HomeMy WebLinkAboutBuilding 07-0421
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5: 23. 07
File
City
Applicant
I PERMIT NO. 01. 04-Z-1
White
Pink
Yellow
(Please
ADDRESS
/'Yjr3
n at bottom)
.-
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LEGAL DESCRIPTION (office use only)
LOT ft, BLOCK <; ADDITION
'fm"NN
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PID ~j-- Y'/cf'oJ-z,.'X-I
ZONING (office use)
1C4-
OWNER
(Name)
(Phone)
(Address)
"5'/-~O"- Y'rOU
~ I;l.. -..1~ , - 7/' J.,)...
.3~--;.;2 V
BUILDER
(Company Name)
(Contact Name)
(Address) /5
VI..I
()m~J
J
TYPE OF WORK 0 New Construction ODeck MPorch ORe-Roofing
OAdditlOn OAlteration Oulifuy Connection
ORe-Siding OLower Level Finish
I I
---1 L )( I"L -PO ~<:. H
CODE: ~I.R.C. DI.B.C. o Mise.
Type of onstnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE
(excluding land)
$ /0,00(.1
/
crV
o Fireplace
I hereby certIfy that I have hlrnlshed InI'JrmatlOn on tillS application whIch IS to the best of my knowlcdge true am! CllITCC!. I also CCrtlfy that I am the owner ()f authorIzed agent t(1I. the
above-mcntlOned pro perry and that all CDnstructlon will conf'Jrm to all eXIStIng state and local laws and will proceed In accordance with submlttel! plans I am aware that the buildIng
official can rc lkc thiS permIt for JUS calise rthcrmorc. I hereby agree that the CIty official or it desIgnee may enter upon the propcl1y to pcrt{)rm Ileeded lnSpectlOlls
x
Contractor's License No.
Park Support Fee
#
Permit Fee
SAC #
Plan Check Fcc
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
I $
$
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace PermIt Fee
TOTAL DUE
~ APPIi'''i"~ B""::, Y ""~B"ildin' "'""'lit When Approved
~ ~ /;,(/07
BuIldlllg Ufticlal ' Date
J--.2;;>- 0/
Date
$
$
$
$
$
$
$
$
$ 32.0. 8
(. 1~(07
I
I Receipt N~. ,~
By (; 77
Paid
Date
ThIS IS to ccrtlfy that the requcst III the above applicatl1ll1 and aCCilmpanYlllg documents IS III accordance with the CIty Zoning Ordlllance and may proceed as requested TIllS docl1ment
whl'll signed by the CIty Pl.lllner Cllllstltutes a temporary Certificate of Zonlllg Cilmplral1ce and allows constructllln to commence Before occupancy, a Certlticate of Occupancy must be
Ij~~
I Planning Director
L
10/1/67
I / Date
24 hour notice for all inspeclions (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
~ite - Building)
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WEN Sf,,? /1 A,/;J /--iJn E.s
5-. 2- S, (j 7
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/434-3 WR/E)Lfftk c;;-:
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ~ Date: 5/2. 4' Ie 7
Comments: /-~ ~ UJl:1...~JJ_,J g.......\ ~ 'fa b-c-
I
"
~ ~ .:t:k... L..'. /).12._ ..~'!. t:rj ~ ~
~ Py<.<J1rn( 4 ' -4-d.. ~. "0 /l..::tJ "'. ee.. .
Ala 0/.' 7 t1?"- FtA.-t. ~ ~ L~:eP..~.
"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
~~ - Plann~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,'- / i / /
e
, I " ~~ _......
"7
J
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- "':.,-
. .:.~ / ( ,/ ,"
Accepted X
Accepted With Corrections
Denied
Reviewed By:
~~
,
~IL~
Date:
512-9/07
,
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."
PRIOR LAKE
INSPECTION RECORD
DEPAR"rMENT OF
BUIL..DING AND INSPECTION
SITE ADDRESS -'!I3tfi. tJ~~~ F~' CcUlLr
NATURE OF WORK ~ z.' , ~cl'1
USE OF BUILDING S.F;"A _
PERMIT NO. 07. D4-Z I DATE ISSUED .s/2C!/lJ 7
CONTRACTOR /)JEAJSAM,J,J }/lJm F.r PHONE"Z"~' - 71,12-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTqR . DATE
~ P'~~f/P: I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
--- ~-~- -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
liAr-liE ~ lI()ilSc ~p I I I
,
NALS
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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