HomeMy WebLinkAboutBuilding 02-1013
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'5""7 fc; I
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
f-I-tJY
I. White File I PERMIT NO ]
2 Pink City 'OZ' .- /'0 /' :;)
J. Yellow Applicant . _ _ ~_
PIDd
ZONING (office use)
/
i=R J?.~I J5VJU
(Address)
'.'1)-. ;\
, . .._ J
9 >tl"" Ljt.-J 7 - "3 /l.) ~
,
.ER \ I'l
~e) "Jc;.I.i'1 C) 11, L/) u..;:'" 1
~ame) ...)a4flr
....) ). '1 i.jc J Jc:; f ;,
TYPE OF WORK
C i3 -1 + I't,. - t,'),
/
-E
1 >')-.... Ljy>oJ -- '-/);7 J
6/;. .... 711 ~\:,) j" C) 1-
$I'~ c-
fJ,
. , l.J ,'"
l.. h L-
o New Construction
o Fireplace
OAIteration
ODeck
OPorch
ORe-Roofing
o Misc.
ROJECT COST IV ALUE (excluding land) $
OAddition
ORe-Siding
OUtility Connection
I hereby certiJ'y that I have furnished information on this application which is to the best of my knowledge true and correct I also certiJ'y 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 upo e proper:>1to perfi..orm needed inspections.
X L j 1/ IJ , g .. J-,...O 1-
~~~;~.~
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
g --20 -02-
s Your Building Permit When Approved
#
#
#
#
$
$
$
$
$
$
$
$
$32 7. &
e -'-02--
t Paid
Date
~:?~~~ O~ ~;ce;PtNO*yr
Date
This is to certi/y 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
~Im& fj9/t}- 10/ kc 7,':~iO",ifm'
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' C"f'nlf'f nr Ih.. t.h Counlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPlICANT9V'~ ,-;f?7,;./ dj~/alJ71./i-/'~
APPLICATION RECEIVED g:'- /-0 d-
The Building, Engineering, and Planning Departments have reviewed the bUilding permit
application for construction activity which is proposed at:
L&~_ 6 oe- v~
o
! 5 7~,1
/
Accepted
Accepted With Corrections
Denied --z:J r-
Reviewed By: ~
~
~~~
a.d ~~t.L
Date:
r/ /9 jd ~
~~-~
Comments:
"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."
/
BUILDINq PE~MIT APPLlCATlQN DEPARTMENT CHECKLIST
NAME OF APPLlCANTs;l141l4? ~)( ,g'/ p<.-C /c2n1 ;;'/L---=-
APPLICATION RECEIVED .,.~- /- 0 .+-
White - Building
Canary - Engineering
Pink - Planning
Thf' (""n'rr of'he' I..kt' ('ountry
The Building, Engineering, and Planning Departments have reviewed the building permit
' application for construction activity which is proposed at:
1571.-./ (1A2dl~6 (-C!.(.Jc. \ '1A.-J
Accepted X
Accepted With Corrections
Denied ~
Reviewed By: Date:
Comments:See Re erse Side for Additional Information!
<3/'i /()~
See Attachments: 2 Erosion Control Measures
3) Erosion Control Plan ,',
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit 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
SITEADDRESS 's:.~ ~ ~ Tt- =
NATURE OF WORK _ Gc..... .~ _
USE OF BUILDING SFn'
PERMIT NO. 62-/0/3 DATE ISSUED g.7-~
CONTRACTOR ~.. M .:-.:.!,.,. .j PHONE (,I'Z -41"j-O'Q;>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ECTOR DATE
~ ~_ (Pi!-: r~)j~~) j
~ UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
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.
FOR ALL INSPECTIONS (952) 447-9850
White - Building
Canary - Engineering
Pink - Planning
-
Thr C"rnlrr or 'he t.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.'
- ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
/
,
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~~~--I"""" --'~
Date:
~.{L~L.g2-
comxe:s~_ I ()
~ ~ (~~) Wt:PS:~4
~~\.Vre 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."