a I- 1 W ,) I 1 t+.MS (Phone) 62. . 72O 4544
(Address) / 6 %L') mi ; rye C-I' -
BUILDER ,, f
(Company Name) !' .' • . X A. cG 5 (Phone) 95? SQV /7 8 t)
(Contact Name) A ail cif M tin A,. AOn (Phone) G - 8 I 4 )C /4'
(Address) ®( E, c/i # /c d , j314 01,5 v i Ili, rit ti • ,55 37
TYPE OF WORK ❑ ew Construction ❑Deck ❑Porch DRe-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
ddition ❑Alteration ❑Utility Connection
CODE: DI.R.C. DI.B.C. grMisc: /8K3 / e **0(An i P ,
Type of Construction: I II III IV V A B `/
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $ 2 Z.6 O)
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have famished 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 c e
7
this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Ni _
4 ....mcmfdoi........... Signature Contractor' License No. Date
Permit Valuation /0 6a0 O 0 Park Support Fee # $
Permit Fee $ '42 . 2S SAC # $
Plan Check Fee $ •••••■ Water Meter Size 5/8"; 1 "; $
State Surcharge $ da Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $ •
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ 55'0 • OO Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /�� / 4/
This A . , 'c' ir' • n Becomes Your Building Per en pproved Paid C (e cA Receipt No. G O s`'3 0
)0 (� r J Date 6 By JeG
Buil. Official D t o
This is to certify th. , e request in the above application and accompanying doc en in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si•f . the f ity Planner constitutes a temporary Certificate of Zoning mpli ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. f,/
..ng Dire or Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
04 PR/04)
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White - Building
Canary - Engineering
�INNES °� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT V/ w' Pad LS
APPLICATION RECEIVED 5 ZC° / 0
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
Reviewed By: � /; _ Date:
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Comments: k • R �.�:��- (-14Ai
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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."
04 Piiio
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White - Building
Canary Engineering
NNESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT V /4 y Po o LS
APPLICATION RECEIVED • (u • ' 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1(o 1.5 / /c.�', 6- r` .�
Accepted k Accepted With Corrections
Denied
Reviewed By: f G Date:
S/2
Comments:
$ee 4i-&s, o -t Gtr moo / 5
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, 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."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS:
•
• Surface storm water drainage flowing to the perimeter of this lot to and
from adjoining properties must be conveyed to the roadway and /or to
the rear of the lot in drainage swates within the drainage easement.
• All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
• The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
• The builder is responsible for maintaining the erosion control measures
until the turf is established.
• The rock construction entrance must be installed at the time of footing
inspection.
G: \Admin \dept info\ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
(0CPRI0� y
White - Building
r Canary - Engineering
mi
""^NES °� Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED ' . 4` 6, . i 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied -
/A . (oa
Reviewed By: A.. A . �.� ..�. Date:
Y
,,, Comments: `- Rc:44 �T
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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."
P R I R LA DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /445/ I W6Lt RI E •.
NATURE OF WORK I/1/• 44,0QA/0 L • •
USE OF BUILDING
PERMIT NO. • • '.: DATE ISSUED . 4
CONTRACTOR 1.1314 .,i PHONE
NOTE: THIS IS NOT A PER FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DAT
FOOTING '1, rr t _ ,,AL 1
I FOUND ION (Prior to Backfill) 1 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
ELECTRICAL
HEATING (if required)
GAS LINE AIR TEST Poe
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 1
FINALS
GRADING (Prior to Sodding)
BUILDING v ) 5//y//2--
ELECTRICAL
HEATING
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