HomeMy WebLinkAboutBuilding Permit 04-0514
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.5- d5-0 L-j
U.I/9
(Please type or Print and siltll at bottom)
ADDRESS
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City
Applicant
I PERMIT NO. 04- _ 0 S 141
5.3 8(, SHOrz.e ~I L,..
ZONING (office use)
.e/SD
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION Je;c,ctfl2.f()/Jr
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PID z.5. z.e I. 00z... 0
OWNER
(Name)
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~lt/hfS
(Phone)
(Address)
BUILDER D ~ ' , _ I
(Company Name)--^ P NCOf ~~CM () f\.J
(ConlacIName) rn,K~ VE. ~llLI
(Address) Ib7'fD LYrJt>ALfr AvE ~, fSllllJ'rYl'if'Cf"V'l mJJ
TYPE OF WORK. 0 New Construction DDeck '~~orCh ORe-Roofing ORe-Siding DLower Level Fimsh
DAddltlOn DAlteration Di1tii1~ Connection 0 MISC.
(Phonefl r:/ - 'i'fft- ~S;7J>
(Phone)
~t;V2~
o Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
III IV
H I
Z 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
s /~l>>D
.-
I hereby certifY that I have ti.lfnished information on this application which is to the best of my knowledge true and correc!. I also certify Ihat I am Ihe owner or authonzed agent for Ihe
above-mentlQned property and thaI construction will conform to all existing stale and local laws and will proceed in accordance with submillcd plans. I am aware thai the building
;'i""~ p"m" fm JU" m'th"mo", [h",by 'l<''' th,nh, "'y offi,i,[ O~"g~~t" upon th, pmp'ny to p"fotm n'E:"'i;;'"~"CJif
Contractor's inse No, Date
Permit Valuation IE>;/'W.aJ I Park Support Fee # $
Permit Fee $ ?t.~.'2.5"" I SAC # $
Plan Check Fee $ /72 .tit I Water Meter Size 5/8"; I"; $
State Surcharge $ ..., . 5'n I Pressure Reducer $
Penalty $ .. I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
$ I TOTAL DUE t-AtU2V 5.'2.-7.04-.$ 44-5./h
s Your Building Pennit When Approved Paid ~eF5,/(,e? I Receip~o, ?-(, 9(, /
-5:7~5-1) L Dale r. &-",,0 a-- By~.
U
' ] Date I
ThiS IS to certifY Ihat the request in the above applicalion 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 10 commence Before occupancy, a Cemficatc 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
~1
While - Building
Canary - Engineering
Pink - Planning
Th.. (-..n..., or lh.l.ak.. ("oun1l."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~
APPLICATION RECEIVED 5 --;;;:25'--r:J4
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~53~t, \tf/zou ~
Accepted
Accepted With Corrections
x
Denied
Date: t::; -2.5 -oV
,
Reviewed By.
Comments:
I ._F:~Ul Vt...~~ e.k~c;t'Y\j \:"Ql~
2. ~~ \.L v., d'.... _ h~~ OWl" Q.,h" 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,"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ ,..CU \ , lj
NATURE OF WORK . ~ .J
USE OF BUILDING -51'
PERMIT NO. ()4, DATE ISSUED S'..~" .
CONTRACTOR ~4-. PHONE~SS'8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I , , / INSPECTOR
, FOOTING v.,. AlP~ . f'k,.. ~
DEPARTMENT OF
BUILDING AND INSPECTION
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
-.-.
~
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.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE 4'4/0/"
INSPECTION NOTICE SCHEDULED
ADDRESS , ~J'?/" ( )'A,re 7;/
OWNER CONTR.
PHONE NO. PERMIT NO. 6 </-S/Y
o FOOTING o PLUMBING RI o EXIGRAOIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~AL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
CO~~NTS/ ' ___ / A
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MWORK SATISFA Y, PROCEED
/';; CORIlECT ACTION AND PRO
o CORRECT WORK, CAL~ REINSPECTION BEFOIlE COVERING
Inspector: ~ I Owner/Contr:
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
- ~-_._--_...._-,-,.__.~----~-_.-.
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