HomeMy WebLinkAboutBuilding 02-0311
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4--3-02..
1. White File I PERMIT NO / I
2 Pink City . 02- A~ </
3. Yellow Applicant-V....... _
I~J"3
A\J~.
r\J. E,
Co MW\~Yc.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
ZONING (office use)
C--1
- Of O-V
Co.
(Phonel9S4) l(o J - (;, fs,()O
o 6 '!.ceLslO'r rn t\) ,
BUILDER -l .L J -
(Name) Lu.:l Z- eu,-S l.r'(}..<:", 10 (\
(Contact Name) JV'~d L u..... +c.
(Address) , lIb st. C''(""Q \ - TYV..l l.
(Phone) (;,5/.. $"'8 3 - a / 5 t5
~hone) fc,1/)- 4:. 'I~ .- $ ~ 09
~ 8x-o..Y\<'.. ~ N .
TYPE OF WORK
o Deck
OPorch
ORe-Roofing
)QAlteration
o New Construction
OLower Level Finish
o Fireplace
OAddition
"3 ()C(j . (~
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 an revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the~10 per. needed' spec 'on . '3s-g 0 '1/3 / c;a
Contractor's License No. 'bate
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
mes Your Building Permit When Approved
Paid
Date
138 t ~7
f:- -lY2-
I~O
(- r. (YL-
Date
4t5U ~
This is to ce Ify 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.
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
Planning Director
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct"nll"r of 1he I.lb Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L t/ T -r:: UJ/\/.s77&UC!.::r I t1 tJ
4--.3- 02-;.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4- / fR3
~OI1M &~ A-Vb. j/ E.
~7G /7'9 er; / /\IS .
Accepted With Corrections
Accepted X
Denied ~k
Reviewed By: _
Comments:
Date:
(1- l.{ - 0 2-
"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 /'-1 \ (03 CCTIIY\W\€rG€.. ~
NATURE OF WORK LlA.~. IA \ r-
USE OF BUILDING Ca~'"^-'^--
PERMIT NO. oz~o3/ I DATE ISSUED 1- 3-Oc
CONTRACTOR Lvt~ ~~ PHONE ~L'Z.-e:,"{8 - ?GOt
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/.~~
(x'
DO NOT
PY UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet 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,
BEEN
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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