HomeMy WebLinkAboutBuilding Permit 04-0466 (2)
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
at bottom)
/It)
f~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
f')2" 2Z '-
z,),"
OWNER ..L
(Name) ere. T
() 0 yo It..
(Address)
Date Rec' d
I White
Pink
Yellow
c!J. -- / L/ -01'
I PERMIT NO. 04 .otf(p{p I
File
City
Applicant
ZONING (office use)
/ ,t; [j
i<--
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
DAddition DAlteration DUtility ConnectIOn 0 Misc.
CODE: ~.R.C. DI.B.c.
Type ofl;;struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
I hereby certifY that I have hlrnished mformatlOn on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner Dr authorIzed agent for the
above-mentlOned properTy and 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
~licia~'6st cause Fu - ermore, I hereby agree that the CiTy official or a designee may enter upon the property to perform nee~:pe;t;'_ 0"
Signature Contractor's License No Date
Permit Valuation
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
~~~
8uildlll!! 01licial
5~ 7~ 'I'
, Date
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 tA1A.eO ..r:, & . 040- $ 95's
3
ThIs" to certifY that the request in the above applicatIOn and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by the City Planner nstllutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issue)!
S,I/.~
Date
Special Conditions, if any
4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Ca ineering
Pink - Plannin
-
Thr ("t'nlrr flf the I.akt' ('ounlr)o
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L~
r I
i+_--~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I!, i!\kL li.l t+,.L
Accepted
\[
Accepted With Corrections
Denied
Reviewed By: ~rOJ~
"-
Comments:
Date: J;) f II . D\f
;
'"'
"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."
-------..----- .-..~--.__.-...~--..---,-.-.,.,---...-"--~.-~..-.,......,.,...,-.-.---~",.~-,_=.,..c.~""""'.'"'~.".._
/Cf~PRjo~
~~
White
The Ct>nler uf the t.kt ("ounlr)
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Bo~n+ BYl€!
J
5.14.04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IJillO
Accepted
Accepted With Corrections
Denied
~ ~ Date: 5/t?~t(
~~ ~_~/f
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
RECORD
SITE ADDRESS / ~ II () '-A~I ()e- AVE.
TYPE OF WORK }/EW l)~
USE OF BUILDING S;~ ().
PERMIT NO. 04 04(P~ DATE ISSUED 5h"/~";
BUILDER 'BtLEr '&/aTH PHONE#'S2.2t("..ZS?~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FI NAL
-25
S BEEN SIGNED
I
vvtf' I
DATE
11~i11f/
FOR.-,"ALL INSPECTIONS (952) 447-9850
..
BRAUN
INTERTEC
D-€TfY!S-GOPY- --- ---- --
Proj<>~ No:_
Call Gopher State One Can
before excavation
454-0002
Req' fired Frost Footing Depth is
42" below grade
,,\
0= 2'
\'V
S~".s
Dole:
------~-
CITY OF PRIOR LAKE
BUILDING-fERM:1 PLAN, REVIEW
INSPECTOR ~ ~
DATE t5! ( 7(0 'f PERMIT NO. 0<1- o4{;,(p
o ACCEPTED AS SUBMITTED
~ ACCEPTED WITH CORRECTIONS AS NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT
These comments are for your information. All work snail be done
in full compliance with all applicable building & zoning code reo
quirements including items not specifically noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
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