HomeMy WebLinkAboutBuilding 02-1080
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
fJ- 2Z--02-
White File I PERMIT NO
Pink City . O} -100'0
Yellow Applicant , t,. U
fr:M<'
J
,fo
ex tS:h'j
-#-
ft'rM.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK ~ ADDITION
w~ (Y\o.l"\I'\
,~.J
PID
OWNER
(Name) We~~~
~~ Xf"C.
(Phone)
'$1)
'i~ - lj'-(O(j
(Address)
S~ie-
~
BUILDER
(Name) ~~
(Contact Name) Po....J..
(Address)
~ a.~
R. ~~
(Phone) """
(Phone) (q 5..:2.) 440 - .:.t s.s 7
TYPE OF WORK
ew Construction
ODeck
Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
x
'/'-158
Contractor's License No.
s / ;J::2. / 0 ;;)..
Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
I Paid
Date
!&() Ilf~
. 9- ::so 0
# $
# $
$
$
# $
# $
$
$
$ l'-2...
I ~::iPr;-i;} J'd ?
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
anying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
of 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
Tht' ("f'nlf'r of the L.h ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,ILl2/nAJ/m~?V ;kb.~
APPLICATION RECEIVED ~- d- :;Y-Od--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~7jo ~~~/
Accepted
v
Accepted With Corrections
Denied
CJ}l4-
5e-e P~N'
gJt~
Reviewed By:
Date:
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."
White - Building
Canary - Engineering
Pink - Planning
The ('{'nlt"r or rhe l.ake 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:
.,
",1,
.'
, ,
' J,,! <' < / ." ,
. k' I' i' t, /' \.. ~ _. /7_,
Accepted
\ .
V
Accepted With Corrections
Denied
Reviewed By:
,I
Date:
,)
Comments:
f' r~ ,~
"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 ~7~o Fo>c: TAlc- -t M(,-
NATURE OF WORK 'P>~...(
USE OF BUILDING f2E<; 4/,7- / /
PERMIT NO. 02 ~/OBO -r+- DATE ISSUED €/27 (<sz..
CONTRACTOR IV ~"''''''''^' ~~ PHONE '''5f _ 1<>:- _ 'f-<f<:>o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
rior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ILo
..
FRAMING
INSULATION
ELECTRICAL
J!l..Ulrl~Q. _
HEATING (if required)
-
..-.. .-.
- "..R TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
rior to Soddin
BUILDING % S e
ELECTRICAL
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