HomeMy WebLinkAboutBuilding Permit 11. 0483 n O* O ❑ O 13 o > ■ n_
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O� "PRI��
,�/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPOR
/ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 4.49- 7/
"� r' AND UTILITY CONNECTION PERMIT
'1",- . 'cl , •
1.WhitPink CitFily I PERM T O. l/� 4.83
2. Pink
3.Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
tcv 1 SO-K
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER c-�
(Name) ` L,- po r,Ds (Phone)
(Address) 5S to %S c...,4--L- S'k
BUILDER
(Company Name) - ,-8"...1/4."--.0-l4._`� U 'S (Phone) 7 --8€G'8
(Contact Name) � t t11/4w✓a-S (Phone)
(Address) u....-0,--1? j t. ,„ I(.,..c._ kve. S dtx,vmS,o((a, s r 4 Ste'33 7
TYPE OF WORK 0 New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
`�
❑Addition Alteration ❑Utility Connection
CODE: 4I.R.C. ❑I.B.C. ❑Misc: +tat/et 41i # # ! i
Type of Construction: I II 'HIV V AB /
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ 2' -',
Division: 1 2 3 4 5 (excluding land)
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 aware that the building
official can revoke thi permit for just cause. Furthermore,I hereby agree that the city official ora designee may enter upon the property to perform needed inspections.
X 2-03V5-2( 427 — a
Signature Contractor's License No. Date
Permit Valuatio Ct O o0- _ Park Support Fee # $
Permit Fee $ t SAC # $
Plan Check Fee l 14. m $ 14-4 . eft Water Meter Size 5/8"; 1"; $
State Surcharge $ 4 5 DA Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE/ 14,LLED b-/5,i/ $ 'j / /
This Ap, i til 'ecomes Your Building Permit When App ved Paid wZ9t-/41 Receipt_ O. /l)
/ 111*. _-= Date 1.14/11 By (
411 A /.1..0,. 6/4- // J
Building Date
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 consti tes. temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning %erector Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
0, v1316-4U t=i
White -Building
yl �P Canary -Engineering
NNE50 Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
.1:31,ulaelA4,
NAME OF APPLICANT 1- I /o
APPLICATION RECEIVED /"I Z9 ` 1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo,ed at:
i I ''h //'L 2. A
Accepted Accepted With Corrections
Denied
Reviewed By: tillibio.1 Date: 4;, Z //
Comments: 1. Lam. Sem r I " u r c.J
--- --c--711 S;-0-c- C–FS Aci— Ace '1---- '
"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."
PRIC)
ti
U r=r
White -Building
yf N �P Canary -Engineering
^' ES° Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/
NAME OF APPLICANT / /e 'f'� / ' /"� _t. E
APPLICATION RECEIVED / # `r I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied
Reviewed By: Data 44-1/
Comments: #7.1.6(
crY10&5 -S r� e tro aseel ,'s c2 'Z
//
— `g l/ ✓ /evZ GUQ bio!Ti *sej vale
07C 't-fon is 'rf®oo
"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."
PERMIT TRACKING FORM
Address: 68/d /% 0771 O 51 • Description: gie?2,6,tzez 9zfax,e,,ge.
Application Received: 4 . 2'cif, I
• I
D to Days Elapsed
Initial Review Conducted Sf 1 n 7
Applicant Called with Corrections e•.41441,4, 5/c
Corrections Received �' r¢�
Corrections Reviewed I/c/c
Final Review
Applicant Called
4k PC @&$ �'i tA"
+r? Y-_::n..._ << . x x. . .a...:?co-. e t �. .<.� .....i_.....__..y, _.a._..i. ..�t.,xn.::, re.......:.... .. ... ....><>,> _ .w...a. ...... �. ,.a _ .,�.. _..... ....,, ., .._
Date Days Elapsed
Date Reviewed
Initial Review Completed 6-/t/11
11 S
Corrections Received
Corrections Reviewed e.4E 4PDra-fi,,App,41,, ew. to/15/8
Final Review 6/(ri /M '
Applicant Called
a
Date Days Elapsed
Date Received
Initial Review Completed 6-/I071 it I
Corrections Received
Corrections Reviewed
Final Review
Applicant Called
Initial Review Time Correction Review Time
Initial Application Date Final Corrections Received:
Applicant Called W/Corrections: Final Applicant Call Date:
Total Days Elapsed: Total Days Elapsed:
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 5 t 1.1 .
TYPE OF WORK t A:c�.,>( ,t
USE OF BUILDING 46
PERMIT NO. DATE ISSUED
BUILDER tAk re,b1/4- _ (2)-40A-S PHONE # c(5-2-152, -mac c:34-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I
-NAc `°","9 1A , &-
FINAL 1 5,ite
FOR ALL INSPECTIONS (952) 447-9850