HomeMy WebLinkAboutBuilding 02-0342
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t;~ /0-0;;/
I. White File I PERMIT NO I
2 Pink City . (J Z--0.3 A_ -7
3. Yellow Applicant - ..,-~.
ADDRESS
I +It D-+
.
S h.t;eJ':~l Y'li lY4 at
LEGAL DESCRIPTION (office use only)
PIDaS-310-0ab-
LOT
ADDITION
OWNER
(Name)~l
ZONING (office use)
/53)
.
TYa.' 1
(Phone) q6~" 2..~3 ... 5'3'1 5
(Address)
I-\(ld \ ~ 'I
14110+ &1
BUILDER
(Name)
(Contact Name) -'ull
(Address) '44bD
c.&Y\~4vu. t+tD Y)
~v---kY)
~\r,llt...
(Phone) -A~'J...-44o -,.., GO
(Phone)
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
~ter upon the property to perform neede inspections. 2b 2.1 ", I b 4/ J'6 I, 1..-
m~l-l.Y-
PI'W
.
TYPE OF WORK
o New Construction
OPorch
ORe-Roofing
Deck
OLower Level Finish
o Fireplace
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) S
5 Dt>D . t D
#
#
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
1~;:Jtt
I Paid /I~. 2- ~
. Date 4-!{, - &) V
"'YOmBuildm~~;;:'~~'ro
Date
ORe-Siding
DUtility Connection
Date
$
$
$
$
$
$
$
$
$
5'. 2-~
~/5'q~
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
Thf' ("f'nlrr of Ihf' Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -q-t'{)AJ't, ~ ~ Go J() sf V-
APPLICATION RECEIVED lj - / 0 -0 ;)--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lj~iJij- 8Jkebl',d T r--
Accepted
Accepted With Corrections ~
Denied ~/J;{)
Reviewed By:(;a: @
C(J:;:-IL ad: I4J J-
Date:
q, 10- 2002-
"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
SITE ADDRESS ~t~ \I'J-
TYPE OF WORK Der~
USE OF BUILDING S~l>
PERMIT NO. C2~~2- DATE ISSUED <{-to -02-
BUILDER --F~~t C PHONE # C{C/O. 7 JS?:5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
''&" DATE
I FOOTING I I ~/:?5/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
./7
I FINAL I YW/ I J. - jr;o'j
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'"