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HomeMy WebLinkAboutBuillding Permit 04-0859 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT m~ PIlIO", '" <(' '" ~ ~ :0: U I>J +'lVNESO'\'" andsi at bottom lS7~ ::r.s/w t1~KJ ~S37l.- Date Rec' d 8. r3,04- While ''''' Yellow File City Applicant I PERMIT NO. 0 -1-. 09 sy I ZONING (ollie,use) I< ISD LEGAL DESCRIPTION (office use only) LOT 1 BLOCK j ADDITION ISLIINO vIe tV .5 7H PID zs z.5Z. 017. 0 . OWNER J/. (Name) ") tu/.#n~1 ~'7 (Address) .~" (Phone) t1~.;)-'Iif7- 8tAJ(., eez.t" fsz-.:7f;.3. 3 f' 11, BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAddition "Alteration DUtility Connection D Misc. CODE: OI.R.C. OI.B.C. Type of Construction: Occupancy Group: A B Division: I E II F t mIVVA HIM R 2 3 4 5 B S U 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 J am the owner or authorIzed agent for the above-mentiOned property 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 th' ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections. x Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ comes Your Building Permit When Approved ~ tL{-fft/ Date Contractor's License No. Park Support Fee SAC # # ~4~o,Y Date $ $ $ $ $ $ $ $ $ Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee # Builder's Deposit Other TOTAL DUE '.~.f.()"" o. ThIS is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procl"Cd 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 Planning Director Paid Date 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 S~1 ~ite - Builtli;ig:::> Canary - Engineering Pink - Planning Thf ('"'"" of tht' I..k, COUnl1'1 BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT JC.AT1-! LEE; N W l-trf ~ APPLICATION RECEIVED g. 13 .04-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 15702- /SL--A NO VlEW RD. V-- Accepted Accepted With Corrections Denied rId;lj ~ I , f!:,'t'Q /10'\. +- Date: fr',,l,C(-ot( dvf tv I , Reviewed By: Comments: f/(Jf>-t "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." -..~.-,-'..,- .:.-..."':'..,,_:?i8"''''.' . .-. .,,...-,'. , ,,' . .' . . '-"'" '" ~~'J .,. .,- ,'_ _., l~ .....",.,.!".1.,.~~"'3':l~~ti~,~~{!~E;~~?.":",t.v:~"1~~.":J:~!;c'-,,'~$S~~~?~~r:.y~,~,.,~,.;.: .... ~1 White - Building Canar:y - Fnnineering ~nk - Plannlny Th.,('C'nlC'rof Iht' r..kt' Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /<: f-\T1-1 {_ f E. rJ l \j /-t}-\T[.. E Y APPLICATION RECEIVED Y . I '2 . (, 4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I 57 G z.. IS L-- A 1\.J U V I f)vV r~D. .. Accepted Denied 1--- _,I Accepted With Corrections l i ".. Reviewed By: i,.__ Date: 'C,- /l:A f'r ~h/' / / / Comments: (Sutwt ,~ . .. "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 ~J- ~\tV /lei TYPE OF WORK ~.,. ~ USE OF BUILDING S.F.O PERMIT NO. O~ ,08 DATE ISSUED BUILDER "". PHONE # l/It1- "'l' NOTE: THIS IS NOT PERMIT FOR NY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~CTOA DATE I FOOTit.JG f~ 3-'$7 PL;,ACE NO CONCRETE UNTI ABOVE HAS BEEN SIGNED FRAMING FINAL -t... FOR ALL INSPECTIONS (952) 447-9850 ',< DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED "t - L-o'l ADDRESS J S'/ Oc ~\A 1J. \j;~ f2J OWNER CONTR. PHONE NO. PERMIT NO. l../ - e~., [J FOOTING [J FOUNDATION [) FRAMING [) INSULATION Jl'FINAL [) SITE INSPECTION [) PLUMBING RI [) MECH RI [) WATER HOOKUP [) SEWER HOOKUP [) PLUMBING FINAL [) MECH FINAL [J EXlGRADlFILLING [) COMPLAINT [) FIREPLACE RI [) FIREPLACE FINAL [) GAS LINE AIR TST [) COMMENTS: ?Hf J l~n" H.. 0~~ ~RK SATISFACTORY, PROCEED [J CORRECT AcrlON AND PROCEED [) CORRECT RK, CALL FOR REINSPECTlON BEFORE COVERING Inspector: Owner/Contr. CAL -9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY! """""