HomeMy WebLinkAboutBuilding Permit 05-1100
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
3Zto
Date Rec' d
/1,,1-, US-
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. OS. 1100
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 2. BLOCK
PUD
ADDITION
PID25. 383 OOZ.(]
OWNE~ ~
(Name) t...:' ttL
(Phone)
(Address) 3 ~
~~l.. \(x..,~ ~L
r-
BUILDER
(Company Name
(Phone/~51~;3; __~
(Phone)~)1 ) :)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish
OAddition OAlteration o Utility ConnectIOn ~
~ MiS: --100L
CODE: MI.R.C. DI.B.c.
Type of Enstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
o Fireplace
A
R
5
J~Q0
S=}O
B
S
U
PROJECT COST IV ALUE
(excluding land)
AI
I hereb ertity that I have hlrmshed IntlJrmation on thIs applicatIOn which IS to the best of my knowledge true and correct. 1 also certIfy that J am the owner llr authonzed agent for the
ab'lve- ne proper d that all construction will conform to all eXISting state and local laws and will proceed in accordance with submitted plans I am aware that the building
"ftjeial revoke IS per for ust cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed inspectIons
x
Permit Valuation
/{J bOO_ 00
$ It; 2 - Z.S-
$
$ 5.00
Permit Fee
Plan Check Fee
State Surcharge
~ Penalty
Plumbing Permit Fee
~echanical Permit Fee
h;ewer & Water Permit Fee
I
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
I~~
I Blllldll1!! Orticial
JIlt{ (05"
, Date
-5
~-
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
. ""'---.
TOTALDUEr~J~' 1.8.oS $ 207-:--'2..5
Paid
Date
20
/1"
i t No. ~(3.77
Tim IS t" 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 constitutes a temporary Certificate of Zoning compliance and allows constructIon (() commence. Before occupancy, a CertIficate of Occupancy must be
~~
I Planning Director
111r'~~ ~ ~pec:6L::::.~f~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
<:White - 8uil~ln9J
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P~O/2n/t/J{!..6 POOL-
//- /. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3z~3 t~/~OtV'OOD --r;eA/L-
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~ ~ Date: 1//0/ It] S-
f '
Comments: 5' ~ ~ ~ h '?- ~
;? . v
c;.J,o~ ~D~ ~ ~ ~~,
~ p~ ~.~, tJ.dr~'~
r'
.I
"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."
White - Building
Canary - Engineering
C Pink - PlannIng.?
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/-'/ l/---C/ .,. l i// I,. -' ~,'- c-
,. '--" -"
/' " r
, '",.-....,-
//. /,
....,.~-
.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-";. ~._- ..'~'~'
,~ ((' ':/
I ' " "
~, {I/', / ( 'L".
ii', /-; / L__
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~.~
~ o-JL(. ~/ (
ZS-t' Or ~ X-
Date:
If /'1 ~S-
I
,
~ ~ u...,. ~Q -s~
f
~..
Comments:
~ ~t7d~
/
~~
"
liThe 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."
Wh~ -=~
~n ry: Engin~erin
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p~O/2-/'1J/1/J&5 POOL-
/1. /. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32&3 {NIL-Or'VOOD 77GA1L-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Ih'J-fJ
Date:
1/- g.().5
Comments: See Reverse Side for Additionallnformationl ;
X'
II - C r'
//;415
I" ' I
, See Attachments: I) Grading Plan. 2) Erosion Control Measures
..... ,l...".
"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
INSPECTION RECORD
SITE ADDRESS 32&.3 t&) lLQ.wfJtJ9- T~
NATURE OF WORK IN- 6b...AJtJ SWIM.., IJ '-
USE OF BUILDING S'-I=':D.
PERMIT NO. OS//OC) tf:fSSUED l(f~
CONTRACTOR-~~ sP& PH NE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILIJING AND INSPECTION
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ Y; /.3 "db
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ] I
FINALS
GRADING (Prior to Sodding)
BUILUING
LECTRICA
Le
HEATING
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 until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850