HomeMy WebLinkAboutBuilding Permit 03-1240
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 9- / b- 3
(Please .!\P~ or print and sign at bottom)
ADDRESS
I. White
2. Pink
3, Yellow
File
City
Applicant
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LEGAL DESCRIPTION (office use only)
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LOT
BLOCK
ADDITION
OWNER V
(Name) ,<:cl
(Address)
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BUILDER
(Name)
(Contact Name)
(Address)
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I PERMIT NO.03--- /d-flD I
ZONING (office use)
KISD
PID o?S- (}d..J - tb8' -<.)
(Phone) bl"Z---'~o -nD'l2.
(Phone)
(Phone)
TYPE OF WORK
D New Construction
~eck
D Fireplace
DAlteration
DLower Level Finish
o Misc.
DPorch
ORe-Roofing
DAddition
PROJECT COST IV ALUE (excluding land) $
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 y......y.....~} 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
e~n the property to perform needed inspections.
X _._0 .,.... \. Al~Wlk-
} C..) Sign,"re ._
I Permit V,luation I'T' J./OO O. 0 (J
I Permit Fee $ '17,2<;
I Plan Check Fee $ t. ~. z..,
I State Surcharge $ 2. a 0
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
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Building Official Date
Contractor's License No.
I Park Support Fee
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
I Other ~ .
I TOTAL DUE ^ -,,(], 11,0)
1~,1
I Paid /r,Z4--r,
I Date 9.. I~CI,/
DRe.Siding
DUtility Connection
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$
$
$
$
$
$
$
$
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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.
Planninll Di~ctov
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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
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-:-\,.'hite - Buildir;a-....
Canary - Engineering
Pink - Planning
Th.. (-..nt.., or lh.. t.ak.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-
1?od ~ L<.*
9-/0 -6
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application s~ctio~~roposed at:
Accepted
Accepted With Corrections .....---
Denied
r-
9~(.J Date: 91t7/o7
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Reviewed By:
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."
~~
White - Building
Canary - Engineering
rPfiiK - Plannlll~
ThO' ('..nl..r or Ih..l.ak.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for const~~ction a,qtivitY:~1h is proposed at:
hJ;;:Ji/1 I .'. /. 1'1 ,
'-~' ./ ~
Accepted
x
Accepted With Corrections
Denied
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Reviewed By: L/' 1- -. '-'f ''Y / l/
Date:
Ci -IL()- o~
Comments:
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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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Sill/:) VAl~ A4
TYPE OF WORK ~
USE OF BUILDING -5 F" . .
PERMIT NO. -D3- L~ 1./0 DATE ISSUED "'../~.~ ,
BUILDER ~ J. uu $-1- PHON~/;!. ?3() -11"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I ~ I I 'r!0~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,- - I I
I~ECTOA
DATE
I FINAL
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FOR ALL INSPECTIONS (952) 447-9850
"
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~QC/O
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ SITE INSPECTION
COMMENTS:
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SCHEDULED
c,..L,-s
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
t:bey6r
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o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATIS~t'",^,,,,,u
/6 ~ORRECT ACTION AND PROCEED
o CORRECT WORK, ~~Y~SPECTION BEFORE COVERING
Inspector: p~, Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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