HomeMy WebLinkAboutBuilding PErmit 05-1248
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Date Rec' d
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/~/"2Af5
I PERMIT NO. 05. /21-6 I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
(Please
ADDRESS
ZONING (offlce use)
I!-/.s.D
/(,/()/ #tJ!eTHN()()O /G()/W
,KW
LEGAL DESCRIPTION (office use only)
LOT ee BLOCK
ADDITION 1I'~1C1TI1Y4' f)
PID 2.5. 1+/ 057. 0
OWNER
(N ame)
0cl\.~
(,""us,,,,,- 11 f'.J'.- l:..-
I
~t .,-<<-!at
(Phone)
/;r-/- JI:J"3 -170 {,
(Address)
BUILDER
(Coulpauy Name)
f1 (VI- c... Stl'lJ ~lJ(
(Phone)
(Phone)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdditlOn DAlteration DUtility ConnectIOn
CODE: f.R.C. OLB.C. o Misc.
Type of onstnIction: 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
PROJECT COST IV ALUE $
(excluding land)
/ Z, oud
/
I hereby certify that I have hlrmshed mformation 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 and that a constructiOn will conform to all eXlStmg state and local laws and will proceed 10 accordance with submmed plans I am aware that the buildmg
oftkial can revoke thIS permit for JUS ause Furthermore, I hereby agree that the cay official or a deslgnee may enter upon the propet1y to perform needed inS ectlOns
X
Signature
Permit Valuation Z ()O(), 4tJ
Permit Fee $ 2..2.-/ . 00
Plan Check Fee $ JLf .'5
State Surcharge $ (p,Oo
Penalty $
Plumbing Permit Fee t?5 $ '(), IJ "
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 $
TOTAL DUE tFl [L<:;--o /2 21. CIS $ 4/0. &5
This Application Becomes Your Building Permit When Approved
I~ ~~iJ~
I 8uildll1g Onicial
12(2-'/oS
Date
Paid
Date
r (() , ~r ,. --- I ReceiP!-~t)S :J '/
d - , {, ~ By C
ThlS lS to certIfy that the request in the above applicatIOn and accompanymg documents is 10 accordance with the City Zonmg Ordinance and may proceed as requested Tim document
when signed by the City Planner Cllnstltlltes a temporary Certificate of Zonmg compliance and allows construcl1on to commence. Before occupancy, a Cerl1flcate of Occupancy must be
li~
~
Planning Director
12/2..' f:;e>
M
~
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
White - Building
Canary - Enaineering
~ - Plann(iiO:>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
/ --"
/
1-
./ ,.,--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
, I' i 17-/.' I ;/ (' I) , / /.t-i I j ;/\./ II i//
/ . /""_ (I , , ...... 1.._ '.' 1/ ""-" / . f ~ "
Accepted
~
Accepted With Corrections
Denied
r
Reviewed By: ~"~ Date: /.P-~ ~ S'
,
Comments: ~ 1 ~ ~- ~ ~J
~.r~' ~,,;,~~
~trJy ~ ~
~ a.- ~~~!~~
Cjl-~::' ~ '
/
;;ell ('v.,mliw.uue.ll." ~'"L,d Other 1\lIecbanicHl
Urdts Can.not Eru~roach into Reqni:red
:[,,:t ,'fl. oi ~-:..; }f ;:':\.r"r~ ~~:~; (~ !' r~a r:~=::9
"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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
STe06/.56
/2... zo, OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&/0/ /tIOK71-/WOQf) RoA-D NN
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~ ~ Date: /e)-~?~.:r
J .
Comments: ~..~ /2('J~ ~ -~ } ~
~~~q{) k-.~~. ~~.
. 04 .
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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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUIl:-DING AND INSPECTION
SITE ADDRESS 1~~ ~~~d~ AIf" IJ,W.
NATURE OF WORK I ~ ~. ~.
USE OF BUILDING . p:' 0 .
PERMIT NO. 05_ /2 4--g DATE ISSUED II- .,
CONTRACTOR ~'e' J-,It'~II' PHONE'S'-,J~~.. 'd'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
E UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
c ,. ( f:;"- ~
COVER NO WORK U7XB~E HAS BEEN SIGNED
I "'Ulc/A1~ &': 'i~A
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
L-/ {r-1i
~
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have I)een approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
{ t~ t,6G
- r-a
SIGNED
FOR ALL INSPECTIONS (952) 447-9850