HomeMy WebLinkAboutBuilding 04-0768
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1/9.04-
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I ADDRESS
\1 I) J'T { -
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 0+, c 7f4f; I
ZONING (office use)
1(1
LEGAL DESCRlPTION (office use only)
LOT 9 BLOCK {? ADDITION /110 () P /U 0 (;6 e.>J717ES 2 NP
OWNER.
(Name)
(Address) \
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
PID zS. '294-. osZ. 0
(Phone)
qs)-l\~D-~l3
(Phone) ~st wS eoqeB8
(Phone) (/5) ~ &; n~
\V\~~t
OPorch
~Addition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
V~)
-
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 awar that .quilding offiCial can revoke this permit for Just cause. Furthermore, I hereby agree that the City official or a designee may
enter upon tlfe ope to r nee ed mspections. " ..,.J
X ' /t-lr-f2-
Contractor's L1cerI5e No. Date
Permit Valuation -Itp- .....0 "b
Permit Fee $ t bOZ".. D 0
Plan Check Fee $ -10$",30
State Surcharge $ Lf,DO
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
tion Becomes Your Building Permit When Approved
t"'
7~(Df
Date
Building Official
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
This is to certify thai the requesl in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requesled. This documenl
when signed by the Ciry Planner constitutes a temporary Certificate of Zoning co pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss;,e~>~2i1'lL- CJ. -K'a~ 71 Z (j ~ t1ActtL J~q...J
I I Planning Director Date Special Conditions, if any
24 hour notice for all insuections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
March 18, 2008
Patty Simberg or Current Resident
17256 Horizon TraiL
Prior Lake MN 55372
Final Notice
RE: Building Pemlit Number 04-768
In review of the building permit files it was discovered there is an open building permit for an addition at this
property. The City would like your cooperation to provide access for a final inspection. Please call for an
inspection by March 25, 2008.
To schedule an inspection time, call (952) 447-9850. If you have any questions feel free to call between 8:00
a.m. and 4:30 p.m. Monday through Friday at (952) 447-9852
11J1lk
Michael Peterson
Building Inspector
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.447.4245
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Gt t2A Y H A 'lYJ:::- BUI GO c:e..5
APPLICATION RECEIVED 7. z, o. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17250 HOf2A~ON TeAL L-
Accepted
Accepted With Corrections l.----
Denied
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Date:
p ~;;; if
Reviewed By:
Comments: ~ 11..-- ~
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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."
16200 Eagle Creek PASSENT OF APPLICANT
Prior Lake, MN 55372-1714
File #04-71
As Approved by Resolution #04.04PC
The undersigned hereby assents to the following:
1. I have read the conclusions and conditions of said Resolution, and I am
familiar with their contents and with the content of the exhibits.
2. I fully accept all of the terms and conditions of said Resolution.
3. I understand Section 1108.400 of the Prior Lake Ordinance Code provides as
follows:
1108.413 Revocation and Cancellation of a Variance. A Variance may be
revoked and canceled if the Zoning Administrator determines that
the holder of an existing Variance has violated any of the
conditions or requirements imposed as a condition to approval of
the Variance, or has violated any other applicable laws, ordinances,
or enforceable regulation.
1108.414 After One Year, No Construction Required. All Variances shall
be revoked and canceled if 1 year has elapsed from the date of the
adoption of the resolution granting the Variance and the holder of
the Variance has failed to make substantial use of the premises
according to the provisions contained in the Variance.
1108.415 After One Year, New Construction Required. All Variances shall
be revoked and canceled after 1 year has elapsed from the date of
the adoption of the resolution granting the Variance if a new
structure or alteration or substantial repair of an existing building is
required by the Variance and the holder has failed to complete the
work, unless a valid building permit authorizing such work has been
issued and work is progressing in an orderly way.
1108.416 Upon Occurrence of Certain Events. If the holder of a Variance
fails to make actual use of vacant land, or land and structures
which were existing when the Variance was issued and no new
structure, alteration or substantial repair to existing buildings was
required; or if a new structure was required by the Variance and no
building permit has been obtained, the Variance shall be deemed
revoked and canceled upon the occurrence of any of the following
events:
L:\04 FILES\04 VARIANCES\Simberg\ASSENT.doc 1
www.cityofpriorlake.com
Phone 952.447.4230 / Fax 952.447.4245
(1) A change in the Use District for such lands is made by
amendment to the Zoning Ordinance by the City Council.
(2) Eminent domain proceedings have been initiated to take all or
any part of the premises described in the Variance.
(3) The use described in the Variance becomes an illegal activity
under the laws of the United States of America or the State of
Minnesota.
(4) Title to all or part of land described in such Variance is forfeited
to the State of Minnesota for nonpayment of taxes.
(5) The person to whom the Variance was issued files a written
statement in which that person states that the Variance has
been abandoned. The statement shall describe the land
involved or state the resolution number under which the
Variance was granted.
(6) The premises for which the Variance was issued are used by
the person to whom the Variance was issued in a manner
inconsistent with the provisions of such Variance.
4. I understand the granting by the City of this Resolution is in reliance on the
representations that I will fully comply with all of the terms and conditions of
said Resolution. I understand and agree upon notice of non-compliance with
any term or condition, I shall immediately cease conducting activities
pursuant to the notice or will take all actions necessary to accomplish full
compliance with said notice and conditions of the Resolution.
SIGNATURE OF APPLICANT
DATE
SIGNATURE OF OWNER
17256 Horizon Trail SE
ADDRESS OF PROPERTY
L:\04 FILES\04 VARIANCES\Simberg\ASSENT.doc 2
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1?ti-SG. f'foftlZIJ,..,J T1tJ4r1L,
NATURE OF WORK Rs_",II- ~ ])6eJI...
USE OF BUILDING ~^P.
PERMIT NO. O. 0 ~ e ATE ISSUED ;;p.l. ,
CONTRACTOR ~~ ~/i.1JIJIS PHONEfSi'-..v-" -(.'-16"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
GH - INS
/o//z
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
OCCUPY UNTIL A~OVE HAS BEEN SIGNED
N-OTICE
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