HomeMy WebLinkAboutBuilding Permit 06-0908
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
Date Rec' d
9. Z~. tJ(p
1 White
Pink
Yellow
I PERMIT NO. Ot;. Or~8 I
File
City
Applicant
53&0
MI'IOY e()ve 7JVI/L-
ZONING (office use)
~/S.o
121 fJ /1/2-( A
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK 4- ADDITION
~N{)
(Phone) OfS2.., d-O()- 11910 C€cl
OWNER
(Name)
Q. h It~')
P [AtlSO,,",
(Address)
53(,0
CA-rJOY
edt/to
~()(/e P/l~
PID zS. DZ7. 004-.
7RA" L.
.sit"
J:Ne-
BUILDER
(Company Name)--.1:/1 m Bc.tr't d & ~
(Contact Name) rn~ t M(N ll.4(
(Address) 1>'7S e{lf\oe\Jitc.J D~
~",.u(1jl.
ORe-Siding OLower Level Finish 0 Fireplace
(Phone)
(Phone)
t:tS2, ytfr -7000
'7t, ~ C{f~- S7F1 ~f:q
TYPE OF WORK 0 New Construction ODeck o Porch ~e-Roofing
OAdditIon OAlteration OUtility ConnectIon
CODE: ~.R.C. OLB.C. }('MiSC.
Type of onstnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
,Je;w nus~€]) VJb~S ~ ~
PROJECT COST/VALUE $ ~fI, ODO. eta
(excluding land)
I hereby c('nity that I have hlrmshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or iluthonzed agent for the
dbovc-mcntIoI1cd property and that ,lll nmstruction will conform to all eXIstIng state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
~ticial can ~h;fcrmlt BI;:;tt;;;ore, I hereby agree rhar the City ()ffiCi~lgnee 7iJ lIPOI1";f.;;~IJ perform needed ;:e~()z -o~
Signature ' Contrfctor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Y OUT Building Permit When Approved
I~~
! Iluildlllg OfIiclal
ID/~/EJ('
[ atc
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE /'P//J../ /tJ.".O" $ 8tfCf./O
~~~ ~m;l-IT~ i ~~C'iP' No~1
ThiS IS to certIfy that the request m the ilbovl' appliCJtlllI1 and accompanymg documents IS 111 accordance with the City Zoning Ordinancc and may procccd as requcsted ThiS document
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" anning Direclor Date Special Conditions, if any
24 honr noticr for all insprrtions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
<)NhitP- - Buildili9:::>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
kH M BWRS.
1- ZiP. 0&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
531€O CfiNo,/ Ui Vb TreAt L-
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ t2...~ ~ I-' Date: /tJ/Y.~ "
Comments: /&,.../l a.il _ "/,-~.:.::J. ~ - oR ~
~/ ~.-<J} rn~A J .----~y 4-~
l-- ~ ~.~~ ~ 'f-N- ~ ~
k4-<V ~t;.~ - ~ _~. ~ ~
~~:J~
"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 ADDRESSI!(f/.() ~~ ~
NATURE OF WORK......1fi'.~~ ;,-......i-'"-~
USE OF BUILDING S:,~Q,
PERMIT NO. ~' ~__ DATE ISSUED lwll~
CONTRACTOR fij ~-tlg~ PHONE~"~S'
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
. .
. . ~"':.j~... 1 ~ ',~ . ~ . '~. '
FRAMING
INSULATION
ELECTRICAL
LV[
(/
12-'&~
- -----
I t _.
, .
- . I:.
COVEA NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
BUILDING
ELECTRICAL
D/~1J'l
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained untH aU \nspec\\ons have been appro\led. On bu\\dings and addi\ions
where no service cabinet is available, card sha\\ be {l\nced near main enhance.
White
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
II f' I L~L L) I~.S ,
,
'/. Z (/ . (((
J
,.
>;If.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r- '/ ( . 1/. .t. , . I" J- ..7-.. , \ ( L
.-/ ((') Co" ) II 1/ l. C, () ~/ t. "-.-.r -
/
,..Jo,
Accepted
x
Accepted With Corrections
'. Denied
Reviewed By:
/#~
Date:
/d- ~- 06'
Comments:
;:,.
liThe issuance or granting of a permit or approval of plans, specificjltion$ ahd
computations shall not be construed to be a permit for, or an approval of, an1violatlon 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."