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HomeMy WebLinkAboutBuilding Permit 13. 0491 \\ 1 m z Z 0 N , Y \ P - E a J R u- W Z 0 0 W Z 0 m W W co O o 2 o �v W 0 U. U U . 0 U' t w ? F�. - 0000❑❑ U a \ \\ W o x U N O 0 ` W is = v V C \ m c F-' i H h T O U _ 11 F- ce \ J W c w ` � ` a 6 E " V O 0 Z La,. W 'NN Y V O U • b q� d p a H a `. F " \\ a. — co zz ?o z w �' w w w Ow W W Z o 0Ce a i z i- 2 0 0 0 v v°i o 0 oo p � v a U. Z.3 Z < 0 a 000000 0 ❑ ❑ S. // . z 7� _j ce � ��q� I d Ni / W W fn \ o « « a > 7 z j wo�LT 0000 0 D o ;71 0 k / / w ~ ° m o ° m ce x a. D / 2 0 0ƒ Z ° w / / 2 0 \ o \ ® 0 2 = ba�� w & w R _j°. / \/ o k / j a 2 7 co a ■ 22 e OOOOOO w E j 2 0 0 ) / ƒ 7 E / ® um � e \/ 0 } k / re / k 3 0 0 0 a � § 2 $ 2 (32\ E< a w « w w J m et / \ a / o Ili / / /k /k 0 k k j 0 03 a o a 000000 0 2 0o \° 'O 0 f a 2 _ Z N P J CC Li i- o?v Q ui 0 44 ' '"? Z ti j c',...') 6--- 0 1 w w . o a z C� 00000 ❑ W ? in 2 m O w O ^ O _ `C w `'- O aa-- W c am " 0 z _ » a w o ii E2 O Ou. J CO c _ O O 0 U w g s ( ,, z z z_ziz z ~ u ! 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N 0000❑ cwi W x k a i O O :I- q� U Z .0, QQ Z p O 0 O Z (IN U. z i- • : OZUW _ O F- 4L u a � ti z zo 0 W N. F ¢ 3 , of g _ z W k ¢ f- ►- OW W W 0��¢W W W 6 ai o OO�Zi �` Y ce °� O U O 0 V ❑A❑ c O F PR /0 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE S-(6; `3 .. D UTILITY CONNECTION PERMIT re,(MgifiV v x 44N ESDtr I. White File ' PERMIT NO 2 pink City NO. y / 3 / / 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ll ZONING (office use) 153g Plsif , e Sg R� o [- , A � a 161 55312 /J5D LEGAL DESCRIPTION (office use only) j LOT j0 BLOCK 1 ADDITION / E5 $7A)b �g Add11 PID 2-5. o4 • 010. b f OWNER � ` (Name) � /� AV Pa?1 / ....•04 ( Phone) C .. °i7 I -a -77 ek (Address) 153 Bb I b b 1 o/ u 7 g -P 4 v i-'Kg , 5 7 (5/94C _, ` a / Comb nyy Name) I,�, C i'/ ' 40C— (Phone) GI --O�oZ 'O (OJ (Contact Name) 5 vL (Phone) 64v2 -? — 096 (Address) Z,ZA / 5t . iv e 404J j e i A4,) 55 7. TYPE OF WORK ❑ New Construction ❑Deck ['Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace Addition alteration ❑Utility Connection 4442 CODE: I.R.C. ❑I.B.C. 121/Misc. Type of Construction: I II III IV V A B PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (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 1 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 an revoke this permit forJus use Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspectiois. X 41,0"e/ sc. s 4243 // Signature Contractor's License No. bate Permit Valuation 9-000c r Park Support Fee # $ Permit Fee $ j C115 SAC # $ Plan Check Fee $ Water Meter Size 5/8 "; I "; $ State Surcharge $ � 2 - 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 I $ TOTAL DUE Op 6.- /3 $ it, 741 This Appl "atio .s ecomes Your Building Permit Wh n App ved Paid t / e . 77 Recei t N�.e 90 77 Date ,37.2.ig By *Ift - Jj tut dine Oboe: -, 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 P • ner c nst ut • a temporary Certificate of Zoning comp and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued _,li/i_ " 3 Planni j%trector 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 PERMIT TRACKING FORM Address: r' -'- ' ,! 6 Description: Application Received: A. ' �e a $n s� m,. . ,,.. _ .. �� �, � ��, ,a+ ,: s € ,��•_,. �, ..'� :' �� �. � � �_ � , ��M �'� Nan � � �. . D to Days Elapsed Initial Review Conducted ' }'' Applicant Called with Corrections Corrections Received Corrections Reviewed Final Review Applicant Called `� '� � �. e s A � ��y+ °��e�s��r r� � ' :. � � « z.� "< � a r�.� � � � � �� r Plann� in" DLpartmer#t - i`. s :�, S Z a '` ;��v,mi d, ,. . s ;: : r .. rP�is� ' Date Days Elapsed Date Reviewed Initial Review Completed ; Corrections Received Corrections Reviewed Final Review Applicant Called r a WW �x, ��z" , ftn - �,��� ` '�`"�Ax'm �" � °'3' 'II a '�y�Ig��'A"a'�t � � � 3 "�?s �. n carne , .s p � 1$c x FtfirS �. .-?v'd� .;,r�,.. ,.,M .l?W''.��.'� ,y �� Date Days Elapsed Date Received Initial Review Completed Corrections Received Corrections Reviewed Final Review Applicant Called Initial Review Time Correction Review Time Initial Application Date Final Corrections Received: Applicant Called W /Corrections: Final Applicant Call Date: Total Days Elapsed: Total Days Elapsed: 0 1 POD A . ,,E.t,i:_—,::' ' U It a x ,... „.„vivE—so.,, Date Received Date Reviewed Permit # PERMIT REQUIREMENT REPLY DATE Date: Date: Request: Reply: 6,- 4A-1,9t-trv?.._ Accept ff Decline (l 6-- 4,6-- g4AJ5- _____ A Date: Date: Request: Reply: . Accept n Decline Date: Date: Request: Reply: Accept (l Decline ❑ Date: Date: Request: Reply: Accept n Decline — Building/Planning /Engineering Permit Complete Permit Issued J:\BUThDING\PORMS\PERMIT INFO REQUEST.doc s P RIp� lz .. . White - Building Canary - Engineering 4 'jrovESO� P Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ?? -S ' Spy 3 evA) 4.l5Sas APPLICATION RECEIVED 5- ' l & -43 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /53 06 mi l. (/ PO/ A i /2e . Accepted V Accepted With Corrections Denied Reviewed By: Date: S Z (a Comments: 1,_ n-0 %c' L45 /0N 4 /n' A.,',---4. r^" 17-6 4c-c.r j ` A.16-5 "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." r -- .,.,...,,. O� P - ti U t White - Building Canary - Engineering 41 INNESO` e ' 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: 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." PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS NATURE OF WORKS USE OF BUILDING PERMIT NO. �.� � DATE ISSUED_ CONTRACTOR 57, . 3 PHONE (c - z - 7zi °e INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES INSPECTOR DATE FOOTING %wn r(.3 FOUNDATION (Prior To Backfill) e/fr RADON RETARDER PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 4y INSULATION - ? ELECTRICAL i 11!lJII1 HEATING ./14NRWIFLW AECOMILNIWR COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED HOUSEWRAP LATH 1 ?- /3` /7 FINALS GRADING ( PRIOR TO SODDING) BUILDING r :'tom /90,2 1ELECTRICAL 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