HomeMy WebLinkAboutBuilding Permit 04-0519
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~- X-tJLj
I,Wllile
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 04-. 05/'1
(Please ~ or Print and silPl at bottom)
ADDRESS
\4031 ~2..E!B'-1W4\( .AIJE.
LEGAL DESCRIPTION (office use only)
LOT' BLOCK I ADDITION
OWNER
(Name)
::lAItI\.S
140gt
\J."-t.
1bhU1J {1M
PID;;25-;;)-{Q- CkJI- ()
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L.. }J.E
(Phone) QS:z.-G\4-I' "qO~
::nz.. olC.. lAc-e. / '\tI.tJ ..n~T2..
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Bun.DER - 1:> -r
(Company Name) t\..4;c.. 1:>.... \..1> e...S.~C:-_
(Contact Name) _ MIll<:: IE.. "-t:- ~ "le.E-J
(Address) TIS 'F'L-OJl!!.lt>A. Ave.~.
(Address)
ZONING (office use)
Jt:t51'J
(Phone) 7~3 - S~o-"4~
(PhoneL.c:.12- 3bq- \ \~!:.
1'~...t>~1V' l/Jl\~, r \)c'h) ;y4.:u:;.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~ DAddition DAlteration DUtility Connection ."e"Misc.
CODE: I.R.C. DI.B.C.
Type of O1ISttUction: I IT ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
r\&.1L ~"'....... iitC.1"-4I.tZ..
PROJECTCOST/VALUE S 4'<, 5'~~_"'C::>
(excluding land)
SEE .A-,""k-~'t:.
I hereby certify that I have f\.imished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property nd that all nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:cial can vok, this it for J hennore. I hereby agree thot the c,ty Off&::~";;~; upon th, propeny to perfe<m neoded;';,5' / ($>4
Contractor's License No. ~ate#
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
,
~~s ()OO. at) I
$ 0.5a.7S" I
$ 1119. 9~ I
$ 22. Go I
$
$
$
I $
I $
Os Application Becomes Your Building Permit When Approved
..
, .::lJJ I-J
5/2 7/0'1
Date
Building Oft1cial
Park Support Pee
SAC
#
#
$
$
$
$
$
$
$
$
$ I () /" 3. V(
Paid
Date
~o c-. u7.of-
.. . r
H) ~ :'5-0/.. Y.
&- .;-'-/
O. .f.. _. ~_
I ~~c3t No. 4~ I( I.f ~J
, 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 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
Water Meter
Size 5/8"; I";
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
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
#
#
Planning Director
/
Thr Crnlrr of thr L.kr ('ountry
(White - BuildllUl--'
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMelT CHECKLIST
NAME OF APPLICANT ~ ~
{j
APPLICATION RECEIVED ~> d& --01/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/()8/- GM-bn//Jt:V1 ~.
. r - {7'
Accepted Accepted With Corrections V
Denied
,..
Date: 4/J 7;10 t./
Comments: ~u,. - , -tr1 ~." ~~~ ~ ~
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Reviewed By:
~
~
"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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P RIO R LAKE ~~~~'::~r::D ~~SPECTION
INSPECTION
RECORD
SITE ADDRESS /~~.31 6/J6nJ1JA'I AVG. JCJ. o.
TYPE OF WORK ~ E /If'El'iU/L
USE OF BUILDING ~~./)
PERMIT NO, DATE ISSUED S/~7 1111./
BUILDER ~~ ~i~ ~~~.IAJc. PHONE#'II.-~3
, ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW .
THE PERMIT IS BY SEPARATE DOCUMENT
,J"';", "R
DATE
~lc&.- fi....t.JEii!Jt~"' I
LACE NO CONCRETE UNTIL. _ABO/VI; HAS BE.ENJlp~jiD/
1 FRAMING r /MS~/.AT7~ 1.....~~/7~~/~,,7
tlfTIIE '/ ST"'CC(')("FJJ~ //~
FINAL f ,/Vy7 /..J.-'I-cJ.:)
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR lAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/Ll03f C~~
I
CONTR.
OWNER
DATE nile
j -)../'0$-
PHONE NO.
PERMIT NO. _/')c..{ -.~
[] FOOTING
[] FOUNDATION
[] FRAlIING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
~MECH FI~~ ,
/tJ.-O {+elf~
COMMENTS:
.-----
/
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"-.......
---
,
: ---- I
( I...t2
--
-
[] EXIGRADlFILLING
[J COMPLAINT
[] FIREPLACE RI
[J FIREPLACE FINAL
[] GASUNE AIR TST
[] O/!!/P
--
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"----WORK SATISFACTORY, PROCEED
[] 'CORRECT ACTION AND PROCEED
[] CORRECT WO~ #FOR REINSPECTION BEFORE COVERING
Inspector: 11/t1 OwnerlContr.
CALL 4&7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
INIINOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI