HomeMy WebLinkAboutBuilding 02-0300
~
:l 0 0 ~ 0 o~o 0 0 0 "tI 0 > -0
U> 0 :J: :;: 0 Z_
"C 0 0 en"T1z"T1"T1"T1 0 0 ~~
ro 0 0 :s: Z
g 0 n. 0 =izen~OO Z m :::0 mo
> 0 :::0 :::0 :::0 :s: m>c CO m :::0 m ~"T1
~ r :-1 :::0 :::0 " -r~3:Z~ Z en
t!l m m m Z -0- C/l
r en en z>z 9 -"t1
0 0 0:;0
~ t -i -i > Z "~ G) -i G)
t>l -i -I z-
~ > m - zO
IC ~ (jj en 0
~ I 0 0 i~ Z 0:::0
CD ~ "TI
OC) :::0 5 > ::!~
~ (71 r 0
~ 0 z ~ 0"
"T1 0 > 0 mm
~ 0 > Z :::0
:::0 r 0 .-<
r
~ ~ "T1 "tI "tI
~ :J: 0 :::0 :::0
~ m :::0 0 0 000000
t!l Z 0 0
m :::0 m m
g >< !!! m m 3:"tIen~3:"t1
-i z 0 0 mr~>mr
en OC ~oc
'< ~ z 0 " :J:3: m:J:3: "tI 0 en
~ en ::E m "TI!!!:::O:::O:::o!!! m 0 0
c ~ "tI :l 0 zZ:J::J:-Z :::0 Z :J:
::! m Cll ~ >G)OO G) 3: ~ m
~ 5
~ 0 () r"TIOO :::0 =i ?' 0
~ 0 Z -"" - Z C
0 q zcc r
~ to ~"" 9 m
Z m 0
~ "T1
N 0
""
~ :J: :::0
m
~ 0 0
C
:::0 0 ,
< 000000
en m
~ Z C! G)"T1"T1om c
)>>
> z >;;;;O~ -i
Roo G) ~mm3:G) m
0
~ < _"tI"t1"t1~
> iij~!;!;o
~ Z >ooZ=Tj
"'i 0 _mm~_
~ !'" :::O"TI:::O r -i
~-_ r J:
enz z m
~~ G)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.- 2- i '-(JZ-
/4-2 &; /
I. White File
2 Pink City
3 Yellow Applicant
PERMIT NO'6z,,'ff3d-O
8 L (/ {;15/K.-u
ZONING (office use)
12-1
Tr2- L-
Nt:-
LEGAL DESCRIPTION (office use only)
LOT /OBLOCK Z. ADDITION KN OJ:; /-I/C--t.- ..f- TN
PID 25 ~.J62 ,- u2- 5 .- 0
OWNER J/ .
(Name) /I / I"'X
rfl .
4/~C-~4'
v
(Phone)
., ......
9:7"?_// CJ.J'- ~ />~
'-'"
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
Deck
OPorch
ORe-Siding
o New Construction
ORe-Roofing
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
OUtility 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 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 e pr pe to perform eded inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
('
r- -7 y.-c;:::z
../ -c:1. "
- 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 /1""-'1 ';:;1\ l/-Z...O Z. $ J3~ ~{p
Paid
Date
~B . fj(:?
-z,~Oz.,.
I ~~ "1-/55/
cotio B=m" Yo~ B_04~~ :h~ ~o.oo I
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
Tht' Crntt'r nf Ihe l..kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I3tl5C1i6e, C/e1L....
I
..3 - 2-9- 0 z..
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4ZQ / {3I-U6t3JaD ~/L- N6
Accepted
Accepted With Corrections ~
Denied
-fZf~
~ 7J-/l3
Date:
<../- 2-o~
Reviewed By:
Comments:
O~&:::-- Iih/\/DtJVf
"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 /4-Zq / BL-u58/et:7 7K-L- Nc-
TYPE OF WORK 05C1~
USE OF BUILDING /26-5 /f / IL-
PERMIT NO. nZ"'0300 DATE ISSUED t/;;.- C)~
BUILDER !3U~~HE:K PHONE # (P(2- Z37~ SQ4-6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'~OR .ATE
I FOOTING I. I i!~ft>z,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I ~ I lAo/t7t'lJZ-
I FINAL I ~ I to Il71t:J2- I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850