HomeMy WebLinkAboutBuilding 02-1015
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT !l-IL/-O d--.
PERMITNO.OZ_/O/S I
Date Rec' d
White File
Pink City
Yellow Applicant
LEGAL DESCRIPTION (office use only)
ZONING (office use)
1<1
LOT
ADDITION
AJ)YPIDd5-o/t:,- O/L/-i)
....R . j
lIIJne) SCC'~ If. j/")/-JYOEN
~ ) /6j"yCl ;:R/JI//(L'-I rJ i<<
(~), '-/'-/0 - '/J t-7?
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
ORe-Siding
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
OPorch
ORe-Roofing
OAddition
OAlteration
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 . I am aware that the building 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo th pr e m n inspe ons.
x
Permit Valuation d ~ tJ{) I (/t)
Permit Fee $ 7if I 7 S
Plan Check Fee $ -
State Surcharge $ I, ;;. ~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
6f~/o~
Date
Building Official
TOTAL DUE
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
#
#
1.00
8- W""OL . () 0
I Receif.No.ua.'75Q
BY~ ./
11~~r;.o, 0:7--
Paid
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
issue~ ~
Planning Director
t/2fft~ ~Mift(::fEi;;'yd-~1 ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~I
Alb~
o-z--
\0 \~
Thr Cf'nff'r or Ihr I..kf' COUnlf")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
" r-- ...-J-j' "J" J ) /'
2~col/-_. ..:/a(/ck/[~
y~. /
'- ILI-()c)'
The Building, Engineering, and Planning D€3pqrtments haVf~ .reviewed the building permit
. application 'for construction activit~ which is proposed at:
//;; =)1/1 ~~'/~ T,--
:X'
Accepted
Accepted With Corrections
Denied
Reviewed By:
#19f3
Date:
8- ;;?O--O2....
Comments: See Reverse Side for Additional Information I
See A.ttachments: 1) Grading Plan. 2) Erosion Control Measures
3) Erosion Contrql Plan. .
"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
Thl' ('rnl('f nf (he I.akt' Count'1'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~czrtl- Me [/~l~'
/
y-I'I- 0)..
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
liP 31/? .q-~~-./ T,-
Accepted )(
Accepted With Corrections
Denied
Reviewed By: ~ .:(~jZ..) < , Date: P/zO;02--
Comments: ~~ ~ >; ~~ ~ '
S'b ~ · . ~ ~
~ . ~~~~e~, .~
/;?tnr( ~ -oJ-, ~~, ~ ~ u....-
~~ tfLtr? ~ ~t
~ 07 J!4 IrMj
,
~. r;s/~.~
liThe 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
SITE ADDRESS / {p 3'-1; ?/VttJ /<..~/ A.J lie,
TYPE OF WORK A~(jIJG" e;~N() rtJOL
USE OF BUILDING :S-. t:: D,
PERMIT NO. {} 2 - /0 I S- DATE ISSUED s/ / G. ((j Z-
BUILDER k4YPDY' PHONE # '-I~(J - ?~r...p.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING 1 ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I wi,. f%. '1(s(64
-t>OOL BMR.'.ez.1)eFOR...e:.4.rJJ WI\TG7L L~ ~n, ~
. [FINAL I N~ I tY.z_~
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
J
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I