HomeMy WebLinkAboutBuilding 02-0452
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
bile! Ie
IZ/~ 19
LEGAL DESCRIPTION (office use only)
BLOCK A. ADDITION
Date Rec' d
If-d6-{)~
~i~i~e ~:~y I PERMIT NO'07 - 0 A_S-") I
Yellow Applicant '" ~ f:=f
ZONING (office use)
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LOT
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OWNER
(Name) D~~b 0~L~~s
(Phone)
440-/99,-
(Address)
~ ( tJ )11 , "
o New Construction jtoeck OPorch
OLower Level Finish o Fireplace OAddition
BUILDER 0
(Name) nee...) r VI10 ~ <. ~.. L!.. L-,.
(Contact Name) -L'J!J I J/ ~ SLIt) -.. LIIIl...... ~ .L
(Address)
TYPE OF WORK
o Misc.
.L.
4- ~;J. -I 3 o"if
4t(;-~041
(Phone)
(Phone)
ss
ORe-Roofing
ORe-Siding
o Alteration
DUtility Connection
PROJECT COST /V 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 upo t e,pro erty to pe or eeded' spections.
x
Signature
Permit Valuation 2,000 .00
Permit Fee $ (,'1. 2~
Plan Check Fee $ 45. DC
State Surcharge $ !.tJtJ
Penalty $
Plumbing Permit Fee $
$ --
Mechanical Permit Fee
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
r Building Permit When Approvld
1f-:2 9 -~'2-
Date .-- I
-.
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.
_~~~/ffi' ~
Contractor's License No.
,,"h.~/O!l
, D!te
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
I-
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
~'OTALDUE CAU.-e.D 4--~ -01- $ //5.20
[laid /~. U!.
LPate . - / - 0 I.--'
I ~,;1 +;71 d
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' Cfnlfr nf the I.akt' Countr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT h~) J-m~ J:l::{j::,- cLJlhfr
APPLICATION RECEIVED 4- ;Lb{)d-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'-/&,7'1 I)~ R/+",~
Accepted
Accepted With Corrections
Denied --A7; /
Reviewed BVf::~ cr-
t
Comments:
_~a.eQ ~ ~k- ~~ enJ-
Date:
Y-:2?~~02-
(
"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."
'CfTY OF PRIOR aglFICA TE OF SURVEY
vey for:
L~;e e~. 'P'lU.
8713 DUPONT A VENUE SOUTH
BI..OOMINGTON. MINN. 55420
B88-2084
HOME BUYERS SERVICE
PnJperty Owner
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DESCRIPTION:
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lot 5, Block 2, CARRIAGE HIllS FIRST ADDITION
Scale:
111=30'
Proposed Grades: .
Top of Blocks 'J3'3~ Garage floor 9:i9!!.. Basement floor :JJ(;':;'
NOTE:
Circied elevations are proposed, others are existing.
Arrows denote direction of drainage.
We hereby certify that this is a true and correct reprasentation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if any, f or on said land.
Dated th i s 15th day of June ,19...21. '/. )/}" /
. ~ (,?---~ /.
by ~.Ju..- ,~!.~,-a
Innes ta lIcense No. 9018
288-dO
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /L-/09c? 13/'Ic/k. R,dcje T'r-
, I
TYPE OF WORK De c 1<:
USE OF BUILDING 6 F
PERMIT NO. O;A- () 252- DATE ISSUED Lf- - O,;L--
BUILDER~AV ~a~ ,Df1ct (O/us1-r PHONE# LfRC;;'LjOLf!
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I~OR DATE
I FOOTING I I G 1/ bib 'V
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I ~ 15!U>!62--
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850