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CITY OF PRIOR LAKE BUILDING PERMIT, .
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
Date Rec'd
APR 1 9 2006
I White
Pink
Yellow
File
City
Applicant
I PERMIl'NO'&fR, ~
(Please type or print and sign at bottom)
ADDRESS
3~()7 ~e-F-rU-p-~
fJf!.w 1
). },W'
.-
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK;.(
pp~
,.....,
ADDITION
PID~
ZONING (office lIse)
Pl/S.o
t,-o
OWNER
(Name)
(Phone)
(Address)
(Phone) ~rl- -ftJ? .-~~~
(Phone) 6/ Z. - Z..z/-/~ ;:,8
7d~
ew Construction ~eck ~Porch ORe-Roofing ORe-Siding ~Lower Level FinIsh ~ Fireplace
OAddition OAlteratlon OUtility ConnectIOn
CODE: ~.R.C. DI.B.c.
Type ofto~stmction:
Occupancy Group: A B
Division:
o Misc.
A
R
5
B
S U
IV V
I M
3 4
III
H
2
I
E
II
F
I
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have hlfnished 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-mentlllned property and that all constructIOn will conform to all existmg state and local laws and will proceed in accordance with submmed plans I am aware that the blllldmg
official can revoke tl r JlIst cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed mspecl10ns
~ /'f-cfd
x
Park Support Fee
SAC
Signature
/ tt/5-q
Contractor's License No.
Permit Valuation
Permit Fee
1",
Plan Check Fee
Water Meter
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
00,00
DOteD
3S; s-o
to, 0 0
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
. - . ~ . .
Bulidltl~ Ottlclal
~/LkJb
, D~te
#
#
#
#
$ /70 tJ t.) (:)y--
. '------->
Date
$
$ 1550,00
$ Z,SQ, (J (J
$ 5:),00
$ , S~O ,(JO
$
$
$
$
E:>OD,OO
'5"/2 /a ~
Date
ThIS IS to certify that the request 10 the abllVe applical10n and accompanying documents IS in accordance with the City Zoning Ordinance and may procecd as requested TillS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerl1ticate of Occupancy must be
lSsue~~
Planning Director
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
~:IrY - I;ngineering
ink - PlanninCLr
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
/
I
.. ..,.
f""
Accepted
Denied
v
Accepted With Corrections
$~
,.
Reviewed By:
~
Date:
s ~02-/(J ~
,
Comments:
lJ
See Main File
..~
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."
See Main File
~te - Buildi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WE/VSfVJ/lNN
1-, 19. () 0
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3to 09 :JC5FFe,e5" ;q~
~
Accepted
Accepted With Corrections
Denied
..
~~
Date: l ~ ~,A t,
Reviewed By:
Comments:
See Main File
"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."
See Main File
White - Building
~nary - ~ngineerlngJ
Pink - lanning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
t-v E IV::; /I/;-J /'\.//</
1-. /9 c rc
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,::3(< (;9 ,,,=TE F FE. i:.:~~~- f/jC[ (IV
, I
Accepted
7
Accepted With Corrections
Denied
Reviewed By: /L1"rN
Comments: >c.fl/fl.,,\" t:,le
Date:
~, 2 -0'
s Main-Eile
. ee", ..'.
"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 CoO €FFE:tlS PAe~w~y N.w.
NATURE OF WORK ~E~ ~~ ..., L.Co.. FllltSN 'O(t.~tt /)Eel(.
USE OF BUILDING I=:"
PERMIT NO. 0(/.03&0 DATE IS$UED S 2. (J~
CONTRACTOR ~EIJrm..AIJ#J I'1u1EJ lilt:. PHONEIJJ!2 -2'Z.J -I' Z'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE, NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
LL fl"i"\ (if;; 7/IQJ(J,f, R 0 UGH - INS
SEWER I WATER I SEPTIC
FRAMING C l..L
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~71IG r }/IJUf61AJlt!AP I I
FINALS
GRADING (Prior to Sodding)
BUILDING It> 1: II '7
EL:ECTRICAL
PLUMBING
HEATING
DO N6T 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