HomeMy WebLinkAboutBuilding Permit 03-0835
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDITION _ (b~(Jr1~ jJ~
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q>>lease.!VDC! or Drint and si2ll at bottom)
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT3/BLOCK
~':e~R ! fJ Or r
(Address) s?8 r
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
D New Constnlction
~eck
o Fireplace
o Misc.
DLower Level Finish
I ,
2.0 l( /4 M-A..ll dedL..
PROJECT COST/VALUE (excluding land) $
OAddition
Date Rec' d
I, White File
2. Pink City
3. Yellow Applicant
t,~3~3
I PERMITNO'03_g~1
I p~;;;ceu~) I
PIIh<S -6J~ ?-O.,l.;L-J
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(Phone) _0(J - 19 f- oJ,.} J7
(Phone)
(Phone)
OPorch
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
I hereby certify that I have furnished informati9H/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 th%.~ 0 e- enti~ed t'A p..nJ' and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. 11:1, t buil g official can revoke this permit for just cause. Furthermore, I hereby agree that the city offi. or a designee may
;ter upon the prop fI j. . e i ctions. /0 ~
v 4ign~ I Contractor's License No. Date -
11 I /
II I /
VII
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
$
$
1$
1$
1$
1$
1$
1$
~oo. ()O
8"3. ZS
54.ft
,. Sa
This Application Becomes Your Building Permit When Approved
~ ift..d;~
Building Official
I.,,! zs!'6 '3
I Date'
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTALDUE~ .'2.-.JO.07 $ /:3 fl, li"<..
I Paid /~~.n1 I Receio,tf:jo. ""JJrr r'
I Date . J1/.]I,eJ ~ Bv /'L..
. /)e.Jc /5 .5ho~;V c& 0 riJ' Surve.<j
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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 nstitutes a .----r--...... Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
hsued . ~C1UYJ{9{ .{){o fLa... IL{ I Y.Jt:; f,
J /J .1)1) . en 116 6e::cK- (1'" ... y- UJrl GrUr. ~ {'j-
Date 'Special Conditions, if any .
24 bour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle ltkek Avenue Prior Lake, MN 55372
~~
t: w-n~t. .. Build~
Canary - Engineering
Pink - Planning
Th~ Crnlpr of Ih.. t..h (."ounl..,
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
'7n~ rJ~
- (Jo
b- .-2 "B-erG
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: t
55PL/ ~cL. ~~
u
Accepted
Accepted With Corrections ~
Denied
/?
Reviewed By: ~
Comments: ~~ ~
~ ~
~
....
Date: t, /.;)- y ~ '3
, .
~~~
~~ (J 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."
~~
White . Building
Canary - Engineering
("Pink -l'lannlns...>
...-
Tht' ("t'nlt'r of lht' I..kr ("ounlry
BUILDING PERMIT APPlJC.ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ .
LyyJ~~~/Ch:::r/Zjl'-vL
/.. .::? () 3 )'
l~- ..".j....;- .
The Building, Engineering, and Planning DElpartments have reviewed the building permit
application for construction activity which is proposed at: I
.!7 ST II (l~01 c~ U:}-(, ,-;Jl ~t./
(, I
Accepted ~
Accepted With Corrections
Denied I
Reviewed By: l!.A1~
\j ~ \./
Comments:
Date:
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be 1 permit for, or an approval of, any violation oJ
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
R RD
SITE ADDRESS SS t'l~ ( ~ T"..
TYPE OF WORK -Dec,~
USE OF BUILDING ~ F
PERMIT NO. 03" e'35 DATE ISSUED '-- ~S-03
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I '7i";OP I~~~ -oq
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
DEPARTMENT OF
BUILDING AND INSPECTION
, FINAL
_ /7
t'1/II-/
(0 ' j.f(-Cft1
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
, , r t
26 ~ J<.1<c ~. f'oX.
"
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
If),. ]..""Ol/
,
ADDRESS
S.ff11 /NI.iy / /];A'
CONTR.
OWNER
PHONE NO.
3-g-3.~
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONI"\ _ V
.I't1iINAL I~C4L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
----
/ / I
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'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~L FOR REINSPECTION BEFORE COVERING
Inspector. f vr Owner/Contr:
CALL 4C7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY!
"""""
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