HomeMy WebLinkAboutBuilding Permit 03-0230
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,~'
AND UTILITY CONNECTION PERMIT J"" :}5 --'(TO
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I. White File
2. Pink City
1 Yellow Applicant
I PERMIT NO. a3 +' 0 Z3 D I
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LEGAL DESCRIPTION (office use only)
LOT~BLOCK ~DDITION Pt~ ~+
1/- OD3-
I OWNER
(Name)
(Address)
(Phone)
BUILDER .. . I ,.-,~ " If"")-' ~ .
(Name) ~~ ~\I.-\~r) I \.~'\
(Contact Name) -fL~~ ~\
(Address) ~,,-;- L'l,,",~ ~\A,~ ~~
(Phone) Co \ <).... a..'t'S .:1;"0 t1>
(Phone) Co \ ~- -;a....\( c:; -t?1) DO
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
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. I am a that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter e prope eeded inspections.
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Signature
Permit Valuation .g' /tJCJO, 4 a
Permit Fee $ 3~,7S
Plan Check Fee $ ~5,1 &"
State Surcharge $ 150
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~~
Building Official
.:J.!,;z 7 /~ 3
Date
~~\b~
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE 3 . 3' 63
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.
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Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, tax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
- .
White - Building
Canary - Engineering
Pink - Planning
Thr Cf'n.rr or Iht' L.kr Counl"..
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:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
IWI-B
Date: ~ 3- '3-63
Comments: See Reverse Side for Adciition::Jllnform::Jtionl
See Attachments: I) 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."
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The Cenler of Ihe l.lke Counlr)'
<:.white - Buildii1Q::)
Canary - Engineering
Pink - Planning
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:
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Accepted
Accepted With Corrections v
Denied
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Comments: If~ a,L( ~
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Reviewed By:
Date: 024 7 ;; :3
.
"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."
White - Building
Canary - Engineering
Pink - Planning
The ('f'R'rr of Ihe' t.lkt' COunll")'
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:
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Accepted y:
Denied
Reviewed By: ~ lCVLfl~)
Accepted With Corrections
Date: fA. g.g '{)8
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."
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~ S ~~ Ni&lc....c-rT "U~.
TYPE OF WORK s"c..a ~ S'~
USE OF BUILDING
PERMIT NO. ()3 -07<--50 DATE ISSUED .1d I.' /0 'I
BUILDER · i.. . PHONE #1.Jt,-zl(1-Sil.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
izujO} '-' " -0
SCHEDULED .JJ I. c-.....
~~-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'-f~ i' 5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ -ft... ~1:11~
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CJt.,- /Ztf3 ~
0'3 - (J'"l..3 0 ""tlUA--.
o EXJGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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\;f WORK SATISFACTORY, PROCEED
tb CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'"pecto" ~ I Owoe,ICoo.:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!