HomeMy WebLinkAboutBuilding 03-1380
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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34'13 lW,,\
Date Rec' d
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, \ir'1;.... '-'......'
; ~i~~e ~::y I PERMIT NO. 02. -l20.. 0 I
3. Yellow Applicant , J .~ Ju '
ZONING (office use)
J::. / sLJ
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK
ADDITION 71/// ^: /SL E,.j~
PID 7';';- '-00. Cc.s (:
OWNER
(Name)
~I \r G~~)
li~7c.r R.....tCl{d
oJ
l) re\''''~.s +Vll '1-
J,'1 N 1Z. p,,()',...
(Phone)
'is ;l. . 't '1 S. S ~'16
(Address)
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BUILDER
(Name)
(Contact Name)
(Address)
.s UlI"'\t
P-w.-I
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1) rc..",,~~rV~;~
(Phone)
(Phone) ~61)' . L/ / '1, .J J~I
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TYPE OF WORK
o New Construction
ODeck
ORe-Siding
[jI Misc.
)JU,.j
OLower Level Finish
Roo-r- 0h(.~<.
o Fireplace
PROJECT COST IV ALUE (excluding land) $
~6 U(Jd ~
OPorch
e-Roofing
OUtility Connection
I hereby certifY that I have furnished information 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 all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. 111m ware that the uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro 0 perform ne (led inspections.
X . S~~'1. OJ
Contractor's License No. Date
Permit Valuation If 2/),ooo,tJo
Permit Fee $ 32 ( . 2.-5 .
Plan Check Fee $ ZtJS, 11 .
State Surcharge $ /0, PO .
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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Date
Building Official
OAddition
OAlteration
$
$
$
$
$
$
$
$
$
I ~;cei~~~
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
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
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 document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
10 ~ 1?;J.()~
Builder's Deposit
Other
TOTAL DUE
/0.13.'0
I Paid 1tOI 07
Date f I ~ D 3
The ('enler or the I,akf Counl.,."
White - Building
Canary - Engineering
C-Pink - Planmn~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f-_""
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:.....l' t ..~~ ,"
./ ! .
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f-'
'.--;
Accepted
~.
,
Accepted With Corrections
Denied
Reviewed By: ('I J~~~
Comments: \
../ E CLC;L'/-? v) )CVL -\-Vi eLf d I CLrC OLV\~ du<: cA-
U>l~Vl CU-~ P--L.U leA~
~
Date: Ie, (0. ()~
"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."
Tht' Ct'nlt'r of tht' I.ab Country
qhite - BUnal~
anary - 1::" !neenng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
LJeA;Vtj s tiE II
/O.~.03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3443 7W/N /S-~/7;VD C/~~
Accepted With Corrections
/
Accepted
Denied
~~~
~~~
Date:
/d/o/a3'
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
INSPECTION RECORD
SITE ADDRESS ~~3 Twi~ ISLAND c.i~
NATURE OF WORK ~ ~ ~ ~ HOr;~js.
USE OF BUILDING S. F: 0 · .
PERMIT NO. 05 - ~8~ DATE ISSUED "1'0(''3
CONTRACTOR fML" s" PHONE~I2.'. ~-3!8J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
~ ^a.NE~ THE PERMIT IS BY SEPARATE DOCUMENT .
~ '-N' I'. ~ SIA.'~" ME'AtJS T'6 <9&1'"' n IN R SL~O ~.DATE I
FOOTING 7 ~o
DEPARTMENT OF
BUILDING AND INSPECTION
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
--27
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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