HomeMy WebLinkAboutBuilding 02-1448
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0-3/-02-
I White File
2 Pink City
3. Yellow Applicant
PERMIT NO'(J2//448
/U 0 tfH-t5 180
/-Il"rw ~
ZONING (office use)
,e./S.o
LEGAL DESCRIPTION (office use only)
LOT /3BLOCK 2- ADDITION /V(j~I/(!OO ,I"f;t'-J /J T
PID 2~- 3(,0-0/(.;, -t)
I OWNER
(N ame)
(Address)
(Phone)
(Phone)
(Phone)
~2-l;o -7~ee
BUILDER /' . '~c.
(N ame) <.-- . fVl c.. L..J OM.S T\? uC-T', () '-'
(Contact Name) c..., ..t M L.S)ov. ~C>
(Address) 2aso '-' 204..E-
TYPE OF WORK
OAddition
~',:",
~
-A-
OPorch
ORe-Roofing
OAlteration
o New Construction
OLower Level Finish
o Mise,
PROJECT COST IV ALUE (excluding land) $
J"vt; 5<;'J1L
ORe-Siding
OUtiIity 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 t e-m tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pl~-ram aware th the buil cial can r e this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upoo1he property to per m ed inspections,
~ 10.71. {JL-
Contractor's License No,
Park Support Fee
SAC
#
#
Plan Check Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Date
$
$
$
$
$
$
$
$
$
I Paid I~~,t
Date !, '- - 0 d-
This Application Becomes Your Building Permit When Approved
~~
/1 II jo z-
. ,
Date
Building Official
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
~l~"t~; III'{~?- r.€J ~C""d~-t>4-
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thf' Cf'nff'r of the Lab COunlf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~. 11 L D GOtJSTr2-.
10 - 31 -02-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_3(725 1-fA1^JC {zIOqb f2L).
Accepted With Corrections /'
Accepted
Denied
r
~~ ~ Date: II/I/o~
I
12e7W 'Tltb Df:~L f-11-WD OU I
Reviewed By:
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
SITE ADDRESS 3025 I-!l1W/c e/DG6 ~/tD
TYPE OF WORK DECK-
USE OF BUILDING ;2Cs A-//C_
,
PERMIT NO. 02-/448 DATE ISSUED /0 -.51-02-
BUILDER r?-. ,/tl{!,.o ~N~. PHONE # 4+0 - 9~88
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~R
I FOOTING I I J}- (j' 0(:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED \
....... I I
DATE
I FINAL
I QI7 I n-c;.o Z-
Call between 8:00 and 9:00 . . for all inspections
FOR ALL INSPECTIONS (952) 447-9850