HomeMy WebLinkAboutBuilding 02-1050
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CITY OF PRIOR LAKE BUILDING PERMIT, , ,: Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE i r \' a 3 o.
AND UTILITY CONNECTION PERMIT uti: Sfi/"'.2::--!L-
; ~,:~ ~:~ I PERMrl NO. 02--/0.50]
3. Yellow Applicant _ _
ADDRESS
2.
......J
I"
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) f SJ ' '-I ~- ? 7 ,.y
(Address)
~
BUILDER
(Name)
(Contact Name)
(Address)
(JZ;U/,~__
TYPE OF WORK
o New Construction
(Phone)
(Phone) '1.5-2. ~ I ~ -...,'8 :? 9' c;?
~ck
OPorch
ORe-Roofing
ORe-Siding
1 "
o Misc. 1'6 - ~ i<
OLower Level Finish 0 Fireplace
~~~S
OUtility Connection
OAddition OAlteration
L~~$
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 plans. I am aware that the building cial can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon the pro to perfo eeded ins eons
x
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
B-23.02-
Date
Contractor's License No.
Date
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 "~IISV\ 0"Z,S.()z..., $ 14--.(,0
I Paid
Date
7~~_d
- - -C l-
IV
~ tJ(){;
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
~~~~~
Planning Director
f) / L 7/--ff2- SA A- ~L~~~l {,,~~.Jt T'1l91't.S
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
s~~
White - Building
Canary - Engineering
Pink - Planning
The C'rnlrf or Ihr t.kr {'aun'I"}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
oS eHEIC~~ I
&/8/00 I
I I
DON4L-O ~ 6G7Tt/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
36q4
G,/266N /lEICiHTS
.~/L
s>W
Accepted
Accepted With Corrections
v--
Denied
~
,
;:?~
Date: ~ /.:L7 / t}--e)
.
F, e; L.. C> {rcR.l F'I c.Ji., T I t"J
Reviewed By:
Comments: J)(!;CfL l..s
ALR~D'{ DONE".
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CA.LL
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"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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White - Building
Canary - Engineering
Pink - Planning
Tht' Crnler of tht> Lab Count'")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~&i-J.._ ~4 ~ ~.rz
. '7/XD/,i::; 2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~5 f? tt '-{ ~~ 4 H ~ Tr:<ALL
Accepted
Accepted With Corrections X
Denied A /J /? j
Reviewed By: V~ ~
Cl2:i:~ ~ ~--J.
Date:
1>.2 ?-C>L
"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
SITE ADDRESS 38"t'1 G...e.V\ ~s IF",; (
TYPE OF WORK ~rk Ro ~1a.c...(.Y\.::_J-
USE OF BUILDING SF\)
PERMIT NO. 02-- /os-o DATE ISSUED ~-2""5- 0'2.....
BUILDER ~lA SC \A -l?~'--- PHONE # q52- 'N7-J 19~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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