HomeMy WebLinkAboutBuilding 02-0569
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\ '11.,S4-
LEGAL DESCRIPTION (office use only)
LOT b BLOCK I ADDITION
OWNER
(Name)
P od. L \ ta.\ fL-,
\ 'I 7- S4 lX (Y fli~ ( tl
'\'we
(Address)
BUILDER
(Name)
{ un'S\-\Al e-t, {)y~--"
~y -\f-,Y"L
Yvo-rft)!,y
E>\ \ \
\ 441>1/
(Contact Name)
(Address)
Date Rec' d
5- 2/- 02--
1. White File I PERMIT NO J
2. Pink City . ()2 - /J5Z- q
3. Ye\low Applicaot . 0'--" -
SG
'" /t/J/
PID
ZONING (office use)
,€:./
- 00&-0
(Phone) q f:. '2 - 2...2. w- LL"" B-'l D
Sf~
(Phone)
(Phone)
"iS2 - .t-\4l> ,. -1, ~o
TYPE OF WORK
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
4 )bbO
1 hereby certifY that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certifY that 1 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. 1 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 pr9perty to perfo m, neede~' specti~ons.
X I r1t1>. . rcL/
o Misc.
Permit Valuation I lllOrJ .00 . .
Permit Fee I - $ ~ ~~ ~.,
I
Plan Check Fee $ ~ . ~7.
State Surcharge $ :1-'
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
5 - ~t -fflL
Date
5,2-1-0
I Paid <;11 '/;'-1' ~ 0 ;j;eceip, No ~ 153
Date - ~ '-' (') y CJ
OAddition
o Alteration
OU/
ORe-Siding
OUtility Connection
~l2-j Jb'~
Date
$
$
$
$
$
$
$
$
$
2--bLI~hO
Contractor's License No.
0"-
oe
81)
Park Support Fee
SAC
#
#
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.
Water Meter
Size 5/8"; I";
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
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
White - Building
Canary - Engineering
Pink - Planning
-
Thf' ('t>nlt'r nf the Lakt Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,.,c ,e-oAl77 e;:TL. ~ AI~-TK:.- .
5-2-/-02--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7254-
Dc. &7lF/6LL2
IJIZ1t/6 J"E
x(
Accepted
Accepted With Corrections
Denied
Reviewed By: t?~
Comments: ~
Date:
5-2/" a?
77$ .PEl!L /l7tN 0 () r.rr-
"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 J 7 t{ 5cl De.QrC'~ I at Dr-.
TYPE OF WORK ~
USE OF BUILDING 3~~
PERMIT NO. O~-~ DATE ISSUED 5-2I-oL
BUILDER 1td-~~~ C PHONE # 4t/o - ?75ZJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'-,
DEPARTMENT O~
BUILDING AND INSPECTION
I FINAL
~ 'cf). y, (J-z...
ETE UNTIL ABOVE HAS BEEN SIGNED
I I
I 6r I 7/~-V
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE
FOOTING
PLACE
I~