HomeMy WebLinkAboutBuilding 02-1071
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
oz-0331
3~
LEGAL DESCRIPTION (office use only)
'-rf-o \
LOT...25 BLOCK.;J.. ADDITION w <:,
OWNER
(Name)
lL.1$ t"'" ~ \- ON ~
l <6 C1 c;- P \ {\ ZA (J c\ ~
(Address)
g-z,()-OZ-
I. White File
2 Pink City
3 Y cllow Applicant
I PERMIT NO'O'L_/6 7 /
~Jf
fV.J~ ~'\
ZONING (office use)
flY
<;. \J ,.~ 'ZC()
(Phone)
GA..:....
PID' /-3r;S-o~LI
~~\) 4c(, -L\L\CC
M~\. 55122
BUILDER
(Name)
(Contact Name)
(Address)
~(\.-.<
p t:.~ \
AS
hkv'~
(Phone)
(Phone)
(6/z) 36q - 7b lO
<; .'- a
TYPE OF WORK
ODeck
~rch
OAddition
ORe-Roofing
ORe-Siding
o New Construction
o Misc.
OLower Level Finish
OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ ~ P1000 . 0(1
o Fireplace
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 a ve-mentioned rope and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am tit' are at . ding fficial can revoke this permit for just caus.e. FUrthermore., I hereby agree that the city official or a designee may
enter upon the ,P r din ections. AJ, I .--'" ,; J
X t1 ' .ft 4 ~ ~ .;j' Ze' f C' l
Signa Contractor's License No. Date
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"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I ek" G0
Paid
Date
)r~.(Jb
f-:r>vl--
I ~~cei~ 4- /6 "J
( :>
ying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
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
Th(' Crnler or fht Lakr COuOl1)
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
tU~~&/}tc/J1
8'- ;uJ -0 Cf-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~/? 70--( -74// /J--
Accepted
Denied
Accepted With Corrections L,/
Reviewed By:
12. OH
Date:
9 /z.'5 /0 l..
Comments:
.-
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? ,--,4 f'--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."
White - Building
Canary - Engineering
Pink - Planning
Tht' C'fnlt>r or the t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
it"
,)
,
/~i ,,~
",
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---) I ;,
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'~/~C:II
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Accepted
v
Accepted With Corrections
Denied
Reviewed By:
(lON
Date:
8/28~Z
,
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ cpr " ~ ,Alt.. -r fIC.A\ c...
NATURE OF WORK ~
USE OF BUILDING ~ A/c. ~
PERMIT NO. !J2. - /07 ~t- DATE ISSU'ED e{ t
CONTRACTOR VJ~f\ANN ~ PHONE ~s'~"4f"'GO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING p~ I f5;ECTOR 1j1, 0 ;~:
I~rior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-----. , ,. -..
FRAMING
INSULATION
ELECTRICAL
'"PI II~JUUtiC
HEATING (if required)
-FIREPLACE
QAS LINE :\IR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~IJING (Prior to Sodding)
BUILDING ~/~~
ELECTRICAL
..-~JJIBlNG
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