HomeMy WebLinkAboutBuilding 02-0191
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
35" /9
F3 C{ Ss W()Od
LEGAL DESCRIPTION (office use only)
LOT / BLOCK (
ADDITIONlUdL tJUto
(Phone)
'1 f,J. - <./'-1 () - 1 .; J..JI
OWNER
(Name)
fo~tr
~~Wvl.J
~~r ~ \.J
'I;~
,3S 1'1
) - ()Jp,"OJ-
~', ~;~~. ~:~y \ PERMIT NO. 0 z.... 0 I q I J
J, Y.llow Applicant , -
aIr S6
ZONING (office use)
AIS D
PID as-liD- tJ05-0
(Address)
(Phone)
(Phone)
'1 s ;;.. 'i 0 'S - '7 bl.{ r
/''1 ~ C. .1 {AJI
!;/V\- ',I, .... .....J
BUILDER
(Name)
(Contact Name)
(Address)
W .D '.) L .,1:. j.,,{. .
E~l T)r->4...."Jv,:I'"
If?./ ~ Jt...;h..~~ !~'r.A) t Pr,~'-
I
~kt ,M/J
TYPE OF WORK
o New Construction
J\Cower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
OUtility Connection
o Misc.
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 aU existing state and local laws and will proceed in accordance with
submitted plans. I,a~are, 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 prop, to perform ne ed inspections.
X / , -,,=' :lD ~ ()I.:tbl;/~", ()-,2{, C.;t
Si ature Contractor's License No. Date
Permit Valuation .'!I(X2Q.OO
Permit Fee $ 3t.{. 75
Plan Check Fee $
State Surcharge $ .50
Penalty" $
Plumbing Permit Fee $ 40.610
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
:2 -.2~ -0'2-
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ...01./ $
t Paid 75.~ \~;1t- "IUS j
Date 3, f/- -
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
Th... Ctnlf'r or Ihe t..kr Coun.I")'
APPLICATION RECEIVED
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~5n- jQ~ {Z;-I JE
d- .;(~-O~
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ea,r/ 0, ~ CoMsfr I~O\.X/
,
Accepted
x
Accepted With Corrections
Denied
(2#~
Date:
2-;)8-02-
Reviewed By:
Comments:
liThe 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
"'~PARTMENT OF
dUILDING AND INSPECTION
SITE ADDRESS 35~:I::1woodL::X,
NATURE OF WORK . W'UJ
USE OF BUILDING 3~D
PERMIT NO. :9ti ~/(tt~lATE ISSUED ,Q-~ ;9-02-
CONTRACTOR. ~ .1) , . r PHONE (Pt) - t.f{Cj -~3~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
l,--.-a . I !
~ . . i I
~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
\
r-=- ;
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
BUILDING
ELECTRICAL
pi "JJlBlrlG
0-- ( &-
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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 shan b6-placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850