HomeMy WebLinkAboutBuilding 02-0054
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White File
2. Pink City
3 YeHow Applicant
Date Rec' d
/-/4--02-
PERMIT NO.
~I ;if /H.--- ~I 06; (:;;, 77G/71 L-/
LEGAL DESCRIPTION (office use only)
LOT /:;>BLOCK /
ADDITION Clfi!!-O (N ffL- )e4 Ot!:t6 jJT'
PID Z-5 -291- (JIS - 0
OWNER
(Name)
(Phone)
(Address)
P/rt;;/r~r/ M ~p ;/fr.75
, " r ,
(Contact Name) Dal"1I(?/ ~If I1'r1rpLLct'J
(Address) /17('l, C'r.
B~
(Phone) CI)f)-7~(p--gol!lU
(Phone)
~~ ?' --..~
..J'~ ~ -$
TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing ORe-Siding
~ower Level Finish o Fireplace OAddition o Alteration OUtility Connection
o Misc. , RASDf/I PROJECT COST /V ALUE (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 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspectio s. ~
I
x
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
1
Contractor's License No.
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
#
#
$
$
$
$
$
$
$
$
.50
#
#
Sewer & Water Permit Fee
TOTAL DUE
Gas Fireplace Permit Fee
- 0 z...
ate
$
$
$
$
$
$
$
$
$3
Paid
Date
35.2-s-'
I-fro --Or
,
I r:;lO #//(, ()
/-/5-200/
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date 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
White - Building
Canary - Engineering
Pink - Planning
Thf' (',.n'rr or 1he I..kr ('ounlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
P~G~ /-/OriS ?~-.S
\-\4-02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5930 CA-;eO f 1\1 /Yl- I?A 0(16 7JeIq / L-
Accepted
Accepted With Corrections ~
Denied ~ j
Reviewed Bf,../41/.-J..~ Date: / -15-02-
Comments: ~ .771-6 ?-CJWc7L. Lcl/6Z---
PI jJ IS 1/ /-{1q-l\.J 0 (J Ut
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S-C;30 ~//l//rL-- /2-I'D66 ~
NATURE OF WORK ~-#:_t-t3I/EL- (JIVe ,eOOM
USE OF BUILDING ~
PERMIT NO. 02 -005 DATE ISSUED 1~~C;-CJ2-
CONTRACTOR PJ26r61C.1e6.D /~Ht5 p,eos PHONE q52 - 73 ~ - 3040
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J I
ll-""l 1 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
f.. 02-
2. oZ-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
~
DO NOT 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 h~en ap-proved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850