HomeMy WebLinkAboutBuilding 02-0290
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
ON PERMIT
Date Rec' d
3-- Z-t5 -02-
(n e/ wI
02- O/Z71
File
City
w Applicant
I PERMIT NO. 0 Z,,- 0 'Z-qo
ZONING (office use)
/12/;,.> ~Z-
LEGAL DESCRIPTION (office use only)
tJ ;}
LOT BLOCK ADDITION l:Kclj,~/j 'ill.
OWNER
(Name) (Phone)
(Address)
BUILDER..
(Name) D.R lfuv/v.. . he -1J1N'
(Contact Name) /J'hL/,tI/l' ~/j",
(Phone)
(Phone) .:jS':J- 9J's- 71/t.-
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
~ower Level Finish
.:3 l2/YlJ .
o Fireplace
OAddition
o Alteration
OUtility Connection
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-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 inspections.
X J1~~a i?u~M'
/ Signature
,i(iIOOS ZS-l
Contractor's License No.
3-.1 7 ..tJ .2.
Date
Gas Fireplace Permit Fee
/5U
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer /W ater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ / (it .1--5
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Pem1it Fee
tfO . 0 c7
1-1--- ~
Paid
Date
/~~ .!/~
'/c . (f"" .-'
I ~;r #<1''7
comes Your Building Permit When Approved
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
The ('tnltr fir Ihe tlke COunlf)'
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
D-- ;2 - HO~TVrJ
.3 .- 2-8 -02>_
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 72 ~ 3 ;vJ /112.97;--1 6 L,L) /...../1 tJ b -5. t::..- "
Accepted ~ Accepted With Corrections
Denied 4/l(l
Reviewed By:(ft/~ Date: 1-1-0 "2-
Comments: j2c;:;q-o 7Jf6 L-{)lNEJe- L<51/Gl--
FINIS"!., 1-1/1/\1.0 our
"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."