HomeMy WebLinkAboutBuilding 02-0660
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5 -z+ -oL
1. White File I PERMIT NO I
2. Pink City . OZ ~ 0'1 J. 0
J. Yellow Applicant . lJ't.; .
m/l/L- 5W
34-&5
f1J I (.,.l /u W {? C/l N/
ZONING (office use)
,1:::./ J D
LEGAL DESCRIPTION (office use only)
LOT
ADDITION Uf 4158
PID 25"-107- 00-5- 0
BLOCK
OWNER, .n
(Name).2?2~ _~L/e4~#,(/"L
(Phone)
(Address) J~ ~ ~~
BUILDER ? / I ./7 /
(Name) /'/k-~/c ~~0~
(Contact Name) ~~j ~.......
(Address) t:.t?~ Cc./~.h7 ,b,?/,-:>
~a"""'0~
.~ ~~ 7& ~ .,-A..
c? ~/ E Sa ~-:T/L.
(Phone) 7'<.-2 -2rx:- ---s7...? ..3
(Phone) f?.f2- 2rr Q...:? '!
~';''v#~~:('C ~ ...5ZCJ7/
tsdf'orch
TYPE OF WORK
o New Construction
DDeck
ORe-Roofing
OLower Level Finish
o Misc.
ORe-Siding
o Utility Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certiJy 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 needed inspections.
x
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
~/Y9/~/7
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
TOTALDUE ~ r,-5-()
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
....)-....2 7" ~ ~-2..
Date
$
$
$
$
$
$
$
$
$
our Building Permit When Approved
!; .- .2.t161!.-
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
~'::r<d by 'l Ci~ '""'tt m","""' · "-'" Ccrilli,'" of '00.' mmpl1m" md '"""' =''''''''oo "m=ffi". ,"m, _"""', . Ccrillim" of O=""y =" b,
(---y:t: ...'~(?..r~ ~/_r/&L.. v"VY~\.~~~, fJoV'.c\\ {'~~:J~~&
r '-"'moio, "ire,to' nO, ~ Spooim Cood''',"" if my
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" Ct"nft"r (If the I.lIh ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C?rl..S:J/6 ?Je-J/~/1/ CUJNJ77Zt/c.trlOJ
APPLICATION RECEIVED .!:::> ~ 24- -02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..34~5 lVIi-/', OW LJe:nCW ~/L -1 tJ
-/.
Accepted
Accepted With Corrections
Denied
Reviewed By: r?~ ~. Date: 5 - ?..'I-6T;>
Comments:
()~ ;)~~ +4- C#~ ~
"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."
~'-'."'--"_ _______n__._. '___"_'_"__'_ __.~_
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct'nlrr or rht' I..kr CoUnff'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,,' ..' I
I c: / ^.'!: "~/ i""~~~'.-
{' /....- _~ '>,./: I, ,)"j'~?f /'
'/
r ..
Co' c:..---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, .,,'
. . {
{ r,
.".' i '/ /
/,,/ "'~'//l_.",
- ,/
t -
Accepted
L~
Accepted With Corrections
Denied
Reviewed By: (i ^1 ~4'~--Uf-?
Date:
?/dv~
I
'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 3c{(o ~ W('l~ ~cL. rr'r
NATURE OF WORK C ~ t~\A Sc~ ~tc~
USE OF BUILDING S'F'f)
PERMIT NO. OZ -Oft,hO DATE ISSjJED 9'$"2- 7Q3 _ 5"/":3;'
CONTRACTOR --.Q(~S~IC [J{)~(~ ~~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ [ ]
I~i 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
,
]
z....-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l.Q~Mo ~>Vook~ ~c.tek, 1 f1/V 1 ro/(-vy 1
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
HEATING (o~ -u'-:I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 2tddltlons
where no service cabinet is available, card shall be placed near main entrance.
\
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850