HomeMy WebLinkAboutBuilding 02-0787
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6~ dO<}-
~~eaCiL lta.~(
LOT
LEGAL DESCRIPTION (office use only)
BLOCK '2... ADDITION S~ g,,~
Date Rec' d
~ ~i:i~e ~:~y I PERMIT NO. ()"? -oza11
3. Yellow Applicant V _rL_ .
ZONING (office use)
puD
)R&.
PID 2 $". "2, c.{ -01
OWNER
(Name) T O&&.. \-\-e\A~~
(Address) CSo..~
(Phone) q,g -l.{of) - ~ 3d ~
w. (,12. -7~/-7;J.a~
S\ \M-A...
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
o New Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
1 hereby certifY that 1 have furnished info ation 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, 1 hereby agree that the city official or a designee may
ente! upon thel?rope perform eded inspections.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
iJ,'2(O-
Date
Contractor's License No.
19 J"" W\L. dc:x'9'd-
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
..O'Z, $ 5
I ~;e?JI"-zJ t-f
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid 69- tr
Date l' Z -() z....
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
::::~X- City Planner constitutes a temporary Certificate of Zoning compliance and all07struction to c~m~e. Before occupancy, a Certific~tenfoccupancy must be
r;y-',,~~, ~,(2~ (C~ ~..fNA?LLW VThU:X~~'-tJvl"
~anmng 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
The ('rnlfr of 'he tlke ('ounll)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,.: / 1 '. .~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
~,
./
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~5i"---11~ ..!?..-4'-4:-?--.
Comments:
!/iv~J;~ t^
Date: t ,/ L<g/t:Y2-
~^(;A/lccv1A .~.~
"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."
White - Building
Canary - Engineering
Pink - Planning
The ("("nler of Iht' takf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ;Odd fk.nsh~
APPLICATION RECEIVED G, - ;).LJ ---~
The Building, Engineering, and Planning Departments have reviewed the building permit
application tor construction 5~ ;:;'is P"(!;d~ wocx1 jJ .
AcceptedX
Accepted With Corrections
Denied r?:PJ3 &
Reviewed By: 1/
Comments:
Date: & - 2-C:, r 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."
""
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITEADDRESS 5737 rQAa.r~dL Tr-
TYPE OF WORK ~W
USE OF BUILDING SfD
PERMIT NO. 0;:; --0 '187 DATE ISSUED (p-2(,-O~
BUILDER ~~ PHONE # qo?.-q3~'?,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ I ~Jz-Ia~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r~ I I
I FINAL I il1 P I L/ ~ / /-00
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850