HomeMy WebLinkAboutBuilding 02-0928
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS ZONING (office use)
; /1 C'bJ f:iD~ ,W -r~: : r< I
LEGAL DESCRIPTION (office use only)
7. z5.lJ2-
I. White File I PERMIT NO. f) IJ_ ~~
2 Pink City V
] Yellow Applicant
LOTq BLOCK 2- ADDITION 1'1;:11'1/6 f//~ 2ND
PID
-0
OWNER
(Name)
D'\V j,:i --rV.~ lr--.; t.l
, 4, --:,','~--\~ ",
(Address)
BUILDER -
(Name) Coree pr: BOI Ict?r6
(Contact Name) -rr;;,rn "DrZi~ L&'(1 Z.
(Address) \7140 l11lL /!4Ii? t-J p, MOJT"t-{
(Phone)
fv1J\J
(Phone) .k-
(Phone) WIZ ZZ \ 3ctlol.:.o
5544
TYPE OF WORK
o New Construction
,p(Deck
o Fireplace
~orch
o Addition
ORe-Roofing
ORe-Siding
OLower Level Finish
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $ ,Z .~. o:?
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, 1 hereby agree that the city official or a designee may
enter up the property to perform needed inspections.
o Misc.
x
Permit Valuation 7bO().f)O
Permit Fee $ \~~. Z.S
Plan Check Fee $ qO,51
State Surcharge $ :3 I r::;O
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ -:::f~~
Building Official
7/3b/(j2--
, ,
Date
,0\ "?C--\Cl7Z
'7/Z~ /oZ
Datl
Contractor's License No.
Park Support Fee # $
SAC # /' $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ PJ.llJ.02- $ l-33,Z-~
1~~.z-n07
\ Paid
Date
Z-~ , 7, ((;
e;- (0 ..0 '---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
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 ~~~-Z_ 7 /,y (/ 0 L ~~ Av:;~ ~~ C~J)t~'fn'\/~
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 Cenlef of (he Llkf Countf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tONffiPT ~UlvD6t:?S
1-25-02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
} 4-050 B~lJ5B' eo TRAl (~
X
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ 1~f' Date: 1/8tJ~'l;
Comments: /(e7'tP ALl A~ltffle-D NA-tJOOtA../S
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1'-1 () 50 lSl,lA 65 ((20 Te .
NATURE OF WORK ~evJ -:Po~(Lt-\: ~N 0 ~a(L-
USE OF BUILDING 5"'. F": D ,
PERMIT NO. tn--9'l-FJ DATE ISSUED 7 /Jo /0"2.-
CONTRACTOR CnNc.ct='\ ~Ull.-{)~S PHONE'~/2..- ZZ/- 3 '76"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
#y~
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L_
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
HEATING
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 additions
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