HomeMy WebLinkAboutBuilding Permit 03-0368
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3-- /d--3
I PERMIT NO. 03 -03 (p ( I
Date Rec'd
I. White File
2 Pink City
3_ Yellow Applicant
at bottom
35~
W~bJood ~
ZONING (office u,,)
.jJ t<.JJ
LEGAL DESCRIPTION (office use only)
LOT ~LOCK
ADDITION
pl..f7 ~ ~;tj1ID ~- 3g3-015
OWNEIt-:--... ~
(Name) -l.b" <\- ,) l-l1 1-u I J\-
(Address) 33D , '\ L-bwcctl"-
TYPE OF WORK
(Phone) .hl}50 ~5-ib'6bj
'9~,e... ~ 5">'372-
(Phone,(~~/31-3~t.jO
(Phone)( 5 (7)~a"Y--l 0
o New Construction
ODeck
OPorch
ORe-Roofing
ORe.Sieling
OLower Le 1 Finish
uL
o Fireplace
OUtility Connection
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) S
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
authori d 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
submi d plan aware 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 pro erty to erform needed inspections.
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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
re
Contractor's License No.
YrzfC{'~
;Oate
Park Support Fee
SAC
#
#
$
$
$
$
$
.~O
Water Meter Size 5/8"; I";
Pressure Reducer
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
# $
$
$
$/(,7,2-5
l:yfo -HaS'
TOTAL DUE
This Application Becomes Your Building Permit When Appr~ved
~~
...?~7/o3
, Date
I Paid
Date
Building Official
/{'7.~
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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
~'d by the City Planner cons~tutes a temponuy Certificate of Zo~g compliance and a!1o:;onstru;on to commence. Before occupancy, a Cert~ate of Occupancy mu" b,
A5LL. -f..- 7JZ.-c-1lP ~7103 ^.41Jd{ ctLf ~
Planning Director Date Special Co itions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
-Suildin
Canary . neering
Pink - Planning
Th~ ("f'nlef or Ih..l..kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
[;) 7J kwmcuW Poo-e
NAME OF APPLICANT It ~
APPLICATION RECEIVED =? -I ~- -3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which' is proposed at:
~3S-6 (Lh~~o! r /'--'
Accepted
Accepted With Corrections v/
Denied
~:?~
Comments: ~ 5" I ~ ~ h---'''',I- ~.
a..L( oftA- 7~" 0 it f d...- />d"-- ". - - ~, ../4 c- -" '. ~
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Reviewed By:
Date: ..s~7 k
,
~,
"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
c~n::llr:y - Enaineering
CP"nk - PlannirRl:::>
j"
Th~ ('f'nln or lh.. 1.8b Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/,'
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-, . / ') - -
... .....-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: . ~
I
/
;: ,,"; (
,/ ,.~. " .;)
II
Accepted
Accepted With Corrections
/"
Denied
Reviewed By:
Comments: f5.,,-f Ll-Yrf1
~ -I~j/
~<'r-'~ A~-' cJI- ~,JL-
~, ;(~ eLL!'
Date:3P-713
~..;'J)
41..(
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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."
1 -
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~~
White
ThlP C""'.r nf Ihll' I.."" ('ounl".
Pink
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which'is proposed at:
"J-yc.- / / I ,1.,11 "J -i ./-L./
j:;\J (0 rj/LUC!..1 X,)c./ !
Accepted
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Accepted With Corrections
Denied
Reviewed By:
/14413
Date:
3- z 7-~J
Comments: See Reverse Side for Additional Information!
See Attachment~. 1) Grading Plan, 2) Erosion Control MellslITes
"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 .:33~~" l!A.
TYPE OF WORK -<!1M.'" ~
USE OF BUILDING S.4=': 1:>.
PERMIT NO. (J3 - 03 h g DA~ED
BUILDER ~_II\~~ 'IJ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOtJl
I FOOTING I I l) - Z,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~;;Y51=€tL~ I
,,;,.. MJ -. ~ ~,
I FINALAf::TvL flf.Cr.~ fUlI4\tJ~ 102- ffJJ7 I J:./lr /6,'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE
DATE TIME
SCHEDULED ~~~
U~ Y d 4..-0<3 /7r/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3sS'b
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~?--J6Y
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH Rl
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
~SITE INSPECTION 0 MECH FINAL
COMMENTS: ::2 / ~
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
/
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR R INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
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