HomeMy WebLinkAboutBuilding Permit 04-1172
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
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3 Yellow
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I PERMIT NO. 04-./11Z- I
File
City
Applicant
(Please ~ or Print and siu at bottom)
ADDRESS
l/s-fCI
(lJ) hra.cV6
ZONING (ollk, u,,)
7(2
LEGAL DESCRIPTION (offie, use only)
J.;J.J:{-13 r-'
LOT BLQCK /,;)ADDITION
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Of}{ C;r~.FJt.9 tf/LE'
(Address) '1717 - .z,- ?$'r ""d!' WVO~, ~
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PID;?S-OO/-II'3 -()
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(Name)
~?/-,o 3-7/a;.c
~-r 092..
(Phone)
"i>:;,""",,~.. Otu,veY-. . _
(Company Name) I',j//)~ Li L-
,.; (Contact Name)
(Address)
.f'd t-t.e"f
(Phone)
(Phone)
'lr2- tff'7-~9~ f-
651- 503-7/0 Y
. TYPE OF WORK o New Construction ODeek OPorch ORe-Roofing ORe-Siding DLower Level Finish
DAddition ~lteratiOn DUtility Connection o Misc.
CODE:/!!!,.,R,C, DI.B,C, PROJECT COST IV ALUE $
Type of onstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S u &,( f-e.MI P/'J/~-r
Division: I 2 3 4 5
o Fireplace 00
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I hereby certify that I have furnished information on this application which is to the best army knowledge true and correcl. I also certify that I am the owner or authorized agL'tlt for the
above-mentIOned property and that all construClion 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 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed mspections
x~nT A }) r;,~~ _~_f- 2..02.7 7'~7~ -C!# 27- Z1'r
~ 7 Signature Contractor's License No. Date
I Permit Valuation f?IJI)()' f) ~ I Park Support Fee # $
I Permit Fee $ . 1'17. z...5 I SAC # $
I Plan Check Fee $ 15.71 I Water Meter Size 5/8"; I"; $
State Surcharge $ j.~" 1 Pressure Reducer $ I
Penalty $ I Sewer/Water Connection Fee # $ I
I Plumbing Permit Fee $ I Water Tower Fee # $ I
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ I TOTALDUE ~ 1\ ,10.0+- $ ,2q~ ' #~ I
This Application:! ______..> Your Building pennjt When Approved
~:tt:D- II /ta~loif
I Paid ,.,.Jt./ ~ .f.#? .
I Date //-.::J.,/-64
I ReceiPt No, L/)(Oa'/
By C'
0-----
ThiS is to certilY 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 signed by the City Planner constitutes a lemporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cr.'rtificatl" 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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Canary - Engineering
Pink - Planning
Tht (-..nIp. of Ih..I..k.. ("aunl!')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT Pa... + , Sea. y ~ 7V~
APPLICATION RECEIVED /1- I;; -ol/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru~S-pq~ WhiC(Z7;s;;t:al f1
Accepted
Accepted With Corrections
/"
Denied
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Date:
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 .DEPAATMENTOF
, . BUILDING AND INSPEcnON
INSPECTION
RECORD
SITE ADDRESS '(Sat c.t. ""4. .
TYPE OF WORK ~ "" ~~4~
USE OF BUILDING ~ ~
PERMIT NO. 04--.1 \1 ~ DATE ISSUED' .JJ.ItQ..1/
BUILDER 1!lrr S~..I!!l.-,"" PHONE ttl61-n1. '/~C/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. 'Ih".
DAft
I I
LACE NO CONCRETE UNTIL ABOVE HA' BEEN SIC;NEQ
, FRAMING I /' /UJ- I /(/~9/P-I
, FINAL
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I /,2.-//~;""
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
~~~
4fqp~~r~/o
SCHEDULED
,
,
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO.
--C!J~-//7.2
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
a MECH RI
a WATERHOOKUP
a SEWER HOOKUP
a PLUMBING FINAL
a MECH FINAL
o EXlGRADlFIUING
a COMPLAINT
a FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
a
COMMENTS:
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~ '.YWORK SATISFACTORY, PROCEED
MORRECT ACTION AND PR EED
o CORRECT WORK. F REINSPECTION BEFORE COVERING
A
Inspector:
OwnerlContr:
CAU "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETYI
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