HomeMy WebLinkAboutBuilding 02-0650
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
44-t> C)
LEGAL DESCRIPTION (office use only)
5- / ij'-OY
l. White File I PERMIT NO I
2. Pink City . /l7 ~O/ c--r-l
3. Yellow Applicant . '-,~ W::::;J L/ .
ZONING (office use)
cA-
P(JUN~/lJ lIu/L,f ->>12-.
q <::..-=~ ~.~ rL4'..J.'
../~ ~ _7/1L--
LOT
BLOCK
ADDITION FO V -V/A,.J
OWNER
(Name) W ~SA"\A'-....J.J
(Address)
t. .A2.A
BUILDER
(Name)
(Contact Name)
(Address)
'l.
~D ,...., ~"":>
'D/...?
PID 25-3~3'-OO/- 0
~ i LL.,c;" k=;'-
(Phone)
(...s- ( <..{D ~ -- <( ~oO
J ,IE.. ~ C-'=~
i.=='
N
<) S'i -:),
I r
I (
..
(Phone)
(Phone) 0S t-
L/O~- LjL/iJd/
VAJ~
'/ . . r .C> [:;2.
,~'.AJ 'C..:::">c:..,j:::--__
TYPE OF WORK
o New Construction
ORe-Roofing
ORe-Siding
ODeck
OPorch
OUtility Connection
OLower Level Finish 0 Fireplace o Addition o Alteration
'\ ..'7P. ~1 6~C.E-
Misc.T2IV1\ S\t...8 CC'~'" ,-vLT10AAOJECTCOST/VALUE (exdudingland) $
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
'----;--) '7 -----
..~~- ') Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Permit When Approved
~-/~ -Ot....
Date
14I~<$
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 304.0-"
\ Paid i:/
Date
;~O?f1--1 ~;ceiPtNO t:1~~b~
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
~4j~"g~~-:-____~ 6/~EJ2- ~~~L~~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Bllildlng
c: Canary - Engineer~'
t'InK - Planning
Thr lrnlr' 01 thr llkr Counlry
APPLICATION RECEIVED
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
U) P1/~~ ~:rn~
S - /~/-O~
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
N)t!Vlo;jLJ I//I/e; 1f'1-
Accepted
~'
Denied
Reviewed By: /YJ1-A
x
Accepted With Corrections
Date: ~21-02-
Comments:
SP.P. Rp.vp.r!=>p. Sidp. for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
~) FTro!=>ion Control Plan
liThe 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."
The Cenler of Ihe L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
tLJL~~ c1~
s- /4-O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~t{da;jU HI'/!<; l.ff-
Accepted
~
Accepted With Corrections
Denied
t2f~
Date:
5-/&'-O'~
Reviewed By:
Comments:
-r;2<iL
ILl,> G~yJ
!lcc-€S.s
.
"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."
~:-..
~'\. ' ,p;
-.---,
White - BuUding
Canary - Engineering
Pink - Planning
The C.nler of Ih. llk. Counlry
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:
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ~ () . ~~
Comments:
~...tJJO_.C0~ ~ ts (~-f;~
Date:
5"-1 ~ /()~
/ 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
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ()2- Orb50 DATE ISSUED 5-/~ -02-
CONTRACTOR Jl ~SlMA<<^\A ~c PHONE ~5'1- L/ob- t/l/Q2
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
fut)V\ ~h" tl_Jl~
\':e'^^V' s....-~ -yr-,,"l'kr-
Su.lec;
~
\ J"Q.., U r-
.
INSPECTOR
DATE
I FOOTING tTe dow\I\ ~ ~bk,V\S I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lJJ. C. J4.c-pss I I
FINALS
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 b:aen 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