HomeMy WebLinkAboutBldg Permit 05-0542
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
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File
City
Applicant
I PERMIT NO. 05,05"4- 2..1 /
(Please type or orint and siJtll at bottom)
ADDRESS
r b 33 7 Vl~+O(ic-..
Lv Iv-<-
LEGAL DESCRIPTION (office u'e only)
LOT 9 BLOCK 'f
G;(~i 'VI f
f1.: ~1e. h:Jvll'-l 4JJ lJ ,'br)
PID 3:2~- O"'3~-O
ADDITION
OWNER
(Name)
P (Oe.J, l
(Phone)
612-LI n -(,';&1
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A- ~ C1 .,/\
It, ~S7
Vfc.lvr
C u tv ~
(Address)
BUILDER, r...
(Company Name) '" I}
(Contact Name) vi if<...
(Address) 770'
Date Rec'd
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ZONING (office use)
Pac;n
b /2 -q Jq, L n'i
COV1fr"-c1;~~ Tn(.
lk,,, hr..r ~
Or. 61/<0 I -A1,A/
(Uc,!-o1-oA.
D'6cl-Je..
H",rV<'5..)-
(Phone)
(Phone)
S502c:J
TYPE OF WORK 0 New Conmuclion ODeck ~orch ORe.Rooflng
OAddition OAlteration DUtility Connection
ORe-Siding DLower Level Finish
~d<lf over e)(;s}.",;
/
CODE: ~LR.C. DLB.c. o Misr
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I,
o Fireplace
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I hereby certify that 1 have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the lJwner or authonzcd agent For the
JboVC-mentlOned property and that all construction will conform to al1 existing state and local1aws and will proceed in accordance with submitted plans_ I am aware that the buildmg
otlicial can revoke this permit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform nceded inspectIons
X I;Le f) v-.-- 7..tJ<(7'-i 5 oel 5-2 S -OS
(J Signature Contractor's License No. Date
$ I
$ I
$ I
$ I
$ I
$ I
$ I
$ I
(p.IO,05 $ 22 I. (,,3 I
I ReceiPt No. (/[//::;
By c;
C7'
Permit Valuation Jt,CJtJa, I) "
Permit Fee $ /32.5'0
Plan Check Fee $ era. /3
State Surcharge $ 3.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer IW ater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
~
This Application Becomes Your Building Pennit When Approved
~ ~ _ .5(z..7;;'~
1311ildin~ Ot1icial Date
I Paid ~.cr{ -" (,2,/'
I Date ? ~ 73 -0.:';
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 TIllS document
when signed by the City Planner conslitutcs a temporary Certificate 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
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITEADDRESS ~37 W ·
TYPE OF WORK ~ ~ pD~ ~
USE OF BUILDING S,'F"; D.
PERMIT NO. n5 - 054-'2- DAT.E ISSUED 5 (a? HS'"
BUILDERJD. CUs't~ ~ PHONE#~'I
NOTE: THIS IS NOT A PERMIT FOR ANY ElF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR D~n .
I FOOTING I ~ I 6.kj/aJ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING~ 1 I I
I'fAtJ BE" Di>>lE 1'l>t!iET/fI4*Jt!. , ,
I RNAL"'" - I /t?'7- I tfi'J,6s J
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE :: /I<[fi~"
INSPECTION NOTICE SCHEDULED
ADDRESS /631/ t/ 'c .J.r /c, arl/e
OWNER CONTR.
PHONE NO. PERMIT NO. QS'-~~2
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
..Jil.fINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: /7 (J -/J / /
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~~TIS;:m;R;;R~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
( White - Buiidii1g----...
Canary - I:ngm;;;'rrnQ
Pink - Planning
BUILDING P~RMIT AeeUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --3 () ~ ~ tPern -fta.c.+/ ;UGJ
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J & ?"7 '7 - 1/ i c+O n \ d.... (Za.-r t/ E:..----'
Accepted
Denied
Accepted With Corrections
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Reviewed By:. ~ ~
Comments: NI2..J2..I2
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Date: Sp. 7 ~s
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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."