HomeMy WebLinkAboutBuilding Permit 04-0760
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
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1_ White
2_ Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 0+.0'1(,0 I
(Please ~ or Print and siD at bottom)
ADDRESS
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/41./
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ZONING (office use)
72/
LEGAL DESCRIPTION (office use only)
LOT~-r;;LOCK ~ ADDITION ~ ~ W.f.o \:3 rd-
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OWNER
(Name)
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(Phone)
t?n. I/~ r MW
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~AdditiOn~te::...~;~::il:ty Connection 0 Misc.
CODE: Dr.RoC. DI.Boc. U 0
Type of Construction: r n ill IV V
Occnpancy Group: A B E F H r M
Division: 1 2 3 4
ORe-Siding DLower Level Finish
o Fireplace
A
R
S
B
S U
PROJECT COST IV ALUE S
(excluding land)
Z~/OCJC)
x
I pe~alUa110n
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I hereby certifY that I have furnished information on this application which is to the best of my knowledge h1.le and correct I also certify that I am the own<.... or authOrIzed agent for the
above-mentioned pr rty and that all strn tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
IS permit for Just use F hermore, I hereby agJ:ee that the City offictal or a designee may enter upon the property to perform needed inspections
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r .(St,p{ture r . Contractor's License No Date
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-:z..v.-OOCl,dO Park Support Fee # ~
$ '1Cf.'i', lJ 0 SAC Y $
$ ";),,,'91. ~ I Water Meter Size 518"; 1 "; ( $
$ I L(. 0 0 I Pressure Reducer $
$ I Sewer/Water Connection Fee # $
$ I Water Tower Fee # $
$ I Builder's Deposit $
$ I Other $
$ I TOTALDUE ~ 1o-z.Z,,04- $
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This Application Becomes Your Building Permit When Approved
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Building Otlicial
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Date
I Paid
I Date
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I Rece/1' t No. LI'J/CIr;rt4f
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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 ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ed ,. ':#-'~
Planning Director
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( !late
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
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CWhite .Build~
,-,aiiary : cngln....ring
Pink . Planning
Th.,(-..nlnoflh..l.abCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~flJtM I.J)~
APPLICATION RECEIVED 7- 101-01
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
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Reviewed By:
Comments:
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Date: 7tfz...k ../
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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 - i:nglneering
.-PIIfK - ".ann~
The CrnlUof thr l.akt>Counfry
BUILDING PERMIT APPLICATION DEPARTMENT CHIOCKLlSr
NAME OF APPLICANT !1/1/y(j"7tJ u) qA../
APPLICATION RECEIVED j 7- ! j - otj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf30d.'(~7;;1j~-t ~
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Accepted
Accepted With Corrections
Denied
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Date:
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.
Reviewed By:
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 ~2 CHJ::a1 Jlur ~ ~. ~
NATURE OF WORK . l(LL!rr~ 6t/1CII4I-
USE OF BUILOING . · 4t1 .
PERMIT NO. 0 if-. D 7~ 6 DATE ISSUED :2/2 J~tI'
CONTRACTOR eu(5.MV ~ PHONE..fn. fI'tfD.UUJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1. I I
FINALS
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EAnNG
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
BEEN SIGNED
. This card must be posted near an el~trical 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 neaT main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4-so'2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
FINAL
~SITEINSP ~
COMMENTS:
SCHEDULED 12~
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TillE
CONTR.
PERMIT NO.
L/ ~ )Id)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
17 ;_n_ ~ -O\.t;
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~ WORK SATISF ORY, PROCEED
o CO TIC,. AND PROCEED
o CO RECl. R~', CALL FOR REINSPECTION BEFORE COVERING
or: Owner/Contr.
C:X 1w1so FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
~UlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
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