HomeMy WebLinkAboutBuillding Permit 04-0859
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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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)
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(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.
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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
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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
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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 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
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~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
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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."
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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
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Accepted With Corrections
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Reviewed By:
i,.__
Date: 'C,-
/l:A f'r ~h/' /
/ /
Comments:
(Sutwt ,~
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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 ~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.
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[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!
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