HomeMy WebLinkAboutBldg Permit 05-0074
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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While
Pink
Yellow
File
City
Applicant
I PERMIT NO'05-oo7'f
(Please tyue or Ilnnt and siEOl at bottom)
ADDRESS
/~.s$' 3. /-'/he,z,A./ .A-/ .f. ?/7t::Je 41~ m,u
ZONING (office use)
Je;5 f)
LEGAL D~CRIPTION (office use only)
LOl'l-BLOCK ADDITION 71fJ71L ~MiJ r?!t P/I/
PID ;),{' - t?LftJ- !')o?-()
OWNER
(Name)
:Ue--r b. ~~
if C>>II (;,~;Z-8!>o-6J3':'-
(Phone) ;/ - 9'''T2-~::S---73S/
(Address)
-S~~
BUILDER
(Company N amp)
(Contact Nal oe)
(Address)
<./'J7n-e
(Phone)
(Phone)
TYPE OF" 'ORK 0 New Construction DDeck DPorch ~-Roofing ORe-Siding DLower Level Finish 0 Fireplace I
DAddition DAlter.tion DUtilityConnectlOn ~MiSCll/JipJooC;;> ~tN:e~-i1A.fte.n..-'!. ~.
CODE: l'lli.ll.C. OLB.C. PROJECTCOST/VALUE $ 2~OCJ
Type of [;;.SFclion: I II III IV V A B (excluding land)
Occupancy G oup: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certily Ih II have fiJrnished information on chis application which is to the best of my knowkdgc tme and correcl. I also certify that I am (he owner or authonzcd agent for the
above-mentIOned 'l"Openy 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 thiS pelmlt for Just cause Furthe more, I hereby agree that the CIty offiCial or a deSignee may enter upon the property to perform needed inspectIOns
X c:J2L~' 1./ !/IJ/!' S-
SIgnature Contractor's License No Date
Permit Valuat on I (:l5tJO, 00 I Park Support Fee # $
Permit Fee I $- ''?I. ?5 I SAC # $
Plan Check F, e $ I Water Meter Size 5/8"; I"; $
State Surchar~ e $ /,2..5. I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Pen nit Fee $ I Water Tower Fee # $
Mechanical P, 'fmit Fee $ I Builder's Deposit $
Sewer & Watc r Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ /{,.OO
This APPticarrn Becomes Your Building Pennit When Approved I Paid -#7(#. 0 Zl Receil2!..No. C/ RfD c:'1
~:~~ (BDrfs- l Date 1/ ?J.l1 f> "" Bv - !5J -:
; 'r
ThIS is to certify t lat 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 It e City Planner constltutcs a temporary CCllificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy musl be
issued '
~ ,WI. \~ I I J.."I iJS ('U-If"-J-- .;,..~" ~I....'.L....../
Plannt~ ~ Special Conditions, if any ?.
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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lhf Crnlrr IIf lhr L.kr CounlrJ
(White - BuilCi1lUl)
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NtMEOFAPPLlCANT f(t0~~ B/lA~
AFPLlCATION RECEIVED 1- /;;2. -05
Th a Building, Engineering, and Planning Departments have reviewed the building permit
ap )lication for construction activity which is proposed at:
1'-/61/3 p~ led
Ac ~epted
Accepted With Corrections ~
De nied
r-;<' . "7' 1'1. \ Date'. I/Zoj..,., S-
Reviewed By: ~ ~ v
Ccmments: % ~ -c;' ttJ~ ~ ~ ~,
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. -1 I J1 CJ
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/--0 / '1 01
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"The issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
odinances of the jurisdiction shall not be valid."
'~~ PK10/;',/
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White - Building
~ - Enqineering
. _- Planliimt>
-
lh~ C~nln of lh.. I...... Couner,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N~ ME OF APPLICANT
AF PLICATION RECEIVED
,/
.-
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Th a Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
) jl/~ i / --.,
: r J ':'-:1 .J
\,
I
J.
Ac :epted L,--/
Accepted With Corrections
De nied
Re viewed B'~ VY\ . v'\u--o-.-
Date:
/;" /os-
Cc mments:
"T 1e 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
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr ~suming to give authority to violate or cancel the provisions of this code or other
or jinances of the jurisdiction shall not be valid."
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~,?-c:;)y--
ADDRESS
/L(J"43 /11.t!lcL
OWNER
CONlR.
PHONE NO.
PERMIT NO.
b-07t.(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
f! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOJ'1'..f~ RElNSPECTION BEFORE COVERING
Inspector: -I--!--Y Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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