HomeMy WebLinkAboutBuilding Permit 04-0337
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
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Date Rec'd
I,White File
2. Pink City
3. Yellow Applicant
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I PERMIT NO'Oef, 033 7 I
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ZONING (officeu,,)
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12/ :;D
ADDITION
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OWNER n
(Name)J(U-
(Address) Ita
BUILD~ Swl
(Name) 1Ylo (oOlY\ ~
(Contact Name) (}DnA
(Address)
o~
Un,
TYPE OF WORK
o New Construction
ODeck
DLower Level Finish
o Fireplace
(Phone) gSz.. - z.z.~ -"3 3llp
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(Phone) (p 51 -I 'Ie - 'l? 3 Ie. 10
(Phone) II b - )<,3<" (p
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Dn.
DPorch
ORe-Roofing
ORe-Siding
~Addition
DAlteration
DUtility Connection
DO
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
authOrize~nt for the above-mentioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitte pi s. I am aw that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upo property to . needed in'pection, B (~ _ 2 b 3 LI Zg 7 4- / /5 / 0 ~
Si ture Contractor's License No. . Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~fficif~~~ $~r
Park Support Fee # $
SAC # $
'Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
.Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $;L46, ~
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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 si ed 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 ~ r
1ft?/o<{
Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Planning Director
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White - Building
Canary - Engineering
C I-'lnk - Planning-::,.
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Th~ ('fnlrr of Ihf I.akr ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r.. !.' i (
APPLICATION RECEIVED
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The Building, Engineering, and Planning Dl3partments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
/
Accepted With Corrections
Denied
Reviewed By:
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Date:
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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."
~~
rhr('..n'rrnflhrl..kr Counl'}
~hite . BuildiniiJ
anary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fr./H? 0 S..{.~ PJ7h,v
APPLICATION RECEIVED i/- / t:. -tJcj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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.
Accepted
/'
Accepted With Corrections
Denied
~~~
Date: 1l19/~ y
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK ~lt..) S l.l.N ~'1LUi
USE OF BUILDING ~':'
PERMIT NO, 4- .33 7 DATE ISSUED I
CONTRACTOR ~ gtJ.~'~"'~ t!J: ~,.~ p~.??IJ.~G,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
QAJE
ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
I"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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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
,--_..__._--------.."'-~---~'_.....~.._,.._---_._---_.---
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CC)NTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)i' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH IFINAL
COMMENTS:
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DATE TIME
5-J.-"?:!'f
4-3,37
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
#WORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT WORK, L FOR REINSPECTION BEFORE COVERING
Inspector:
ONner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IA'SNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!