HomeMy WebLinkAboutBuilding Permit 03-0080
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvec:. or print and siRIl at bottom)
ADDRESS
/~191 fVv~/,.J J.lrtls- cr
I. While File
2. Pink City
J. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT I t. BLOCK 2 ADDITION mUAJI'AltJ bJill~
OWNER
(Name) ---we NSI'/llA/IJ~
t.lcmlff
2ub
(Phone)
(Address) I gq s- P(A7..A ~IL Sv.-IrY--z.at:>
I BUILDER <'
(Name) utJrlMd"
(Contact Name) 15007.-
(Address)
TYPE OF WORK
~t:Arz,rr
o New Construction
Date Rec' d
/J-8I-OJ--
fiiuvIIT NO. 03 - 0080 I
ZONING jOffiC< ",e)
1?-Ll
PID 2.<:"- 3'J0- 0/ ~ -0
/fAG-AN #-,4 ~/::;.:;2
(Phone)
(Phone) 11/1.- 2-Z.I-/~ Z 7
oDeck
~orch
oRe.R<>ofing
ORe-Siding
OLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection
o Misc. PROJECfCOST/VALUE (exc1udingland) $ ~mo~
,.
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
en~rop:.:perform n~Yspections.
X -.~" -~-Ia-- /4'{')? j,;}'6/-IJZ,
-? --"" d7' ./ Sigq6~ - 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
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
l...J.ooo.oo
· q).. .It'
~1,2'
").., ex>
]Zl:7JE_Your Building P'7~;;e:;~ved
Building Official Date
I Park Support Pee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid ,-p- Ii~~~q~
I Date ..'::J_...,j -Ij~
.
# $
# $
$
$
# $
# $
$
$
$ IG)' .4'
I Receipt No.t!,3 -1iu
Bv q" '/
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 theJr .J;"er constitutes a tem"",,,,,, Cenificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
isSU71u.. J~ {-J..)-01
. Planning Director Date Special Conditions, ifany
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 . ~r.nineering
<(1',nk - PI.. -"~
Thr {'rnlrr of Ih.. L.Jr... (.'ounlry
"
NAME OF A::~:::TPERM:APP:::~::":::t:,:KUST
~ f
APPLICATION RECEIVED /,;<.~ / - ),;t.- !
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.>' I..f, 1...."./+
:l-yj?/ ji~t<?1 C J
/ Ilj I
Accepted
Denied
L.----"
Accepted With Corrections
-'
Reviewed By:
/!t;t tlfMM-
Date:
/-~ ']-0"3
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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(VViille - BUildin~
<-anary - Engmeering
Pink - Planning
ThO' ("tnl... of Ih..I..k. Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTM~NT CHEC;KLlST
~
......
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I~ -8/-o~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/ICJ/ ~/~ ~ (bj-
Accepted
Denied
v
Accepted With Corrections
Reviewed By:
Comments:
Jl1J. ~
Date;
{- 2.3-0'S
"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
INSPECTION RECORD
~~/V/ I+;//r;. L T
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I ~II C( (
NATURE OF WORK tJoa.-h
USE OF BUILDING 5". F. A-.
PERMIT NO. (J'3-()()p/) DATE ISSUED 1-2-3-0"3
CONTRACTOR W()Igmol1'1 JfrJ--J PHONE ~"Z"'Z- (;/l.-u/-/1.lJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS.
"""''''-R . ...~.i'iA . i-.......^
FRAMING
INSULATION
ELECTRICAL
..rl_......".~
1
.
HEATING (if required)
- .. .-. ~-<;
11 - - . ...- ..- ---T
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
^".. Qr.'''' 19-'-- 6_ ""-.......-11)
BUILDING C~sej 4./&, '/~;,? /J,,,,., y" 6',2-;~77
ELECTRICAL
~L.m~.III"
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