HomeMy WebLinkAboutBuilding 02-0224
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.3-/I-oL
L White File I PERMIT NO I
2, Pink City . ()? , O?? A ~
] Yellow Applicant . _V vv~
/5/70
NOOD
DUCA:::.- 712/T/L
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 13 BLOCK 2- ADDITION
/;V I L-{} S 3 l!12
PID ZS~ 337- ()5/- 0
OWNER
(Name)
:;;; ~.(Jc~/(5
(Phone)
(Address)
~€. $/1/ 5'5;>72-
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
o Addition
o Alteration
OUtility Connection
o Mise
PROJECT COST IV 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-mentione property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am a that th uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope rform inspections,
x
//~tf2
Contractor's License No,
Date
Permit Valuation
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 $ /15. 2(P
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
5-11-02-
Date
Paid
Date
/f5.bW
-11- -O~
I Recei(fo. 11 J-q I
BYp~
Your Building Permit When Approved
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' C'rnftr or Ihr I..kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
H/j\/DE~ JIM
I
3-//-02.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/70
WOOD
o U tt::... ~ I L-
Accepted Accepted With Corrections ><-
Denied G)!? 9---
Reviewed By: Vq Date:
Comments: fZeRD 77f6 O"'6e{G HlttJD OUI
"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 /5/ 7 0 WOOD D U (!)::::. ~ / L-
TYPE OF WORK D6(!4C
USE OF BUILDING ;.ze;-S r:J/~
. .
PERMIT NO. 6 ? - OZ7___4- DATE ISSUED .3 -/2- 0 L
BUILDER H//VD6eKS PHONE #~/il8&7- 0(4-4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEtTldNS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
Call between 8:00 and 9:00 A.M. for all i Spections
FOR ALL INSPECTIONS (952) 447-9850
o a......
FINAL