HomeMy WebLinkAboutBuilding 02-1533
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
11- I d---o;?-
~. ~i~i~e ~:~y I PERMIT NO. tJZ--/,' L? ~I
3 Yellow Applicant . J...::;>-.j .
LEGAL DESCRIPTION (office use only)
BLOCK I ADDITION-r;
LOT
Q,wNER
(N;ame)
(A~)
ZO~G, (office use)
S-~ · I~
0/~NI
(!?fillC)
1 :; ',7. ;ll'; -; 7 /~'} .7
, I
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
o New Construction
o Misc.
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Porch
ORe-Roofing
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 $at the bUilding offiCial can revoke this permit for just cause. Furthermore, I hereby agree that the City offiCial or a designee may
enter upo1 ~e propeItt. to, perform ne e' il}Sfections , / :'
! J I/. ,/", l\/J .. /" .
X ' . t /_1/'_
Contractor's License No. ,/ ~
Permit Valuation 15: ~(JO .00
Permit Fee $ 25J,ZS
Plan Check Fee $ Ifo'$.~1
State Surcharge $ 7,50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~~~
Building Official
1d!.J-!fJ ~
Date
OAddition
OAlteration
$
$
$
$
$
$
$
$
$
TOTAL DUE
Special Conditions, if any
tice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Park Support Fee
#
#
SAC
Water Meter
Size 5/8"; 1";
Paid
Date
ZZ,Ofo
ilJ;5-g~(jod!i;cei~Cf!!8%S I
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 10 commence. Before occupancy, a Certificate of Occupancy musl be
issued.
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
White - Building
Canary - Engineering
Pink - Planning
The ('('nfer of Ihe Lab Counlr')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT tlt,d f) r ep/ /o./a-J
APPLICATION RECEIVED 11- /~-{)~
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
A!99L/ yn~'(jj;h_S-f
Accepted
Accepted With Corrections ,X
Denied
Reviewed By:
~ ~ Date: p/,~~
,
~~J2 tLL( ~~~.
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."
/----
The- Cfnlfr or Iht tlkr COUnll')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.i
./
./-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
///
" f'
"
Accepted
/-
Accepted With Corrections
v
Denied
Reviewed By: Cf--<K--
Date:
II . I q O:J--
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,"
~.~
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White - Building
Canary - Engineering
Pink - Planning
Tht Crnlrr or Iht t.k<<, ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ('kln'l !J IP;1;/ Ia. uJ
APPLICATION RECEIVED /1- / ;;z-{) 0----
. ' ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'l99L/ <-;n0~~7ahSf
Accepteq
>(
Accepted With Corrections
Denied ;
Reviewed By:
/YJ73
Date:
J /-:??-O2-
Comments: See Reverse Sige forAdditionallnfQrmation!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."
,"
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