HomeMy WebLinkAboutBuilding Permit 04-0844
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or Print and sign at bottom)
I ADDRESS / (, -;),,-1/
Date Rec'd
I. White File
2 Pink City
J Yellow Applicant
'B-b~Y
I PERMIT NO. 04-. o04+-1
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ZONING (office use)
/YJatAU
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) .::::::::.
(Address)
BUILDER 4*~ c- ~' 1
(Company Name). ) . "0 ../;f-7/7;'~ i 5
(Contact Name) r 1),(5 ,"Y2 ,
(Address) lc;& (Y7c. Cf.
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(Phone) qS,J- I..jCfa -'ift?O;)...
I' 1/ ,17() 3;;2/S-
(Phone)
(Phone)
qt:;;J :;)9"/- )CYJCj
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(;,/;), - ;;25?O - If;;;/?
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition OAlteration DUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
TyPe of Constromon:
Occupancy Group: A B
Division:
II
F
I
III IV VA
HIM R
2 3 4 5
I
E
B
S U
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT C~~~~ e...; 5::? rYrJ ~
(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 own<.... or authonzcd agent for the
above-mentioned operty and that all constructton Will conform to all eXlSttng state and local laws and Will proceed In accordance With submitted plans 1 am aware that the building
:rial ran '''~'t ,"u ~,. I ~"'by .gree that th, "ty oll"..! or. des,gnee may ,oter upon th, property to perform n"~ lZ"0l(
Signature Contractor's Llcense No ~
Permit Valuation ...s
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Pennit When Approved
g-((,-cl-f
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ '.9'i'
I:r&z-
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
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ThiS is ,to certify that ~he request in the. above application and .accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ(.'Stcd. This document
when sagncd by the Cny Planner constitutes a lemporary Cerllficate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 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
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ite
Can
Pink
-Buildi
eering
- Planning
The' ("C'nlC'r of Iht' 1..1ir ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 0.// YJ1'kLv ~floMJ/-<t-Z;
APPLICATION RECEIVED (?- to - 04
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
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,
Date:
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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."
Th {'fnlrrof Ihf L.kf<"ountry
White - Building
&;"AJ:Y . F"gl"~g
Pink - Planm
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1<:",,;.1... /1-
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Accepted
Denied
v--
Accepted With Corrections
~m.~
Date:
~) ~/ (J'.j
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
l('2.~ ~~" Ave
IIi cI~
_r
DEPARTMENT Of .J
BUILDING AND INSPECTION'
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. -li ~ DATE ISSUED tJ./7. of--
CONTRACTOR -AU ~ PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
1.-.a.I II !L L II I1lekflll) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
rUfMISIIJ8
d)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-
-~-
.. - - -
)
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IC2J1
OWNER
SCHEDULED
!Uti", thf
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~LATION
~=~L
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nile
J2.-'S- 4L(
Cf-{-kU4
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
.....---<
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ ~ REINSPECTlON BEFORE COVERING
Inspector. l~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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