HomeMy WebLinkAboutBuilding 02-0226
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
:5 -I Z -tJ L
00- 02,14-
I. White File I PERMIT NO &1
2. Pink City . /'ll "02?
3 Yellow Applicant . L/ c.-
o U eIC-
WOOD
LEGAL DESCRIPTION (office use only)
LOT3ZBLOCK )
ADDITION IV I /.,D 5 312.0
PID
ZONING (office use)
PUD
OWNER
(Name)
...5",4 N e/f e r. .
r
/V /1771 ,:..,L f5
~.'..' ,,:rt"""'tf' q? 02 ) '1lll}- 2&2 Z
, ./
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
ORe-Roofing
ORe-Siding
OPorch
o New Construction
j)(Lower Level Finish
..3 t::I1S .
OAddition
OAlteration
o Fireplace
o Misc.
PROJECT COST /V ALUE (excluding land) $
OUtiIity Connection
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}he above-mentioneJ!.property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I m aware that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e to perror ~~ ded inspe tions.
$
$
$
$
$
$
$
$ I.OeJ
$~ .25
I ~;ce:lJ-!/2 fj-f-
x
Contractor's License No.
Park Support Fee
SAC
#
Permit Fee $
Plan Check Fee $
State Surcharge $ /.)0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
#
#
Other U6C./je! CA-t.--
TOTAL DUE
Paid
Date
~~7;f~} 7
-/2- cJ
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
The ('f'nler of lhe take Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
0/1 N Cf-J E C,
3-/2,"02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/c-5!h / WOOD DcJ0!<-
Accepted
Accepted With Corrections
Denied
~ Date: ;3.-. (-z.. - d L-
)!3e;JnJ -;;.te ~(J w a L8ISG
PI JJljt-J l-JrtrVOO~
Reviewed By:
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /5/ tt? I N 00..0 .DUet:::.-
NATURE OF WORK LOw e:7C- (..,.-.EV6 f..-,-
USE OF BUILDING lees A- / e-
PERMIT NO. 02 - 0 Z 7~(tJ ' DATE ISSUED ..3 - /2 -02-
CONTRACTOR -97NCI-I6C PHONE 44-7 - Zc:'Z 2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I r'8"'F1I1~ I
I Y.UIJIl.....T~~'\..-l1v. .- moaliilP I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINA
':? ~ 4. 03
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 hal!e bean approved. 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