HomeMy WebLinkAboutBuilding 02-0705
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
rcr-/o~oz-
~. ~~~e ~:~y I PERMIT NO. 07 -010C'" I
3 Yellow Applicant l V _::/.
ZONING (office use)
IL D5
L
~
LEGAL DESCRIPTION (office use only)
LOT~LOCK / ADDITION ~A./ St;lV77/ tel ~ M?Of
p(}O
OWNER
(Name)~A c.
PID 25-30 _
-CJ
ro. L-\ , r'\
B c 1+ L I {_
(Phone)
9s~
v C} G..
9Y~8"
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace OAddition OAlteration
ROJECT COST IV ALUE (excluding land) $ S(;;I::;)'::''::::'
o Utility Connection
Misc.
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 a nt for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
,obmi',d 'J ,m 'w= <hm <h, boildi", ollio,l ". "",k <h" p=;, fm j",' ".re F,",,"mm', J b",by ""re <hm <h, oly 'lIio. "" ""ignre mtty
enter up t e property to perform eded inspections.
x
Contractor's License No.
C. /1 tJ/ O~
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
SOO.OD
23 .SD
Is. ~
.50
Date
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
TOTAL DUE
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
our Building Permit When Approved
(P-11'02-
I Paid
Date
~ 0/. .;).',/
6--/7-tJ Z--
J
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
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' C'tn'tr of thE' t.kt Counll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L3 O#?19: J7J QUI tJ
(;;-10,- 02--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
263 / W/L-O~ LltN6
Accepted ~ Accepted With Corrections
Denied 01dlL
Reviewed By: ~t..:; .
Comments:
S C r-eelA f c.c..-tA ~ l ~
(}fcJ L:,~ cct.CJsd
I
Date:
G ~(r- dL.-
sLlJ ~~ ~ 1-0 jJ./'e.u-J-
lo'(}- 4!t-osf. u p ~ QIYL <i?l~
"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."
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~ 3' I u ) ,'1.& c; tv....
TYPE OF WORK ;'c"""" ~~ ex~l;f"b ~ QI'"C/~
USE OF BUILDING SF~
PERMIT NO, 02 -0 70.5: DATE ISSUED ("._ If _ "<'"
BUILDER 1),,[., , <('i(..- 9'/.re.
NOTE: THIS IS N~A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~
~CE NO CONCRETE UNl'L AB~::O:AS BrEN SI~:ED
I~ I r
I FINAL I /..~ J ?~/~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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