HomeMy WebLinkAboutBuilding 04-0698
:;- 0 0 000000 " e > -0
l/l :I: ~ C z_
"tJ 0 0 en."z"''''''' 0 C ~::c!
(") (1) 0 i: z
0 !l ::jzen~OO z m " me
g > 0 ;u s: ~>cl:iS m ;u m 0."
r"" :"1 ;u zr""!;ZCz Z tJl ::!"
h1 r"" m m en
~ t 0 z ~ ::!G')~G') !J 0::0
-f z-
)0 -I m 0 - zO
lC ..... en o z 0
S cD 0 -f Z O;U
CXl -f (5 ::!!;
~ Ul 0
0 Z Z -- 0"
." )0 '-.l mm
~ 0 Z
" C -t.
~ -f " "
~ :I: ::0 V\
~ m 0 000000
Z ::0 0
'11 m m m !:"Oen:E!:"O
>< m
~ -f Z C mr~>mr fA
en oC: -f0C:
~ ~ Z ~ "0 :I:3I: m:I:3I: " 0 ,S"- tJl
en m ",!!!"::O::o!!! m 0 0
Q ~ "0 ::l 0 ZZ:I::I:-Z ::0 Z :I:
::! (1) -f 31: ~
m ~ )oG')OO G') -f m
~ 0 (") 0 r."OO ::0 ::::j ;:0 C
-f 0 Z -;:l;;:l; - c:
~ 0 ;a Ol Zc:c: Z r""
Z :"1 m ~"O"O !J ~ m
~ ." C
N 0 (L..
~ '" ::0
:I: m
~ 0 0
c:
::0 0 ~ ~
< 000000
en m
~ Z ::0 G')"''''om .., 0
z >
> )o:;o:;oO~ -4
~ G') ~mm3l:G') m
C
~ < _"O"O"O~
)0 ~!;!;!;C
~ Z
0 )oOOz=n
""'l !11 _mm-f_ -4
~ ::0"'::0 r
-f-- r i
enz z m
-f~ G')
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. 29, ~f-
I. White File I PERMIT NO A I
2 Pink City . 0", . 0 /~ 1J{1,
3. Yellow Applicant . '" 712 .
LEGAL DESCRIPTION (office use only)
LOT
PID25: Z '4-. 034, ()
BLOCK
ADDITION
ZONING (office use)
OWNER
(Name)
(Phone)
(Address)
(Phone)
(Phone)
CJ& ~IJ:; -7g 53
qx-~& 1'132-
TYPE OF WORK
o New Construction
ODeck
OPorch
DRe~Roofing
Misc.
,..hqLower Level Finish
Mi tlfl fY\-- l'~'Y1~~
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
o Alteration
ORe~Siding
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 plans. I am aware that the 'ng offic' can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u e operty to perform n ,
x
~tI()OSCf5'1
Contractor's License No.
Park Support Fee #
SAC #
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 4tJ,() ()
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter -MLL 5,'8", I", z,..' I
Pressure Reducer
City SAC and WAC #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Official
7/r/af
Date
~- 2t-Or'
Date
$
$
$
$
$
$
$
$
$
0,00
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
issued. q-J z/ tN
I 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
Tht' Ct'nlt'r flr tht' Lab Country
qhite - BU~
amu y - E" eering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 72 tI () y-l-oU
~-a9-()Lj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/7390 -- //?Lf/5 ~i. Pi Re!-
Accepted Accepted With Corrections ~
Denied
.r::;;? -; A ~. . _" -1. C"fJ.IJ I
Reviewed By: ~ ~
,..
Comments: ~p~ ~~-t....- ~
;z" ~ ~
~
~~
~
"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
Canar~ - Engineering
cj'Inlc - Planninp
The Ct'nler of the Lah COUnl'1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
I.
; i
I
L.".. /
i '. /'1
APPLICATION RECEIVED
"
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
/
f
, /
Accepted
v
Accepted With Corrections
Denied
Reviewed By: r 0-.
Comments:
~
Date:
~/ultJtf
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."
, '~. . ~
. .' ~
. .
~. -.. .- ~ .... -'
. ~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS \'1&{ I S./I! 3'0, F"~ ~9
TYPE OF WORK lU./4AT7D~ ___ _ _ ~ ",.r~)
USE OF BUILDING
PERMIT NO. 04. O(P 1(8 DATE ISSUED '7.1',1"1/
BUILDER D.J2-. ~~ 1 ,,..,c.. PHONE #9'5,- 2,"'- 4?3Z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~E UN;IL AB:E:O:AS B~EN SI::ED
I I
I FINAL Ifty1 I ~1D
,
I
r
FOR ALL INSPECTIONS (952) 447-9850
..