HomeMy WebLinkAboutBuilding 05-0134
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Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T//"1813IeSCVlr'GS I /Nc".
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/43 /-Ie~77JGe L-A;v6
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
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Date: cP/;~,.i s;-
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Comments:
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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."
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White - Building
Canarv - Enqineering
cPTiik ~lanliii1g:,
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, ;' t_.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
/
Accepted With Corrections
Accepted
Denied ~
Reviewed By. rn . ~
Date:
z;lJ/OS
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."
~t:lite - RIJ~ding
CC anary - En ineennq-=,
Pink - Planning
The Ct'nlt'r of lht' I.akf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
41- / q 3 /':'~,/~~; /L' ,/~.77 1(,; (;-- L ,/-J /,/'6
Accepted
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Accepted With Corrections
Denied
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Date:
2- - /S--O-.S-
Reviewed By:
Comments: . S~e R~verse Side for Additional Informationl
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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File
City
Applicant
I PERMIT NO. 05.0/34-1
I While
Pink
3 Yellow
at bottom)
(~II e
ZONING (office use)
F:./5I)
LEGAL DESCRIPTION (office use only)
LOT /5 BLOCK z:. ADDITION j-ll7c /7l-1 €'iC L-I-I to 01 rJc,
PID zs- 425 OZI. 0
OWNER
(Name)
(Phone)
(Address)
(Address)
Lilt
6/1--36'3 -l'fli
~o
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection ~MiSc.
CODE: lStb.R.C. DI.B.c.
Type of <l;'nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S V
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
f?6r?'/I/''/IIVo/ It/F1l/(_
PROJECT COST/VALVE $ .5"t)()(), dO
(excluding land) ,
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-mentlOn property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
official ca [ 0 e this .mit fo Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the propelty to perform neede mspectlO .'
/: .... / CJ}-
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No,
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 (!L-~/J. j Z.ZZ.OS $ 19~. 7Cf
Ig~~r~1 ~;'eirtNf!!:!f
This Application Becomes Your Building Pennit When Approved
~~
Buildlll!! Oflicial
Paid
Date
c2/;';bs
, OIlte
ThIS IS 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 sig the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
issued
Dat
24 hour notice for all inspecti s (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
ECQRD
SITE ADDRESS ~ 'b Ne
TYPE OF WORK 1AJ;A/4 (..
USE OF BUILDING II
PERMIT NO. DATE ISSUED ;/1 ?/~
BUILDER ~# PHONE#m,.~~/'7'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING C/JME' 01= AM" n I
PLACE NO CONCRETE ltNTlL ABOVE HAS BEEN SIGNED
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I FINAL !<f) p. ~/(] 10 8
FOR ALL INSPECTIONS (952) 447-9850
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