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PRlo CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / l '7;•• AND UTILITY CONNECTION PERMIT / 5 ' /
7S
414,NESolP I. White File
2. Pink City PERMIT NO. /O / Dz0
3 Yellow Applicant t
(Please type or print and sign at bottom)
ADDRESSS Area r 66._1(4._ ` yr ZONING (office use)
33 Sci cc -►-io r e Tie. N.. Ww s -s 3--4._ / /S--
LEGAL DESCRIPTION (office use only) , �^
LOT BLOCK ADDITION 7E'ACTIk RC.1 1Q 6 PID 2,r. 21 &. 00 1. 0
OWNER
(Name) A h Ct ri 0 / T r'Ct. C 1 k o 'T(A,l. `
C' (Phone)
(Address) ✓✓
BUILDER ! i / l
(Company Name) be...S/ /7e 5 C2S IV C:, (Phone) 6/2 363 / 2 Q 8
(Contact Name) c e G,--0 Ss ( Phone ) 6/L ?z ! e 83
(Address) 7 For e .s+ G. e.pr, et ✓ f A' W f r-c� (4 , , ,$"6cr -1
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ERe-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
G t'Addition EAlteration ❑ Utility Connection
CODE: [.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ Q, Q co, 0 4
(excluding land)
Division: 1 2 3 4 5
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 .ro.crry 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 . e this 'emit for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
49 63 /0 /4 /
Signature Contractor's License No. Date
Permit Valuation 2-111' ®�
�
Park Support Fee # $
Permit Fee $ 3-4‘ g. SAC # $
Plan Check Fee $ ZS 8 1 o Water Meter Size 5/8 "; 1 "; $
State Surcharge $ I Z — 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 A,o L, Cg 1 I . t $ ( /_$ 7 v
A l� �i
This • i t is d ', o ' comes Your Buil4ing Permit Whe Appro ed Paid � � i `rcei • t No.
J / //-r , �•
Y ��.!� o IZ 7
4
uil it O .. icial Date
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. —R e- ( crave I t/
/ / /U 42 -/6 - arf'- . drive wa a
.
/ Plan g Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
(p R16, i
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White - Building
Canary - Engineering
f'^NES °'' Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D S / 9 A C rc- SPh £ &S /41e,
APPLICATION RECEIVED /0.5./0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3374 /7 yr 7 W .
y
Accepted ✓ Accepted With Corrections
Denied
1
Y
Reviewed By: ' AI . Date: t ( Z /( 0
r
Comments: orb E' 2 - -> t -).-s - /n i4-(A) P- --rte- C (-< -51r -J
N
"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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White - Building
yf �P Canary - Engineering
NNES° Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D 7 A t.i , L - 5 f ) t„ j � /
APPLICATION RECEIVED / C 5. /0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3374 1 /L:, // h
y
Accepted X Accepted With Corrections
Denied
Reviewed By: ■2 e- Date: / %.3/iv
Commentsee Attachments: 1)a2) Erosion Control Measures
S
See Reverse Side for Additional lnformationl .
"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."
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 swales 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
backfilling of the foundation.
•
•
G; \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
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White - Building
M, �P Canary - Engineering
"'INN Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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: ,4 ( Date: /O - i - /O
Comments: — ����w w;�c bvtaxi 1&� /114 r�9 � ,t -of - w ay a* Ad-t-
A yrevter tLa h az/ fe et,
AC wave a.l( j t rre v 'n r � q c1 w4, .
y
"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 RO
R LAKE DEPARTMENT
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS tid: (12
NATURE OF WORK CaA\�,a, A oo ► z a-.t
USE OF BUILDIN RE A -
PERMIT NO. DATE ISSUED io (Z to
CONTRACTOR YESIvNE . tes (r.tG. PHONE 61Z- 36.3 - (283
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO To
E,1 (an) 1 " -( "‘"'" ) C--(-L'h IN PECTO� DATE
FOOTING UND611 � � � ry6, /lo t vebv,c)
1 FOUNDATION (Prior to Backfill " ��? , 1 1.2/,,}
PLACE NO CONCRET= UNTIL` k :OVE HAS BESIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
HEATING (if required) fr ,41
atilIMASE.4
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 too -'s6 - pp , - 117 /j r L ArH E 1
_ FINALS
GRADING (Prior to Sodding)
BUILDING -iff 4 /)
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