HomeMy WebLinkAboutBuilding 02-0435
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+/;I/(J2-
t. White File I PERMIT NO 4J /
2. Pink City . OZ _JJ.5
J. Yellow Applicant V_
C....i2-C s..s. . 't-1V t2 /U
..s nz. 'i E. 'I
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 5 ADDITION ~ / /I//t1-/ /cY.oc;.G: _$ ~
PID
OWNER
(Name)
(, /f7[., 1
5-
Iii ,~
(Phone) 9 ~-2--- 2- u... ~ s-7'IL
(Address)
BUILDER II
(Name) 1<i:.J?,.,t-~o/v
(Contact Name) J ~ [.;;;.;=
I~o i S 'I- S'/~~
ICo P /'
(Phone) 'lJ2--<r.5 J ,. 3 Gi ()
(Phone)~01 L - '2 L. I 3.r?,.r
0:~
(Address)
ZONING (office use)
<c,. Pt/O
-31(g-o.~
? .t <:.1- L . (0.'1..
,6'v
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 nee d' ctions.
/3/10
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
o Lower Level Finish
o Fireplace
o Addition
o Alteration
PROJECT COST/VALUE (exc1udingland) $ /8' OC;(J
x
TOTAL DUE
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
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
ORe-Siding
o Utility Connection
'rh~'L
, / Date
$
$
$
$
$
$
$
$
$
our Building Permit When Approved
t-j
-,.-en-
~
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
ed by he City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
4/2-3/01- ~~~~I&\'
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 Ctnltr of the t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
PqF.,l2~/?o/lJ jJu'OL~S
4/11/02-
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
59/2- (!p~JJ /l/l!PeA ST.
Accepted
Accepted With Corrections -=><---
Denied ~ ~ 4.
Reviewed By:L ~ )
Date:
izi-o"z.-
Comments:
'Do not {; 11 ~I (Jj;~ ~ tM1; I ~ ~ I' 'l.
(v\SfW~ ~ Oc-f~aJ..
"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."
Thf' Cf'nlf'r or Ihf' t.kt Coun1r)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"~
NAME OF APPLICANT
APPLICATION RECEIVED
I ., "-.-./'./!.' /' ..'(/ / j C
/' ( I t-.,/ , '.' , V / ' L-'_"
/' I ' i I -,
/1 I / I; C c.._-
f f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-- ~ - --...,...-
~". t:/ /2- / f. h/. /</1'(' _) [ .
Accepted L~
Accepted With Corrections
Date:
l-11~5/U Z-
-.
.."
~?-nf:~ '..~C\
"The issuance or granting of a permit or approval of plans, specifications and ~J
computations shall not be construed to be a ,permit for, or an approval of, any violation of C.
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits fY\~
presuming to give authority to violate or cancel the provisions of this code or other ~J
ordinances of the jurisdiction shall not be valid."
~
....
'"
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5912. &o~c;~
TYPE OF WORK Jo\ L Gtoa~
USE OF BUILDING St-'D
PERMIT NO. 02'" 0435 DATE ISSUED 4 - ex 3-0L-.
BUILDER j1+t'"'~ ~l~ PHONE # {,/2-~1-3S"'1S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ 15/3J!D~ I
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ SJ'~ ~ ~ 7,hkov """I I
~ ..._ """.~ Ioe. II^S~ a....t Dop~ ~~ [.-n.. ~ pool ..-I-~
FINAL tJ ' t:f ~s-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850 , (h-f'
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