HomeMy WebLinkAboutBldg Permit 06-0510
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only) /
LOT tf BLOCK '-/ ADDITION
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(Please type or print and siltn at bottom)
ADDRESS
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Date Rec' d
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While
Pink
Yellow
I PERMIT NO. /)(p ;' 5 { D I
.... .
File
City
Applicant
ZONING (office use)
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(Address) /~b'f f/;/tWAt/ IIC'9N(~ e/JuRr AJ,uJ
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~~~~~Nam~ ~ /)" (Phon,)6/~.8t:.1-2237
(Contact Name) 0 F1 tV' ~(!>9AJ t<U d (Phone)
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TYPE OF WORK 0 New Construction ODeck/ I\7(Porch ORe-Roofing
OAddition OAlteration OU~ty ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
III IV
H I
2 3
V
M
4
I
E
A
B
PIrc7~ 3 /}?o - () .5LI-()
o Mise
ORe-Siding OLower Level Finish 0 Fireplace
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PROJECT COST/VALUE $ /~I!l::l) ~
(excluding land)
A
R
5
B
S U
h 15 to the best of my knowledge true and correct. I also certIfy that I am the owner or authorized agent for the
II lstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
e that the Cl~ Off2r"dJO/27 7n grope1'Y to perform nee6~el:'O 6
· Contractor's License No. Date
,
Permit Valuation
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$ ./ /?~ $V
$ /.-Ze,( y<f
$ - ~()
-.S.
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
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I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $ I
I Water Tower Fee # $ I
I Builder's Deposit $ I
I Other $ I
I TOTAL DUE (W leJ ~/ 11J 10 $ 3U)~q)'1
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Paid 320. ~'8 R~eipt No, .5/S7Y I
.
Date C. ./1.("/(. 0" I
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 ducument
when signed by the City Planner constItutes a temporary Certiticate of Zonll1g complrance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
isslIed
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
~ I!Uildin~
"'lA8I'y - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT P o/VC-OfA../G
APPLICATION RECEIVED \~-C;-6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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C! v
Accepted Accepted With Corrections /\
Denied
ft~
Date:
tb#A
I'
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
TYPE OF WORK ~
USE OF BUILDING ., 'Q
PERMIT NO. DATE ISSUED
BUILDER I,.,... ~, PHONE #1.J~.~1'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
c,l
FOOTING q 4.Ll.~ C1c. 7j'6~-b I ....;)W I 6 ;:/;h
.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
17, J 1
FINAL if lj I ) ;;1 It) k>
I I'
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /5"7 c:;tI ~/
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
C~le.,
E.. WORK SATISFACTORY. PROCEED
~ORRECT CTION AND PROCEED
o CORR K. CALL FOR REINSPECTION BEFORE COVERING
Inspect r: OWner/Contr:
C/J\. L~7-~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI