HomeMy WebLinkAboutBuilding 02-0931
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Shure ~f
'1- 9 - ().2-
I. White File I PERMIT NO lliJ
2 Pink City . n'" -' 0
3. Yellow Applicant V c." _
L
ZONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LOTZOBLOCK 4- ADDITION $"A#O PT. 4--771
PID2,5-215 - ofD4- 0
OWNER n \ 1.
(N ame) \.:- e...\...c!.
net\.. { QW ~____
(~~ 952.- tflw -(,116
(Address)
BUILDER
(Name)
])~ ]) C irn-fn~(fv~ -=r:hc
'1\., . I
(Contact Name) -...l.)I(J1 (\ LI
,
(Address)
(Phone)
(Phone)
7037'/r<j-u1/3 f
TYPE OF WORK
o New Construction
ODeck
Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
OUtility 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 certify 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 s. I am aware that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u n e property to perfor ne ded inspec . ons.
o Misc.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
1
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
our Building Permit When Approved
bB -O'L-
Date
b ~CI ~
,/q/oJ..
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $Z33. Z~
Paid
Date
~~j,l!:Z/
I ~;ClO:~
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 si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue. 7/2 L/~_ ~ .~ ~~ (~~'G\k~~
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 ('('nln of thr Lab Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1 -,
L) ~ ,L,
!! I '1~ /\ \,. \ ( t
--7.. (/ - (2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l' <1 :'
//,
I tl
/- i i., i-
f-J I It ,,-
, v ,', l/ ~... L,.....
L-' '. I' i._
I ",/ I. ./
Accepted
~
Accepted With Corrections
Denied
YA~ C~~-f-,
Date:
7/J-Lj t.9 2-....
Reviewed By:
l /en-::J
"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
c5~~~ ~ 0
.
DEPARTMENT OF
BUILD'NG ~ND INSPECTION
SITE ADDRESS l1J { Ce
NATURE OF WORK
USE OF BUILDING
PERMIT NO. - 2tO(~ . DATE ISSUED - -6~
CONTRACTOR J) ~ PHONE 7 (, - c.(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
DATE,
C{:j LIIG"1--
I
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
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-!ipproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850