HomeMy WebLinkAboutBuilding 02-0289
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
f'lL ~'IVI
02--0/ Z(p
/ 1~~1
s,f.
LEGAL DESCRIPTION (office use only)
.5'" ~-<
LOT BLOCK ADDITION
Date Rec' d
3-- 28-02-
White File
Pink City
Yellow Applicant
I PERMIT NO. 0 Z, -O~ ~ q
ZONING (office use)
1Z2..
IJ.,
PID 25 - 3 eo - 023 -0
OWNER
(Name)
(Address)
(Phone)
BUILDEl\ " _
(Name) j),(t I-Ivr It", , J-HC 1%../
(Contact Name) ,1)1/(.)",)/( iJ~J L r1
"'..y/-- sk .IM. LAk~illl)
(Phone)
(Phone) 95,'!-'?~~\- 74'/",
v' -->_)Oyy'
TYPE OF WORK
ORe-Siding
o New Construction
~ower Level Finish
.3 ~'!47 S .
ODeck
ORe-Roofing
o Porch
o Fireplace
OAddition
OUtility Connection
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $ ;1 t., tit.)
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 upo~ ~roperty to perform needed ins~ections.
X ~/d t~$ ~ ;;?t}>>~_S 7 3-;27-.t),},
, Signature Contractor's License No. Date
Permit Valuation
Permit Fee
3 OOO.tJ 0
$ 7t/-.75
$
$ /, ~l?
$
$ 4-0.00
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
comes Your Building Permit When Approved
1-( -DC
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ //&. Z5
6 .,
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 Plan net 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
Tht" Cf'nlt"r or the l,akr Counlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
O. /2. HtJl27VrJ
3~Z6 ~(;2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/72&1 JL1/T/G-<SH F/6L-O
I-N
.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
1267fD 7716
A N/.5t1
L-Ol{J~ ~~
H//NOOUt
"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 /7Z{c; I /-f/1,eSI-IF/6L.O !-N.
NATURE OF WORK ;; t:21-t/tS~ (/(3 V5t..--
USE OF BUILDING ~&$ /f /2-
PERMIT NO. 02-02A'1 ATE ISSUED .:3-.;19-02-
CONTRACTOR D. /2. /-!OR...(O IV PHONE QB5. 7~ I ro
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
[iIIIIIIIt
1-)1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
( -)." fr-o (
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
J i --LS-o~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service ~abinet 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.
'\
Call between 8:00 and 9:00 A.M. for all inspections
FOR All INSPECTIONS (952) 447-9850